Effects of Paula Exercises and Tibial Nerve Stimulation in Stress Urinary Incontinence

Sponsor
Riphah International University
Study ID
NCT07576205
Status
Recruiting
Apply to this trial

Conditions

  • Urinary Incontinence

Eligibility Criteria

Sex
FEMALE
Age
30 Years - 45 Years
Healthy Volunteers
Accepted

Interventions

  • Paula Exercises — OTHER
    * 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
  • Tibial Nerve Stimulation — OTHER
    * 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

Study Details

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

Key Dates

First listed
May 8, 2026
Start date
Oct 1, 2025
Status verified
May 2026
Primary completion
Jun 1, 2026
Completion
Jul 1, 2026

Study Design

Enrollment
52 participants (estimated)
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT

Arms

  • Experimental: Paula Exercises & Tibial Nerve Stimulation
    Paula exercises involve contracting circular muscles of the body (especially facial muscles like the orbicularis oris and orbicularis oculi) to stimulate pelvic floor activity indirectly and for tibial stimulation Transcutaneous (TTNS) approach will be used
  • Active Comparator: Paula Exercises
    Paula exercises involve contracting circular muscles of the body (especially facial muscles like the orbicularis oris and orbicularis oculi) to stimulate pelvic floor activity indirectly

Primary Outcome Measure

Incontinence Impact Questionnaire IIQ 7: [ Time Frame: 8th week ]

Central Contacts

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