Dynamic Neuromuscular Stabilization vs Pelvic Floor Muscle Training in Women With Stress Urinary Incontinence
Recruiting now · Not applicable
Conditions studied: Stress Urinary Incontinence (SUI), Dynamic Neuromuscular Stabilization, Pelvic Floor Muscle Training, Muscle Morphology, Urinary Symptoms, Quality of Life
In brief
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.
Key facts
- Study ID
- NCT07075900
- Run by
- Izmir Katip Celebi University
- People needed
- 51
- Starts
- 2025-07-16
- Expected to finish
- 2026-12-30
- Last updated by the study team
- 2026-03-25
Who can join
Age: 18 and older, up to 65. Sex: female. Healthy volunteers: not accepted.
You may qualify if…
- 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
You may not qualify if…
- 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
Where it is running
- Ege University, Faculty of Medicine, Department of Obstetrics & Gynecology — Izmir, Turkey (Türkiye) (enrolling)
Full record on ClinicalTrials.gov
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