[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100576290":3},{"organization":4,"armGroups":7,"interventions":27,"overallOfficials":33,"centralContacts":46,"locations":56,"responsibleParty":73,"collaborators":33,"id":75,"slug":76,"hasResults":77,"nctId":78,"briefTitle":79,"officialTitle":80,"acronym":81,"eligibilityCriteria":82,"healthyVolunteers":77,"sex":83,"minAge":84,"maxAge":33,"enrollmentInfo":85,"targetDuration":33,"studyType":88,"phases":89,"briefSummary":91,"conditions":92,"keywords":95,"overallStatus":59,"whyStopped":33,"lastUpdateSubmitDate":99,"lastUpdatePostDateStruct":100,"startDateStruct":103,"completionDateStruct":105,"leadSponsor":107,"locationsCount":108},{"fullName":5,"class":6},"Fundación Universidad Católica de Valencia San Vicente Mártir","OTHER",[8,15,21],{"label":9,"type":10,"description":11,"interventionNames":12},"Exercise + neuromodulation","EXPERIMENTAL","The Intervention group will initially undergo posterior tibial nerve neuromodulation following a standardized protocol: 30 minutes per session, 2 sessions per week for 3 months. Sessions will have a duration of 60 minutes and will be structured into three distinct blocks. In the initial two treatment blocks, exercises will emphasize CORE stabilization and general strength training with forced exhalation to ensure appropriate activation of the transverse abdominal muscle, with the objective of preventing adverse effects associated with increased intra-abdominal pressure. The third work block will focus on addressing anticipatory postural adjustment control, given its established relationship with the pelvic floor muscles. This technique will be actively implemented in conjunction with the Proprioceptive Postural Reeducation Method (5P® LOGSURF).",[13,14],"Procedure: Neuromodulation","Procedure: Exercise",{"label":16,"type":17,"description":18,"interventionNames":19},"Exercise+ ShamNeuromodulation","SHAM_COMPARATOR","For the SHAM group, a non-penetrating needle with a retractable handle will be utilized, which is commonly employed in experimental research with Streitberger and Kleinhenz placebo needles. This method creates the appearance of insertion without penetrating the skin and allows the needles to remain in situ for the duration of the intervention. The SHAM group participants will adhere to the exercise protocol in the same manner as the intervention group.",[14,20],"Procedure: Sham Neuromodulation",{"label":22,"type":23,"description":24,"interventionNames":25},"Control Group","ACTIVE_COMPARATOR","Conventional Physiotherapy. The control group engages in specific pelvic floor exercises, which are less complex in terms of neuromuscular processing (focusing on fundamental spinal stimuli), in contrast to the more comprehensive and intricate tasks of the intervention group. Additionally, manual therapy techniques are employed to inhibit trigger points in the musculature and ligamentous structures of the pelvic cavity, as well as intracavitary techniques aimed at alleviating mechanical pain.",[26],"Procedure: Exercise control group",[28,34,38,42],{"type":29,"name":30,"description":31,"armGroupLabels":32,"otherNames":33},"PROCEDURE","Neuromodulation","A protocol of posterior tibial nerve electrostimulation will be implemented, inducing retrograde electrostimulation through the pelvic nerves, which are connected to the spinal cord via the sacral plexus at segments S2 and S3. It is recommended to conduct an average of 10 sessions to evaluate the efficacy of the treatment, within a range of 6 to 16 sessions, each lasting 30 minutes, completing a treatment period of 3 months.",[9],null,{"type":29,"name":35,"description":36,"armGroupLabels":37,"otherNames":33},"Exercise","Participants will engage in a 60-minute exercise session, divided into two blocks: Block 1 will comprise 10 to 12 repetitions per set, aiming to achieve a perceived exertion level of 7 to 10 on the rating of perceived exertion (RPE). Block 2 will utilize the 5P® LOGSURF Method, termed Proprioceptive Perineal Postural Reeducation, which employs unstable positions to promote postural adjustment and continuous balance. This approach facilitates the activation of the abdominopelvic muscles, enhancing control and strengthening of the pelvic-perineal region.",[9,16],{"type":29,"name":39,"description":40,"armGroupLabels":41,"otherNames":33},"Exercise control group","Exercise The control group engages in specific pelvic floor exercises, which are less complex in terms of neuromuscular processing, such as Kegel's exercise. The protocol for these exercises is standardized and conducted individually, comprising 8 to 12 sessions of 20-40 minutes each, performed twice weekly.",[22],{"type":29,"name":43,"description":44,"armGroupLabels":45,"otherNames":33},"Sham Neuromodulation","A needle with a retractable handle will be used, commonly employed in experimental research with Streitberger and Kleinhenz placebo needles. This creates the appearance of insertion without penetrating the skin and allows the needles to remain in place for the duration of the intervention.",[16],[47,52],{"name":48,"role":49,"phone":50,"phoneExt":33,"email":51},"Jesica L-G Leal García, PhD Student","CONTACT","+34 657390304","jesica.leal@ucv.es",{"name":53,"role":49,"phone":54,"phoneExt":33,"email":55},"Juan V-M Vicente Mampel, PhD","+34 674177877","juan.vicente@ucv.es",[57],{"facility":58,"status":59,"city":60,"state":60,"zip":61,"country":62,"countryCode":63,"cosmosGeoPoint":64,"geoPoint":69,"contacts":70},"Catholic Univerity of Valencia","RECRUITING","Valencia","46001","Spain","ES",{"type":65,"coordinates":66},"Point",[67,68],-0.37966,39.47391,{"lat":68,"lon":67},[71,72],{"name":48,"role":49,"phone":50,"phoneExt":33,"email":51},{"name":53,"role":49,"phone":54,"phoneExt":33,"email":55},{"type":74,"investigatorFullName":33,"investigatorTitle":33,"investigatorAffiliation":33,"oldNameTitle":33,"oldOrganization":33},"SPONSOR","100576290","effect-of-neuromodulation-and-therapeutic-exercise-in-urinary-incontinence-100576290",false,"NCT06783374","Effect of Neuromodulation and Therapeutic Exercise in Urinary Incontinence","Effect of a Peripheral and Central Neuromodulation Protocol Combined With the Application of Therapeutic Exercise in Patients Diagnosed With Urinary Incontinence. A Randomized Control Trial (RCT)","UCV\u002FINCONTINEN","Inclusion Criteria:\n\n* Present with a diagnosis of urinary incontinence or overactive bladder\n* Women of menopausal age (\\>45 years)\n* ≥3 months of duration\n* Fulfill the established criteria for patient selection for neuromodulation treatment (urge urinary incontinence)\n* Speak native Spanish or English\n\nExclusion Criteria:\n\n* Prior or scheduled surgical procedures in the lumbar or abdominal region\n* Presence of fractures or severe pathological conditions\n* Current pregnancy or potential for pregnancy during the study period\n* Neurological or psychiatric disorders\n* Presence of stress urinary incontinence\n* Female subjects with autoimmune diseases or malignancies\n* Belonephobia\n* Subjects who have undergone previous neuromodulation","FEMALE","45 Years",{"count":86,"type":87},63,"ESTIMATED","INTERVENTIONAL",[90],"NA","Urge urinary incontinence (UUI) is a component of the condition known as overactive bladder, a severe and debilitating chronic disorder affecting healthcare systems worldwide. The efficacy of therapeutic exercise and neuromodulation in the treatment of UUI is evaluated, and these techniques are combined.",[93,94],"Urge Urinary Incontinence","Overactive Bladder (OAB)",[96,97,30,98],"Menopause","exercise","Posterior tibial nerve","2025-04-10",{"date":101,"type":102},"2025-04-13","ACTUAL",{"date":104,"type":102},"2025-03-04",{"date":106,"type":87},"2026-11-10",{"name":5,"class":6},1]