[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-studies-list:{\"conditionNormalized\":\"dynamic-neuromuscular-stabilization\",\"overallStatus\":[\"RECRUITING\",\"AVAILABLE\",\"NOT_YET_RECRUITING\"],\"orderBy\":\"LastUpdateSubmitDate:desc\",\"size\":25,\"offset\":0}":3,"health-study-condition:dynamic-neuromuscular-stabilization":29},{"pageToken":4,"total":5,"offset":6,"count":5,"results":7},null,2,0,[8,54],{"id":9,"slug":10,"hasResults":11,"nctId":12,"briefTitle":13,"officialTitle":14,"acronym":15,"eligibilityCriteria":16,"healthyVolunteers":11,"sex":17,"minAge":18,"maxAge":19,"enrollmentInfo":20,"targetDuration":4,"studyType":23,"phases":24,"briefSummary":26,"conditions":27,"keywords":34,"overallStatus":41,"whyStopped":4,"lastUpdateSubmitDate":42,"lastUpdatePostDateStruct":43,"startDateStruct":46,"completionDateStruct":48,"leadSponsor":50,"locationsCount":53},"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":21,"type":22},51,"ESTIMATED","INTERVENTIONAL",[25],"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.",[28,29,30,31,32,33],"Stress Urinary Incontinence (SUI)","Dynamic Neuromuscular Stabilization","Pelvic Floor Muscle Training","Muscle Morphology","Urinary Symptoms","Quality of Life",[35,36,37,38,39,40],"stress urinary incontinence","dynamic neuromuscular stabilization","pelvic floor muscle training","physical activity","quality of life","muscle morphology","RECRUITING","2026-03-24",{"date":44,"type":45},"2026-03-25","ACTUAL",{"date":47,"type":45},"2025-07-16",{"date":49,"type":22},"2026-12-30",{"name":51,"class":52},"Izmir Katip Celebi University","OTHER",1,{"id":55,"slug":56,"hasResults":11,"nctId":57,"briefTitle":58,"officialTitle":59,"acronym":4,"eligibilityCriteria":60,"healthyVolunteers":11,"sex":17,"minAge":18,"maxAge":61,"enrollmentInfo":62,"targetDuration":4,"studyType":23,"phases":64,"briefSummary":65,"conditions":66,"keywords":4,"overallStatus":41,"whyStopped":4,"lastUpdateSubmitDate":68,"lastUpdatePostDateStruct":69,"startDateStruct":71,"completionDateStruct":73,"leadSponsor":75,"locationsCount":53},"100593654","dynamic-neuromuscular-stabilization-exercises-in-women-with-urinary-incontinence-100593654","NCT07009249","Dynamic Neuromuscular Stabilization Exercises in Women With Urinary Incontinence","Effects of Dynamic Neuromuscular Stabilization Exercises on Urinary Symptoms and Pelvic Floor Muscle Functions in Women With Stress Urinary Incontinence: A Single-Blind Non-Inferiority Clinical Study","Inclusion Criteria:\n\n* Female gender,\n* Voluntary participation in the study,\n* Aged between 18 and 62 years,\n* Ability to read and write in Turkish,\n* No mental disorders that would impair cooperation or comprehension,\n* Complaint of stress urinary incontinence (SUI) or stress-predominant mixed urinary incontinence.\n\nExclusion Criteria:\n\n* Prior history of pelvic floor muscle training,\n* Presence of any neurological disorder,\n* Pelvic organ prolapse stage II or higher,\n* Presence of fecal incontinence,\n* Pregnancy,\n* Lower extremity conditions that may affect pelvic alignment (e.g., leg length discrepancy, total hip arthroplasty),\n* Active lower urinary tract infection,\n* Presence of respiratory disorders such as chronic obstructive pulmonary disease or asthma,\n* History of hysterectomy.","62 Years",{"count":63,"type":22},62,[25],"Stress urinary incontinence (SUI) is defined by the International Continence Society as the complaint of involuntary leakage of urine during physical exertion, including sports activities, or during sneezing or coughing. In continent women, an automatic response-namely, a reflex pelvic floor muscle (PFM) contraction, also known as pre-contraction-occurs either prior to or during physical exertion. Although there is strong evidence supporting the effectiveness of pelvic floor muscle training (PFMT) in the treatment of SUI, there has been a growing interest in exploring alternative exercise-based interventions.\n\nDynamic Neuromuscular Stabilization (DNS) is a manual and rehabilitative approach developed by Professor Pavel Kolar. It is grounded in the scientific principles of developmental kinesiology and aims to optimize the function of the movement system. Currently, DNS is successfully employed in the rehabilitation of various neurological, musculoskeletal, pediatric, and sports-related injuries. DNS incorporates the subconscious and synergistic activation of the deep core muscles responsible for intra-abdominal pressure (IAP) regulation and spinal stability-namely, the diaphragm, transversus abdominis, multifidus, and pelvic floor muscles-as well as the global musculature.\n\nConsidering the potential mechanisms of DNS, we hypothesize that DNS exercises, through IAP regulation directed toward the pelvic cavity and contributing to stabilization, could serve as an effective and innovative approach for women with SUI.\n\nThe hypotheses of this study are as follows:\n\nH1.1: DNS is as effective as PFMT in reducing urinary symptoms in women with SUI.\n\nH1.2: DNS is as effective as PFMT in improving PFM function in women with SUI.",[28,29,30,32,67],"Biofeedback Training","2026-02-12",{"date":70,"type":45},"2026-02-17",{"date":72,"type":45},"2025-05-21",{"date":74,"type":22},"2026-05-01",{"name":76,"class":52},"Izmir University of Economics"]