[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100637268":3},{"organization":4,"armGroups":7,"interventions":20,"overallOfficials":29,"centralContacts":33,"locations":39,"responsibleParty":60,"collaborators":24,"id":62,"slug":63,"hasResults":64,"nctId":65,"briefTitle":66,"officialTitle":67,"acronym":24,"eligibilityCriteria":68,"healthyVolunteers":69,"sex":70,"minAge":71,"maxAge":72,"enrollmentInfo":73,"targetDuration":24,"studyType":76,"phases":77,"briefSummary":79,"conditions":80,"keywords":82,"overallStatus":42,"whyStopped":24,"lastUpdateSubmitDate":89,"lastUpdatePostDateStruct":90,"startDateStruct":93,"completionDateStruct":95,"leadSponsor":97,"locationsCount":98},{"fullName":5,"class":6},"Riphah International University","OTHER",[8,15],{"label":9,"type":10,"description":11,"interventionNames":12},"Paula Exercises & Tibial Nerve Stimulation","EXPERIMENTAL","Paula exercises involve contracting circular muscles of the body (especially facial muscles like the orbicularis oris and orbicularis oculi) to stimulate pelvic floor activity indirectly and for tibial stimulation Transcutaneous (TTNS) approach will be used",[13,14],"Other: Paula Exercises","Other: Tibial Nerve Stimulation",{"label":16,"type":17,"description":18,"interventionNames":19},"Paula Exercises","ACTIVE_COMPARATOR","Paula exercises involve contracting circular muscles of the body (especially facial muscles like the orbicularis oris and orbicularis oculi) to stimulate pelvic floor activity indirectly",[13],[21,25],{"type":6,"name":16,"description":22,"armGroupLabels":23,"otherNames":24},"* Frequency: 2 sessions per week\n* Session Duration: 20 minutes\n* Repeated voluntary contractions of eye muscles (e.g., squinting) and mouth muscles (e.g., puckering lips), abdominal contractions followed by pelvic contractions.\n* Controlled breathing and postural awareness\n* Each type of contraction repeated 10-15 times per session\n* 30-second rest between sets, total 20 sets\n* Duration:8 weeks",[16,9],null,{"type":6,"name":26,"description":27,"armGroupLabels":28,"otherNames":24},"Tibial Nerve Stimulation","* Frequency: 20 Hz\n* Pulse Width: 200 microseconds\n* Intensity: Adjusted to elicit mild toe flexion ,0 to 10 mA\n* Session Duration: 20 minutes\n* Frequency: 2 sessions per week\n* Total Duration:8 weeks",[9],[30],{"name":31,"affiliation":5,"role":32},"sobia ghafoor, MSPT-OM","PRINCIPAL_INVESTIGATOR",[34],{"name":35,"role":36,"phone":37,"phoneExt":24,"email":38},"imran amjad","CONTACT","03324390125","imran.amjad@riphah.edu.pk",[40],{"facility":41,"status":42,"city":43,"state":44,"zip":45,"country":46,"countryCode":47,"cosmosGeoPoint":48,"geoPoint":53,"contacts":54},"Arshian Hussnain Medical Clinic","RECRUITING","Lahore","Punjab Province","6400","Pakistan","PK",{"type":49,"coordinates":50},"Point",[51,52],74.35071,31.558,{"lat":52,"lon":51},[55,58],{"name":31,"role":36,"phone":56,"phoneExt":24,"email":57},"0309 4384971","Sobia.physio@gmail.com",{"name":59,"role":32,"phone":24,"phoneExt":24,"email":24},"Fizza Tahir, MSPT(WH)",{"type":61,"investigatorFullName":24,"investigatorTitle":24,"investigatorAffiliation":24,"oldNameTitle":24,"oldOrganization":24},"SPONSOR","100637268","effects-of-paula-exercises-and-tibial-nerve-stimulation-in-stress-urinary-incontinence-100637268",false,"NCT07576205","Effects of Paula Exercises and Tibial Nerve Stimulation in Stress Urinary Incontinence","Combine Effects of Paula Exercises and Tibial Nerve Stimulation on Incontinence, Pelvic Floor Muscles Strength, Sexual Function and Quality of Life in Stress Urinary Incontinence","Inclusion Criteria:\n\n* Multiparous women (≥2 full-term vaginal deliveries)\n* Clinical diagnosis of stress urinary incontinence (confirmed by cough stress test)\n* Duration of symptoms ≥3 months\n* Ability to correctly perform pelvic floor contractions (confirmed by digital examination)\n\nExclusion Criteria:\n\n* Neurological disorders (e.g., multiple sclerosis, spinal cord injury)\n* Mixed or urge urinary incontinence as the predominant type\n* Previous pelvic surgery or incontinence-related procedures within the past year\n* Current pregnancy or \\\u003C6 months postpartum\n* Pelvic organ prolapse beyond stage II (POP-Q system)\n* Current use of other incontinence therapies (e.g., medication, PTNS, PFMT)\n* Diagnosed malignancy\n* Diagnosed psychiatric disorder\n* Pregnancy\n* Diagnosed dermatological condition\n* Participants who are currently enrolled in other clinical trials to avoid potential confounding factors.",true,"FEMALE","30 Years","45 Years",{"count":74,"type":75},52,"ESTIMATED","INTERVENTIONAL",[78],"NA","The aim of this study is to compare the combined effects of Paula method \\& tibial nerve stimulation on incontinence, pelvic floor muscles strength, sexual function and quality of life in stress urinary incontinence",[81],"Urinary Incontinence",[83,84,85,86,87,88],"Tibial Nerve","Incontinence","Pelvic Floor","Quality of life","Female","Stress Urinary Incontinence","2026-05-04",{"date":91,"type":92},"2026-05-08","ACTUAL",{"date":94,"type":92},"2025-10-01",{"date":96,"type":75},"2026-07-01",{"name":5,"class":6},1]