Synchronous and Asynchronous Telerehabilitation for Women With Urinary Incontinence
Recruiting now · Not applicable
Conditions studied: Urinary Incontinence,Stress
In brief
In the adult female Greek population,approximately 27% suffer from urinary incontinence (UI). Nowadays, the conservative, evidence-based and 'gold standard' therapy of UI involves pelvic floor muscles (PFM) training programs, which are effective when performed intensively (daily) and for at least three months' duration. Unfortunately, patients' adherence to PFM exercises programs is often compromised for various reasons (lack of patient interest, inability to exercise daily etc.). Therefore, the development of synchronous and asynchronous telerehabilitation programs has revolutionized UI treatment, because they offer an interactive environment which might increase patient motivation and improve patient's adherence to this demanding PFM exercise regime. Synchronous Telerehabilitation Programs (STP) have developed via communication platforms that allow users to connect with video, audio, phone, and chat applications (e.g. Zoom), where users can interact in real time with their therapist and follow their treatment through the PFM exercise program. Furthermore, Asynchronous Telerehabilitation Programs (ATP) have emerged via mobile applications, educational videos etc., where users can follow their treatment using the PFM exercise program at a more convenient time that fits into their personal schedule. Although some studies have examined either STP or ATP with or without face-to-face sessions, no study has investigated a blended approach of STP and ATP for the management of UI. Given the above, the primary aim of this study is to evaluate the effectiveness of a blended STP and ATP, in comparison to face-to-face therapy sessions. A secondary objective is to investigate the level of patients' adherence, and the amount of supervision required, in a blended STP and ATP. Furthermore, the necessity of telerehabilitation programs (whether provided in a synchronous or asynchronous manner) in the field of pelvic floor dysfunctions specifically in UI, will be explored. Finally, the study will assess the usability of a telerehabilitation program (whether provided in a synchronous or asynchronous manner) in women with UI.
Key facts
- Study ID
- NCT06848517
- Run by
- University of Patras
- People needed
- 60
- Starts
- 2025-02-15
- Expected to finish
- 2026-05-30
- Last updated by the study team
- 2025-02-27
Who can join
Age: 18 and older, up to 75. Sex: female. Healthy volunteers: not accepted.
You may qualify if…
- Greek women,
- 18-75 years old,
- Diagnosis of Stress Urinary Incontinence (SUI) or Mixed UI (via Urodynamic examination).
- Writing and reading of the Greek language
- Having ease in using synchronous communication platforms (e.g., Zoom) and asynchronous educational videos via smart phones, tablets, computers etc
- Able to voluntarily contract the PFM, during the initial clinical examination.
You may not qualify if…
- 6 months after postpartum,
- Systemic diseases
- Malignancy,
- Major gynecological surgery (i.e. total hysterectomy) over the last 10 years,
- Neurological dysfunction,
- Mental impairment
Where it is running
- University of Patras, School of Health Rehabilitation Science, Department of Physiotherapy — Pátrai, Rion, Achaia, Greece (enrolling)
Full record on ClinicalTrials.gov
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