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CTRI Number  CTRI/2025/07/091186 [Registered on: 18/07/2025] Trial Registered Prospectively
Last Modified On: 17/07/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Non-randomized, Active Controlled Trial 
Public Title of Study   Effect of exercises and nerve stimulation on urine leakage in postmenopausal women 
Scientific Title of Study   Synergistic evaluation of Abdominal Hypopressive Exercise and Transcutaneous Tibial Nerve Stimulation in managing mixed urinary incontinence among postmenopausal women QUASI experimental study 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Priyadarshini 
Designation  Postgraduate student 
Affiliation  SRI RAMAKRISHNA INSTITUTE OF PARAMEDICAL SCIENCES 
Address  4th floor, department of physiotherapy, SRI RAMAKRISHNA INSTITUTE OF PARAMEDICAL SCIENCES #395, sarojinini naidu road, sidhapudur, coimbatore

Coimbatore
TAMIL NADU
641044
India 
Phone  8270709546  
Fax    
Email  priyajames1315@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Surya gopalakrishnan 
Designation  Assistant professor 
Affiliation  SRI RAMAKRISHNA INSTITUTE OF PARAMEDICAL SCIENCES 
Address  3rd floor, department of physiotherapy SRI RAMAKRISHNA INSTITUTE OF PARAMEDICAL SCIENCES #395, sarojinini naidu road, sidhapudur, coimbatore

Coimbatore
TAMIL NADU
641044
India 
Phone  9496808936  
Fax    
Email  suryagopalakrishnans@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Priyadarshini 
Designation  Postgraduate student 
Affiliation  SRI RAMAKRISHNA INSTITUTE OF PARAMEDICAL SCIENCES 
Address  3rd floor, department of physiotherapy SRI RAMAKRISHNA INSTITUTE OF PARAMEDICAL SCIENCES #395, sarojinini naidu road, sidhapudur, coimbatore

Coimbatore
TAMIL NADU
641044
India 
Phone  8270709546  
Fax    
Email  priyajames1315@gmail.com  
 
Source of Monetary or Material Support  
Nil 
 
Primary Sponsor  
Name  Priyadarshini 
Address  SRI RAMAKRISHNA INSTITUTE OF PARAMEDICAL SCIENCES 395 sarojini naidu road, sidhapudur , coimbatore -641044 
Type of Sponsor  Other [Myself] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Priyadarshini  Sri ramakrishna hospital  1st floor, department of obstetrics and gynaecology SRI RAMAKRISHNA INSTITUTE OF PARAMEDICAL SCIENCES#395, sarojinini naidu road, sidhapudur, coimbatore
Coimbatore
TAMIL NADU 
08270709546

priyajames1315@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Sri ramakrishna hospital  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: N394||Other specified urinary incontinence,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Abdominal Hypopressive Exercise and Transcutaneous Tibial Nerve Stimulations  Single group - receiving Abdominal Hypopressive Exercise and Transcutaneous Tibial Nerve Stimulation for 6 weeks 
Comparator Agent  Nil  Nil 
 
Inclusion Criteria  
Age From  45.00 Year(s)
Age To  60.00 Year(s)
Gender  Female 
Details  Menopause for greater than 1 year
Body mass index is average
ICIQ SF score ranges from 2 to 21 points
one hour Pad test severity is mild to moderate
Able to understand the procedure advantages and possible side effects
Able to write and give informed consent form
Participants who answered yes for both the question were included
First question is during the past month have you involuntarily got wet while performing some kind of physical exertion
Second question is during the past month have you experienced such as a strong urge to urinate that it was impossible to get to the toilet in time.
 
 
ExclusionCriteria 
Details  Presence of Pelvic organ prolapse
Frequent vaginal or urinary tract infections
Presence of any neurological diseases
medication users for urinary incontinence
Diabetes mellitus
Hypertension
Abdominal hernia
Cardiorespiratory diseases
Active cancer
Pelvic and gynaecological surgery within 3months
Previous exposure to Abdominal Hypopressive Techniques and Transcutaneous Tibial Nerve Stimulation
Presence of any metal implants in lower limb 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
• International Consultation of Incontinence Questionnaire for Urinary Incontinence – Short Form (ICIQ UI – SF)  At baseline and after 6 weeks 
 
Secondary Outcome  
Outcome  TimePoints 
One hour pad test  At baseline and after 6weeks 
 
Target Sample Size   Total Sample Size="20"
Sample Size from India="20" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   28/07/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="0"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  
20 Patients of mixed urinary incontinence in postmenopausal women are taken from Sri Ramakrishna Hospital, Department of obstetrics and gynaecology. These patients are assigned according to the inclusion and exclusion criteria. Patients are allocated in treatment group using purposive sampling method. The pre-test measures are obtained by ICIQ-SF questionnaire and 1-hr pad test for evaluating the severity and symptoms of mixed urinary incontinence. A well explained consent form is given and approval of patients are received. The treatment group will receive abdominal hypopressive exercises and transcutaneous tibial nerve stimulation for about 3days/weeks for about 4 weeks.The procedure of the intervention protocol is well explained to the patient with precautions Again after 4 weeks re-evaluation is conducted using ICIQ-SF questionnaire and 1-hr pad test for reduced symptoms and severity of mixed urinary incontinence. Finally, the abdominal hypopressive exercises and transcutaneous tibial nerve stimulation is effective in reducing the symptoms and severity of mixed urinary incontinence and improving the day to day of life is determined.
 
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