This randomized controlled trial aims to compare the pre- and post-treatment effects of Dynamic Neuromuscular Stabilization (DNS) training and Pelvic Floor Muscle Training (PFMT) on pelvic floor muscle function, pelvic floor morphometry, urinary symptoms, quality of life, sexual function, and physical activity levels in women with stress urinary incontinence (SUI).
Participants diagnosed with SUI by a specialist physician will be randomly assigned to one of three groups: DNS, PFMT, or a control group. Both DNS and PFMT interventions will be delivered as 12-week home exercise programs, performed five days a week and at least three times per day. To support adherence, participants will use an exercise diary. In addition, participants in the DNS and PFMT groups will attend the clinic twice a week for supervised sessions led by a physiotherapist.
The control group will receive a brochure containing lifestyle and bladder health recommendations but will not engage in any structured exercise program.
Female participants aged between 18 and 65 years
Diagnosed with stress urinary incontinence or stress-dominant mixed urinary incontinence by a specialist physician
Having the ability to voluntarily contract the pelvic floor muscles
Literate in Turkish
Pregnancy
Presence of urgency-predominant urinary incontinence symptoms or fecal incontinence
Inability to understand or cooperate with assessment procedures
Presence of any neurological or rheumatological disease