Physical Therapy for Women With Obstetric Trauma and Anal Incontinence
Sphincter Ani Incontinence, Obstetric Trauma
About this trial
This is an interventional prevention trial for Sphincter Ani Incontinence focused on measuring anal incontinence, genital trauma, physical therapy, anal manometry
Eligibility Criteria
Inclusion Criteria:
- Primiparous women aged 18 years of older
- Vaginal delivery, vacuum-assisted-vaginal-delivery (VAVD), or forceps-assisted-vaginal-delivery (FAVD) of a neonate of gestational age:
- 27 completed weeks
- Singleton or vaginal delivery of multiple gestation
- Able to read and speak the English language
Exclusion Criteria:
- Unable to comply with physical therapy or office visits
- Unreliable transportation
- Preexisting neurologic, musculoskeletal or neuromuscular disorder rendering them unable to perform physical therapy requirements
- Cesarean delivery
- History of prior surgery for anorectal incontinence (i.e. sphincteroplasty
Sites / Locations
- TriHealth
Arms of the Study
Arm 1
Arm 2
Experimental
No Intervention
Physical & Behavioral Therapy Group
Control Group
Intervention Group: Randomized to Physical Therapy (PT) 2-week visit which includes: Demographic Data, Physical Exam, ehavioral Therapy (BT) handouts Functional questionnaires administered Physiologic measurements obtained Follow-up Evaluation-6-week visit PT session #1 Functional questionnaires administered Follow-up Evaluation-8-week visit PT session #2 Follow-up Evaluation-10-week visit PT session #3 Study Completion Visit-12-week visit Functional questionnaires administered PT session #4 Physiologic measurements Physical Exam Long-term Follow-up-24-weeks Functional questionnaires administered by mail
Control Group: Baseline Data obtained at 2-week visit Demographic Data General Physical Exam findings Functional questionnaires administered in person (FIQOL, FISI, SF-12, FSFI, UDI-6, IIQ-7) Physiologic measurements obtained (Vaginal EMG, Anal-rectal manometry) Follow-up Evaluation at 6-week visit Functional questionnaires administered in person at patient's previously scheduled postpartum office visit with primary Ob/Gyn or by mail Study Completion Visit at 12-week visit Functional questionnaires administered Physiologic measurements obtained Physical Exam findings Long-term Follow-up at 24-weeks - Functional questionnaires administered by mail