The goal of this randomized clinical trial is to compare the effectiveness of a pelvic floor rehabilitation program in a face-to-face versus remote in community-dwelling elderly women with urinary incontinence. The main question it aims to answer is: What is the difference in effectiveness of a pelvic floor rehabilitation program through face-to-face versus remote intervention? Participants will be divided into three groups: Synchronous Group: will receive guidance and perform a real-time guided pelvic physiotherapy protocol through online physiotherapy by the physiotherapist, Asynchronous Group: will receive guidance and perform a pelvic physiotherapy protocol after the evaluation, without the real-time monitoring by the physical therapist and face-to-face group: will receive guidelines and will perform a pelvic physiotherapy protocol oriented in person by the physical therapist. All groups will receive the same treatment for 12 weeks, which will include floor muscle training pelvic floor, urge suppression techniques, bladder training and behavioral therapy. Participants will be evaluated pre-treatment, at the end of the 6th week, and at the end of 12 weeks.
Age range
60 Years – 100 Years
Sex
FEMALE
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The trial coordinator is the person who runs the study day to day. These cover the practical side — logistics, costs, and what taking part would actually mean for your life. The study team confirms whether you meet the criteria; these are questions to ask, not a sign you qualify.
A starting point for the conversation — always confirm anything about your own eligibility, costs, and care with the study team and your doctor.
Presence of Urinary Incontinence.
Timeframe: Pre-treatment, at the end of the 6th week, at the end of 12 weeks.
Type of Urinary Incontinence.
Timeframe: Pre-treatment, at the end of the 6th week, at the end of 12 weeks.
Frequency of Urinary Incontinence
Timeframe: Pre-treatment, at the end of the 6th week, at the end of 12 weeks.
Frequency of Urinary Incontinence.
Timeframe: Pre-treatment, at the end of the 6th week, at the end of 12 weeks.
Overactive bladder symptoms.
Timeframe: Pre-treatment, at the end of the 6th week, at the end of 12 weeks.
Quality of Life.
Timeframe: Pre-treatment, at the end of the 6th week, at the end of 12 weeks.