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Effectiveness of a Hip Abductor Training in Women With Stress Urinary Incontinence

RecruitingNAAges 18 Years - anyFemaleUniversity Hospital, Rouen
NCT05635175 on ClinicalTrials.gov ↗
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In plain words

What the trial is, and whether it could suit you

Urinary incontinence (UI) is estimated to affect 25% à 45 % women all over the world. UI is associated with a poor Quality of life, with a strong level of certainty. Stress urinary incontinence (SUI) is the second more prevalent type of UI . First-line treatment for SUI is conservative, non-drug and non-surgical treatment. Among these techniques, physiotherapist-supervised pelvic floor muscle (PFM) training (PFMT) as a first-line treatment; however, only half of women with SUI are cured with PFMT. Brain imaging shows that PFMs (involved in continence mechanisms) and gluteal muscles can activate the same cortical region. This synergy is found if the gluteal muscles are voluntarily activated, but not if the PFMs are volontary activated alone . In women, hip abductor physiotherapy is a common practice which has already been the subject of a very extensive literature and has largely shown i

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📋 Eligibility rules (as published)
Inclusion Criteria: * Women ≥ 18 ans * patient with urinary incontinence according to the ICS criteria \[3\] * having received a prescription for perineal rehabilitation * affiliated to french health care insurance * Patient having read and understood the information letter and signed the consent form * Effective contraception in women of childbearing age (negative urine pregnancy test). For postmenopausal women, a confirmatory diagnosis must be obtained (amenorrhea for at least 12 months before the inclusion visit) Exclusion Criteria: * Bladder pathologies (cyst, tumour, interstitial cystitis) * Neurological pathologies (multiple sclerosis, Parkinson's desease, etc.) * Pregnant or parturient or breastfeeding woman or absence of proven contraception * Person deprived of liberty by administrative or judicial decision or a person placed under the safeguard of justice, or guardianship or curatorship * Physical inability to perform hip abductors exercises (unable to walk or stand independently) * Women having scheduled continence surgery before the end of physiotherapy sessions at the time of randomization * Women having at least one of the continence-specific anticholinergic treatments prescribed before the end of the physiotherapy sessions at the time of randomization
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What it tests

  • hip abductors physiotherapy self training
  • Standard pelvic floor muscle training
  • Standard pelvic floor muscle training self training
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Where

3 sites
Pôle santé de la Grace Dieu
Caen, France
Chu Rouen
Rouen, France
Médipôle du Rouvray
Saint-Étienne-du-Rouvray, France
🤝 Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible — always decide together with your own doctor.
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