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Comparison of Rehabilitation Exercise Protocol (5R) and Swiss Ball Training for Postpartum Pelvic Floor Muscle Dysfunction

Status: Recruiting
Location: See location...
Intervention Type: Behavioral
Study Type: Interventional
Study Phase: Not Applicable
SUMMARY

Postpartum pelvic floor muscle dysfunction is a common condition affecting many women after childbirth. Weakness or impairment of the pelvic floor muscles can lead to symptoms such as urinary incontinence, pelvic discomfort, and reduced quality of life. Rehabilitation exercises targeting pelvic floor muscles are widely used to restore muscle strength and improve functional outcomes. The purpose of this study is to compare the effectiveness of a structured Rehabilitation Exercise Protocol (5R) with Swiss ball training in improving pelvic floor muscle function among postpartum women diagnosed with pelvic floor muscle dysfunction. The 5R protocol focuses on progressive rehabilitation strategies including relaxation, recruitment, resistance, repetition, and recovery of pelvic floor muscles. Swiss ball training involves exercises performed on a stability ball that aim to enhance core stability, pelvic control, and muscular coordination. Eligible postpartum women with pelvic floor muscle dysfunction will be randomly assigned to one of two groups. One group will receive the structured 5R rehabilitation exercise protocol, while the other group will participate in Swiss ball training exercises. Both interventions will be performed for a specified duration under the supervision of trained physiotherapists. Outcome measures will assess pelvic floor muscle strength, functional improvement, and symptom severity before and after the intervention period. The findings of this study may help determine the most effective rehabilitation strategy for improving pelvic floor muscle function and promoting recovery in postpartum women.

Eligibility
Participation Requirements
Sex: Female
Minimum Age: 20
Maximum Age: 40
Healthy Volunteers: f
View:

• Females aged 20-40 years who have given birth within the last 6 months (normal deliveries).

• Delivery mood: both Normal and cesarean deliveries. Primiparous and Multiparous women. Women willing to participate in study. Confirmed pelvic floor dysfunction. Self-report of urinary incontinence (stress or urge) occurring at least once per week

Locations
Other Locations
Pakistan
University of Lahore Teaching Hospital, Lahore
RECRUITING
Lahore
Contact Information
Primary
Rafia Abrar, MSPTW
rafiaabrar345@gmail.com
03066462413
Backup
Montiha Azeem, MSPTN
muntahaazeem9@gmail.com
03479717317
Time Frame
Start Date: 2026-03-23
Estimated Completion Date: 2026-04-25
Participants
Target number of participants: 88
Treatments
Experimental: group A Rehabilitation Exercise Protocol (5R)
Participants in this group will receive the Rehabilitation Exercise Protocol (5R), a structured physiotherapy program designed to improve pelvic floor muscle strength and function in postpartum women. The protocol includes progressive phases focusing on relaxation, recruitment and activation of pelvic floor muscles, resistance-based strengthening, repeated contractions to improve endurance, and recovery strategies. Exercises will be supervised by a physiotherapist and performed according to the study treatment schedule throughout the intervention period.
Active_comparator: group B Swiss Ball Training
Participants in this group will undergo Swiss ball training exercises aimed at improving pelvic floor muscle function, core stability, and pelvic control. The intervention includes exercises performed on a stability ball to activate pelvic floor muscles along with abdominal and trunk stabilizers. The exercises will be conducted under the supervision of a physiotherapist and will follow a structured program throughout the intervention period.
Related Therapeutic Areas
Sponsors
Leads: Rafia Abrar

This content was sourced from clinicaltrials.gov