Urinary Incontinence Amongst Women With Chronic Obstructive Pulmonary Disease (UriCO)
Chronic Obstructive Pulmonary Disease, Urinary Incontinence
About this trial
This is an interventional treatment trial for Chronic Obstructive Pulmonary Disease
Eligibility Criteria
Inclusion Criteria:
- COPD grade 1-4
- Subjective urinary incontinence
- Ability to perform an active contraction of the pelvic floor muscles
Exclusion Criteria:
- Unstable COPD
- More than 4 hospital admissions due to COPD in the past twelve months
- Neurological conditions
- Previous gynecological surgery
Sites / Locations
- St Olavs Hospital
- Østfold Hospital Trust
Arms of the Study
Arm 1
Arm 2
Arm 3
Experimental
Experimental
Experimental
Pelvic floor muscle training
Cough-suppression
Control group
Participants in the pelvic floor muscle training group will receive group exercise sessions (1 hour) at the physiotherapy out-patient department of the hospital once a week for 16 weeks with guidance from an experienced pelvic floor physiotherapist. The group exercise sessions will focus on pelvic floor muscle training, relaxation and breathing techniques. Participants in the pelvic floor muscle training group will also receive an individually adapted pelvic floor muscle training program for daily home use.
Participants in the cough-suppression group will receive a group education session with general information about cough-suppression therapy and advice about how to distinguish between unproductive and productive cough to enable them to perform airway clearance techniques when required. In addition, participants will receive one to two individual sessions (30-60 minutes) of cough-suppression therapy tailored to the individual needs based on symptoms and underlying disease activity
Participants in the group will receive guidance and instruction in terms of correct contraction of the pelvic floor muscles at clinical assessment. Control group participants will receive brief written information about pelvic floor muscle training and cough-suppression therapy, but no other form of regular follow-up or intervention throughout the intervention period.