Effects of Paula Exercises and Tibial Nerve Stimulation in Stress Urinary Incontinence
Combine Effects of Paula Exercises and Tibial Nerve Stimulation on Incontinence, Pelvic Floor Muscles Strength, Sexual Function and Quality of Life in Stress Urinary Incontinence
Riphah International University
52 participants
Oct 1, 2025
INTERVENTIONAL
Conditions
Summary
The aim of this study is to compare the combined effects of Paula method \& tibial nerve stimulation on incontinence, pelvic floor muscles strength, sexual function and quality of life in stress urinary incontinence
Eligibility
Inclusion Criteria4
- Multiparous women (≥2 full-term vaginal deliveries)
- Clinical diagnosis of stress urinary incontinence (confirmed by cough stress test)
- Duration of symptoms ≥3 months
- Ability to correctly perform pelvic floor contractions (confirmed by digital examination)
Exclusion Criteria11
- Neurological disorders (e.g., multiple sclerosis, spinal cord injury)
- Mixed or urge urinary incontinence as the predominant type
- Previous pelvic surgery or incontinence-related procedures within the past year
- Current pregnancy or <6 months postpartum
- Pelvic organ prolapse beyond stage II (POP-Q system)
- Current use of other incontinence therapies (e.g., medication, PTNS, PFMT)
- Diagnosed malignancy
- Diagnosed psychiatric disorder
- Pregnancy
- Diagnosed dermatological condition
- Participants who are currently enrolled in other clinical trials to avoid potential confounding factors.
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Interventions
* Frequency: 2 sessions per week * Session Duration: 20 minutes * Repeated voluntary contractions of eye muscles (e.g., squinting) and mouth muscles (e.g., puckering lips), abdominal contractions followed by pelvic contractions. * Controlled breathing and postural awareness * Each type of contraction repeated 10-15 times per session * 30-second rest between sets, total 20 sets * Duration:8 weeks
* Frequency: 20 Hz * Pulse Width: 200 microseconds * Intensity: Adjusted to elicit mild toe flexion ,0 to 10 mA * Session Duration: 20 minutes * Frequency: 2 sessions per week * Total Duration:8 weeks
Locations(1)
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NCT07576205