Effects of a Multidisciplinary Intervention on Fall Risk and Urinary Incontinence in Older Women
Fundación Universidad Católica de Valencia San Vicente Mártir
120 participants
Feb 3, 2025
INTERVENTIONAL
Conditions
Summary
This will be a quantitative, quasi-experimental, and longitudinal study spanning 18 weeks of intervention, followed by a 24-week follow-up, scheduled to begin in January 2025. The primary objective of this study is to evaluate the effects of a multidisciplinary intervention comprising physiotherapy, physical exercise, and psychoeducation on fall risk and urinary incontinence in non-institutionalized older adult women aged 60 to 80 years. Participants will be randomly assigned to one of four groups: 1. A multicomponent exercise group with verbal instructions for pelvic floor exercises. 2. A multicomponent exercise group with verbal instructions for pelvic floor exercises and psychoeducation. 3. A multicomponent exercise group without verbal instructions for pelvic floor exercises. 4. A control group. Multicomponent exercise sessions will be conducted twice a week, while the psychoeducation group will participate in five group therapy sessions throughout the program. The variables to be analyzed include balance, strength, power, pelvic floor function, quality of life, and self-esteem.
Eligibility
Inclusion Criteria8
- Woman, aged between 60 and 80 years.
- Not having done physical exercise in the last 3 months.
- Present UI (SUI, UUI or MUI) after clinical diagnosis.
- Score greater than 90 on the Barthel Scale.
- Not present pathologies or functional alterations that limit the practice of physical exercise.
- Not present severe cognitive alterations or mild cognitive deficit (Global Deterioration Scale less than or equal to 2 or Mini Mental State Examination greater than or equal to 25 points).
- Maintain walking without support products.
- Carry out 80% of the total sessions
Exclusion Criteria4
- Intake of medication that could affect the performance of the exercise or alter the variables studied.
- Present grade II-IV uterine prolapses.
- Clinical disease or syndrome (chronic or acute cardiovascular, neurological, respiratory or musculoskeletal disorders) that may interfere with the performance of the intervention and evaluation.
- Present visual and/or auditory alterations that make it difficult to carry out the intervention and evaluation.
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Interventions
A multidisciplinary intervention will be carried out, consisting of an initial phase of individual physiotherapy based on specific active muscle training of the pelvic floor (EMSP). This will be followed by a group-based multi-component physical exercise program with instructions on pelvic floor contraction during the exercises, and psychoeducation sessions to help cope with the fear of increased likelihood of falls and urinary incontinence as a result of aging.
The same procedure as experimental group 1 ExVerbPsy will be performed except for the psychoeducation sessions.
The same procedure as experimental group 1 ExVerbPsy will be performed but without verbal instructions and psychoeducation sessions.
Locations(1)
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NCT06839040