Urinary Incontinence Clinical Trial
Official title:
Investigation of the Effects of Pelvic Floor Muscle Training and Balance Exercises on Ankle Muscle Function, Joint Range of Motion and Balance in Elderly People With Incontinence
Pelvic floor muscle weakness is one of the most important causes of incontinence. There are many studies supporting that pelvic floor muscle training prevents incontinence and reduces symptom severity, and with A level of evidence, it is among the first in the conservative treatment of incontinence. Functional status and balance problems are common in elderly people with incontinence, and it is known that functional type incontinence is common. Elderly people with incontinence most often fall while trying to get to the toilet. Balance exercises are recommended for falls and balance problems. The aim of this study is to examine the effects of pelvic floor muscle training and balance exercises on ankle muscle function, joint range of motion and balance in individuals aged 65 and over with urinary incontinence.
The research will be conducted on participants over the age of 65 with urinary incontinence living in a nursing home. After these participants are informed about the content of the study, a signed informed consent form will be obtained. Participants who meet eligibility requirements will be randomized in a single-blind manner (participant) into 2 groups: intervention and control groups. Both groups will be informed about balance exercises, fall risk factors, pelvic anatomy, pelvic floor muscles, and bladder training before the first session. In the evaluations made for both groups in the study, before the intervention and after the 14-week intervention; Superficial electromyography (EMG) for pelvic floor and ankle dorsi and platear flexor muscle function, digital goniometer for ankle joint range of motion measurement, digital manual muscle strength measurement device for ankle dorsi and plantar flexors muscle strength measurement, data recording for demographic information Form, Pelvic Floor Distress Inventory (PTDE-20) will be used to determine urinary incontinence symptoms and severity, "30-second sit-stand test" and Berg Balance Scale (BBS) will be used for balance. The exercise program, which includes pelvic floor muscle training and balance exercises, will be applied to the intervention group on a group basis for 14 weeks, twice a week, accompanied by a physiotherapist, as a home program in 1 day; and the pelvic floor muscle training will be applied to the control group on a group basis for 14 weeks, twice a week, accompanied by a physiotherapist, as a home program in 1 day. Evaluations will be made before the intervention and after 14 weeks of intervention. ;
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