Effect of Pelvic Floor Muscle Training on Urinary Incontinence Reports in Obese Women Undergoing a Low Calorie Diet
Urinary Incontinence, Obesity, Strength; Pelvic Floor
About this trial
This is an interventional treatment trial for Urinary Incontinence focused on measuring Urinary Incontinence, Obesity, Diet, Pelvic floor muscles training
Eligibility Criteria
Inclusion Criteria:
- Patients of the outpatient bariatric surgery service that will start a low calorie diet program as part of the bariatric presurgery routine of the service
- Women
- Over 18 years old
- With body mass index greater than 30kg / m2
- Who have reported urinary incontinence in the last four weeks
- Who have the ability to contract the pelvic floor muscles
- No report of neurological disease, no cognitive impairment
- That are not pregnant.
Exclusion Criteria:
- Women who do not wish to continue participating in the research.
Sites / Locations
- Pauliana Carolina de Souza MendesRecruiting
Arms of the Study
Arm 1
Arm 2
Active Comparator
Experimental
Group 1- diet therapy (control)
Grupo 2 - low calorie diet + PFMT (experimental)
Control group undergoing a low calorie diet will not receive supervised pelvic floor muscle training. This group will be assessed at baseline and after 12 weeks. For ethics reason at the end of the study women of the control group will be invited to receive the pelvic floor muscle training program. However, this will not be part of the study.
The experimental group will receive supervised pelvic floor muscle training in addition to a hypocaloric diet. Women will be instructed to perform daily pelvic floor muscle training at home. 4 sets of 10 maximal voluntary pelvic floor contractions sustained for 6 seconds, followed by 5 voluntary contractions of the pelvic floor muscles. The 4 sets will be performed in 2 different positions (sitting and standing). Once a month, they will receive a supervised in-person session using the same protocol described above, in the other weeks of the month will receive a session supervised by telephysiotherapy once a week. In addition to supervised sessions, women will be encouraged to perform the protocol three more days a week. In addition, they will be instructed to perform "the knack" maneuver.