Effectiveness of Telerehabilitation on Pelvic Floor Dysfunction at Postpartum Woman

NCT07228806 — Not applicable, Recruiting, 60 participants, Ankara Etlik City Hospital

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Evaluation of the Effectiveness of Telerehabilitation on Pelvic Floor Dysfunction in Postpartum Women: A Single-Blind Randomised Controlled Trial

Registry	NCT07228806
Status	Recruiting
Phase	Not applicable
Study type	Interventional; randomized, parallel, masking: single, prevention
Enrollment	60 (Estimated)
Sponsor	Ankara Etlik City Hospital (Other gov)
Conditions	Postpartum Pelvic Floor Function and Symptoms
Interventions	Pelvic floor exercises with telerehabilitation, Pelvic floor exercises without telerehabilitation (Other)
Dates	start 2025-11-30, primary completion 2026-05-09 (estimated), completion 2026-05-09 (estimated), first posted 2025-11-14, last updated 2026-02-24
Locations	1 site in Turkey (Türkiye)

-Summary

These events are largely due to pelvic floor dysfunction that develops after pregnancy. Kegel exercises and core stabilisation exercises performed in the postpartum period are important in preventing pelvic floor dysfunction. However, considering the mother's adaptation process to both the baby and her new life in the postpartum period, there may be problems with exercise compliance. Increasing exercise compliance through telerehabilitation can be effective in preventing pelvic floor dysfunction and improving women's quality of life.

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+Arms and interventions

Arm	Type	Interventions	Description
Telerehabilitation group	Experimental	Other: Pelvic floor exercises with telerehabilitation
Conventional group	Active comparator	Other: Pelvic floor exercises without telerehabilitation

Pelvic floor exercises with telerehabilitation (Other): Patients in the telerehabilitation group will be assigned the same 8-week exercise programme as those in the conventional group to be carried out at home. Unlike the conventional group, patients in the telerehabilitation group will be contacted by telephone each week throughout the exercise programme to check their adherence to the programme, to ask if they have encountered any problems with the exercise programme, and to answer any questions they may have.
Pelvic floor exercises without telerehabilitation (Other): An 8-week exercise programme consisting of 45-minute Kegel exercises and core stabilisation exercises per day will be provided for implementation at home in the conventional group.

+Outcome measures

Primary outcomes

Pelvic floor muscle strength assessment [Before exercises programme and 8th week of exercises programme]: Pelvic floor muscle strength assessment using the SineBravo 2-channel EMG Biofeedback device

Secondary outcomes

Measurement of the distance between the inferior edge of the pubic symphysis and the anteromedial edge of the puborectalis muscle using transperineal ultrasound [Before exercises programme and 8th week of exercises programme]
Pelvic floor questionnaire for pregnant and postpartum women [Before exercises programme and 8th week of exercises programme]
Female Sexual Function Index [Before exercises programme and 8th week of exercises programme]

+Eligibility

Sex: Female, ages: 18 Years to 45 Years

Inclusion Criteria:

1. Aged between 18 and 45
2. Primiparous women
3. Term vaginal delivery
4. 6 weeks postpartum
5. Willingness to participate in the study

Exclusion Criteria:

1. Presence of faecal or urinary incontinence prior to pregnancy
2. Use of assisted delivery devices (vacuum, forceps)
3. Presence of neurological disease
4. Presence of psychiatric illness or cognitive problems that make it difficult to answer questions
5. Caesarean section delivery
6. History of diabetes mellitus
7. Perineal rupture

+Locations (1)

Facility	City	Country	Status
Ankara Etlik City Hospital	Ankara, Yenimahalle	Turkey (Türkiye)	Recruiting