Dynamic Neuromuscular Stabilization vs Pelvic Floor Muscle Training in Women With Stress Urinary … (NCT07075900) | Clinical Trial Compass
RecruitingNot Applicable
Dynamic Neuromuscular Stabilization vs Pelvic Floor Muscle Training in Women With Stress Urinary Incontinence
Turkey (Türkiye)51 participantsStarted 2025-07-16
Plain-language summary
This randomized controlled trial aims to compare the pre- and post-treatment effects of Dynamic Neuromuscular Stabilization (DNS) training and Pelvic Floor Muscle Training (PFMT) on pelvic floor muscle function, pelvic floor morphometry, urinary symptoms, quality of life, sexual function, and physical activity levels in women with stress urinary incontinence (SUI).
Participants diagnosed with SUI by a specialist physician will be randomly assigned to one of three groups: DNS, PFMT, or a control group. Both DNS and PFMT interventions will be delivered as 12-week home exercise programs, performed five days a week and at least three times per day. To support adherence, participants will use an exercise diary. In addition, participants in the DNS and PFMT groups will attend the clinic twice a week for supervised sessions led by a physiotherapist.
The control group will receive a brochure containing lifestyle and bladder health recommendations but will not engage in any structured exercise program.
Who can participate
Age range
18 Years – 65 Years
Sex
FEMALE
See this in plain English?
AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.
Inclusion Criteria:
* Female participants aged between 18 and 65 years
* Diagnosed with stress urinary incontinence or stress-dominant mixed urinary incontinence by a specialist physician
* Having the ability to voluntarily contract the pelvic floor muscles
* Literate in Turkish
* Willing and voluntarily consenting to participate in the study
Exclusion Criteria:
* Pregnancy
* Presence of urgency-predominant urinary incontinence symptoms or fecal incontinence
* Inability to understand or cooperate with assessment procedures
* Presence of any neurological or rheumatological disease
* Severe cardiac or pulmonary disease
* Uncontrolled diabetes mellitus or hypertension
* Chronic liver and/or kidney failure
* Advanced pelvic organ prolapse (greater than grade 2)
* History of abdominal or pelvic surgery (including cesarean section) within the past year
* History of spinal surgery
* Current urinary tract infection
* History of pelvic radiation therapy
* Presence of spinal deformity
* History of acute low back pain within the past 4-6 weeks
* Receiving pelvic floor muscle training within the past three months
Questions worth asking your doctor
Bring these to your next appointment. They're a starting point for a shared conversation — not a sign you qualify or a recommendation to enrol.
1Based on my diagnosis and history, is this trial worth exploring for me — or is there a standard treatment we should try first?
2What does this trial's phase tell us about how much is already known about its safety and benefit?
3What would taking part actually involve for me — visits, tests, time, and travel?
4What are the known and possible risks or side effects I should weigh, and how would they be monitored?
5If this trial isn't the right fit, what other options or trials would you suggest I look into?
Generated to help you prepare — always confirm anything about your own eligibility and care with the study team and your doctor.
Questions for the trial coordinator
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.
1What does taking part actually involve week to week — how many visits, where, and how long does each one take?
2What costs are covered by the study, and what might I have to pay for myself, including travel, parking, or time off work?
3What happens during screening, and what happens if the study team confirms I don't meet the criteria after those tests?
4Who pays for the scans, blood work, and other tests the trial requires — the study, my insurance, or me?
5How will being in the trial affect my regular care, and will my own doctor stay informed and involved?
6Can I leave the trial at any point if I change my mind, and what would happen to my care if I do?
A starting point for the conversation — always confirm anything about your own eligibility, costs, and care with the study team and your doctor.
What they're measuring
1
1-Hour Pad test
Timeframe: Baseline and 12th week (at the end of the exercise program)
2
Pelvic Floor Morphometry
Timeframe: Baseline and 12th week (at the end of the exercise program)
3
Pelvic Floor Muscle Strength and Endurance
Timeframe: Baseline and 12th week (at the end of the exercise program)
4
Incontinence Quality of Life Questionnaire (I-QOL)
Timeframe: Baseline and 12th week (at the end of the exercise program)
5
Incontinence Episodes and Number of Pads Used (from 3-Day Bladder Diary)
Timeframe: Baseline and 12th week (at the end of the exercise program)