[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100598777":3},{"organization":4,"armGroups":7,"interventions":24,"overallOfficials":33,"centralContacts":46,"locations":51,"responsibleParty":69,"collaborators":23,"id":72,"slug":73,"hasResults":74,"nctId":75,"briefTitle":76,"officialTitle":77,"acronym":78,"eligibilityCriteria":79,"healthyVolunteers":74,"sex":80,"minAge":81,"maxAge":82,"enrollmentInfo":83,"targetDuration":23,"studyType":86,"phases":87,"briefSummary":89,"conditions":90,"keywords":96,"overallStatus":53,"whyStopped":23,"lastUpdateSubmitDate":103,"lastUpdatePostDateStruct":104,"startDateStruct":107,"completionDateStruct":109,"leadSponsor":111,"locationsCount":112},{"fullName":5,"class":6},"Izmir Katip Celebi University","OTHER",[8,14,19],{"label":9,"type":10,"description":11,"interventionNames":12},"DNS group","EXPERIMENTAL","Women aged 18-65 who have stress or stress-dominant mixed urinary incontinence. They are followed up for 12 weeks, consisting of 2 days\u002Fweek face-to-face training sessions with the physiotherapist and 5 days\u002Fweek sessions conducted by themselves.",[13],"Other: Dynamic Neuromuscular Stabilization Training",{"label":15,"type":16,"description":11,"interventionNames":17},"PFMT group","ACTIVE_COMPARATOR",[18],"Other: Pelvic Floor Muscle Training",{"label":20,"type":21,"description":22,"interventionNames":23},"Control","NO_INTERVENTION","Receiving patient education only and no exercise was applied to the subjects included in the control group.",null,[25,29],{"type":6,"name":26,"description":27,"armGroupLabels":28,"otherNames":23},"Dynamic Neuromuscular Stabilization Training","According to the principles of Dynamic Neuromuscular Stabilization (DNS), proper activation of the integrated spinal stabilization system requires that the abdominal muscles expand not only in the caudal direction but also posteriorly and laterally.Therefore, firstly, the physiotherapist will assess the expansion of the entire abdominal wall and teach the patient to regulate intra-abdominal pressure through correct breathing techniques. During training and exercises, a belt will be used. Participants will be instructed to maintain abdominal expansion toward the belt during exercises performed in positions supported by proper alignment. A four-phase exercise protocol based on developmental kinesiology principles will be implemented for the DNS group, beginning with supine-position exercises appropriate for the 3-month developmental stage.\n\nThey will be instructed to repeat the exercises at least three times per day.Patients will record their home exercise program using an exercise diary.",[9],{"type":6,"name":30,"description":31,"armGroupLabels":32,"otherNames":23},"Pelvic Floor Muscle Training","Participants in the PFMT group will undergo a structured pelvic floor muscle training program supervised by a physiotherapist. The training will include verbal and manual instructions to ensure correct identification and isolated activation of the pelvic floor muscles without compensatory movements from the gluteal, abdominal, or thigh muscles using a NeuroTrac Simplex EMG-Biofeedback device.\n\nThe exercise protocol will consist of both slow and fast contractions, focusing on endurance, strength, and coordination.\n\nThe exercises will be performed in various positions (e.g., supine, sitting, standing) and will gradually progress in intensity and complexity over time, following the principles of motor learning stages. They will be instructed to repeat the exercises at least three times per day. Patients will record their home exercise program using an exercise diary.",[15],[34,38,42],{"name":35,"affiliation":36,"role":37},"Ayse Kardelen ACAR, MSc","Izmir Katıp Celebi University, Institute of Health Sciences","PRINCIPAL_INVESTIGATOR",{"name":39,"affiliation":40,"role":41},"Sevtap GUNAY UCURUM, Professor","Izmir Katıp Celebi University, Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation","STUDY_DIRECTOR",{"name":43,"affiliation":44,"role":45},"Ahmet Ozgur YENIEL, Professor","Ege University, Faculty of Medicine, Department of Obstetrics & Gynecology","STUDY_CHAIR",[47],{"name":39,"role":48,"phone":49,"phoneExt":23,"email":50},"CONTACT","+90 232 3293535\u002F4717","sevtapgunay.tfd@gmail.com",[52],{"facility":44,"status":53,"city":54,"state":23,"zip":23,"country":55,"countryCode":23,"cosmosGeoPoint":56,"geoPoint":61,"contacts":62},"RECRUITING","Izmir","Turkey (Türkiye)",{"type":57,"coordinates":58},"Point",[59,60],27.13838,38.41273,{"lat":60,"lon":59},[63,65,66,68],{"name":35,"role":48,"phone":23,"phoneExt":23,"email":64},"acar.kardelen@gmail.com",{"name":35,"role":37,"phone":23,"phoneExt":23,"email":23},{"name":39,"role":67,"phone":23,"phoneExt":23,"email":23},"SUB_INVESTIGATOR",{"name":43,"role":67,"phone":23,"phoneExt":23,"email":23},{"type":37,"investigatorFullName":70,"investigatorTitle":71,"investigatorAffiliation":5,"oldNameTitle":23,"oldOrganization":23},"Sevtap Günay","Associate Professor","100598777","dynamic-neuromuscular-stabilization-vs-pelvic-floor-muscle-training-in-women-with-stress-urinary-incontinence-100598777",false,"NCT07075900","Dynamic Neuromuscular Stabilization vs Pelvic Floor Muscle Training in Women With Stress Urinary Incontinence","Comparison of Effects of Dynamic Neuromuscular Stabilization Training and Pelvic Floor Muscle Training in Women With Stress Urinary Incontinence: A Randomized Controlled Trial","DYNA-SUI","Inclusion Criteria:\n\n* Female participants aged between 18 and 65 years\n* Diagnosed with stress urinary incontinence or stress-dominant mixed urinary incontinence by a specialist physician\n* Having the ability to voluntarily contract the pelvic floor muscles\n* Literate in Turkish\n* Willing and voluntarily consenting to participate in the study\n\nExclusion Criteria:\n\n* Pregnancy\n* Presence of urgency-predominant urinary incontinence symptoms or fecal incontinence\n* Inability to understand or cooperate with assessment procedures\n* Presence of any neurological or rheumatological disease\n* Severe cardiac or pulmonary disease\n* Uncontrolled diabetes mellitus or hypertension\n* Chronic liver and\u002For kidney failure\n* Advanced pelvic organ prolapse (greater than grade 2)\n* History of abdominal or pelvic surgery (including cesarean section) within the past year\n* History of spinal surgery\n* Current urinary tract infection\n* History of pelvic radiation therapy\n* Presence of spinal deformity\n* History of acute low back pain within the past 4-6 weeks\n* Receiving pelvic floor muscle training within the past three months","FEMALE","18 Years","65 Years",{"count":84,"type":85},51,"ESTIMATED","INTERVENTIONAL",[88],"NA","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).\n\nParticipants 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.\n\nThe control group will receive a brochure containing lifestyle and bladder health recommendations but will not engage in any structured exercise program.",[91,92,30,93,94,95],"Stress Urinary Incontinence (SUI)","Dynamic Neuromuscular Stabilization","Muscle Morphology","Urinary Symptoms","Quality of Life",[97,98,99,100,101,102],"stress urinary incontinence","dynamic neuromuscular stabilization","pelvic floor muscle training","physical activity","quality of life","muscle morphology","2026-03-24",{"date":105,"type":106},"2026-03-25","ACTUAL",{"date":108,"type":106},"2025-07-16",{"date":110,"type":85},"2026-12-30",{"name":5,"class":6},1]