12-Week PFMT With Imagery for Geriatric Urinary Incontinence
Summary
A clinical trial (NCT07551674) registered on ClinicalTrials.gov investigates the effects of a 12-week Pelvic Floor Muscle Training (PFMT) program using Action Observation Therapy (AOT) with metaphorical imagery on urinary incontinence in geriatric women aged 65 and older. The study, to be conducted between June 2025 and June 2026 in nursing homes in Istanbul, will enroll participants with stress or stress-predominant mixed urinary incontinence and normal cognitive function. Both study groups will undergo twice-weekly 45-50 minute progressive exercise sessions advancing from supine positions to standing and jumping movements, with the AOT group additionally observing metaphor-themed projected visuals. Efficacy will be evaluated using standardized tools including the Pelvic Floor Distress Inventory-20, 24-hour pad test, and Incontinence Quality of Life Scale.
“This clinical trial investigates the effects of a 12-week Pelvic Floor Muscle Training (PFMT) program applied via Action Observation Therapy (AOT) with metaphorical imagery on urinary incontinence, quality of life, and treatment adherence in geriatric women.”
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What changed
This document registers a new clinical trial (NCT07551674) on ClinicalTrials.gov describing a randomized study of 12-week Pelvic Floor Muscle Training (PFMT) with and without Action Observation Therapy for treating urinary incontinence in geriatric women. The trial will take place in Istanbul nursing homes from June 2025 to June 2026, enrolling women aged 65+ with stress or stress-predominant mixed incontinence and MMSE scores of 24 or higher. Participants will attend twice-weekly 45-50 minute group exercise sessions with progressive difficulty.
For clinical research organizations, hospitals, and nursing homes conducting geriatric incontinence research, this registration indicates a growing focus on non-pharmacological interventions combining motor learning techniques with pelvic floor training. The study's use of metaphorical imagery and action observation represents an innovative approach to treatment adherence that may inform future program designs for similar populations.
Archived snapshot
Apr 28, 2026GovPing captured this document from the original source. If the source has since changed or been removed, this is the text as it existed at that time.
Effects of Action Observation and Metaphorical Imagery in Pelvic Floor Muscle Training for Geriatric Urinary Incontinence
N/A NCT07551674 Kind: NA Apr 27, 2026
Abstract
This clinical trial investigates the effects of a 12-week Pelvic Floor Muscle Training (PFMT) program applied via Action Observation Therapy (AOT) with metaphorical imagery on urinary incontinence, quality of life, and treatment adherence in geriatric women. The study will be conducted between June 2025 and June 2026 in nursing homes in Istanbul, targeting women aged 65 and older who are diagnosed with stress or stress-predominant mixed urinary incontinence, possess normal cognitive function (Standardized Mini Mental Test score ≥ 24), and walk independently. Eligible participants will be divided into groups, where both will undergo a progressive exercise regimen involving twice-weekly 45-50 minute group sessions that advance from supine positions to standing and jumping movements. However, the AOT study group will uniquely perform these exercises while observing and imagining projected metaphor-themed visuals to enhance motor learning and motivation. Efficacy will be evaluated pre- and post-intervention using various standardized tools, including the Pelvic Floor Distress Inventory-20, a 24-hour pad test, the Incontinence Severity Index, the Movement Imagery Questionnaire-3, and the Incontinence Quality of Life Scale, to comprehensively assess improvements in incontinence severity, functional status, and overall well-being.
Conditions: Urinary Continence
Interventions: Pelvic Floor Muscle Training program, Pelvic Floor Muscle Training via Action Observation Therapy
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