Actively Recruiting
Led by University of Patras · Updated on 2025-02-27
60
Participants Needed
1
Research Sites
34 weeks
Total Duration
Researchers are evaluating different ways to deliver pelvic floor muscle (PFM) exercise programs to adult women in Greece who suffer from urinary incontinence, specifically stress or mixed types. The study compares a blended telerehabilitation program combining live video sessions and educational videos with traditional face-to-face therapy sessions and a control group receiving only written instructions. This study aims to explore how these approaches affect treatment effectiveness, patient adherence, supervision needs, and usability of telerehabilitation for urinary incontinence. Participants are assigned to one of three groups. The first group uses a blended program involving weekly live video calls with a therapist and watching educational videos to guide PFM exercises three times a week for 12 weeks. The second group attends weekly in-person therapy sessions with their therapist and performs additional exercises independently at home. The third group follows a home exercise program based on written instructions without therapist supervision. Exercise programs include endurance, speed, and "Knack maneuver" training, with positions changing every two weeks. Assessments occur at baseline, 6 weeks, 12 weeks, and follow-ups at 6 and 9 months. During the study, participants undergo evaluations of urinary incontinence symptoms, muscle function, and treatment adherence using questionnaires, physical assessments, and electromyographic measurements. Data on treatment usability and patient motivation are also collected. Safety and progress are monitored by therapists remotely or in person, depending on the group. The study lasts 12 weeks of treatment with long-term follow-up to assess lasting effects. Data are analyzed to compare outcomes between groups and understand the role of telerehabilitation in managing urinary incontinence.
CONDITIONS
Synchronous and Asynchronous Telerehabilitation for Women With Urinary Incontinence
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Complete this quick 3-step screening to check your eligibility
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Duration - 12 weeks
Participants follow a pelvic floor muscle (PFM) exercise treatment program lasting 12 weeks. Depending on the group, this includes weekly synchronous remote sessions with a therapist and educational videos (BSATP Group), weekly face-to-face sessions with a therapist (FtFS Group), or unsupervised home exercises guided by an educational leaflet (Control Group). The exercise program is individualized and involves three sessions per week with progressive adjustments every two weeks.
3 assessment visits at baseline, 6 weeks, and 12 weeks
Duration - Up to 9 months after baseline
Participants undergo follow-up assessments to monitor outcomes at 6 and 9 months after baseline.
2 follow-up visits at 6 and 9 months after baseline
Total: 1 location
1
University of Patras, School of Health Rehabilitation Science, Department of Physiotherapy
Pátrai, Rion, Achaia, Greece, GR26504
Actively Recruiting
E
Evdokia Billis, Professor
Study Type
INTERVENTIONAL
Masking
TRIPLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
3
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Dimitra Tania Papanikolaou, Sofia Lampropoulou, Konstantinos Giannitsas...
https://pubmed.ncbi.nlm.nih.gov/36808744