Tele-rehabilitation Group Program for Urinary Incontinence in Older Women

  • End date
    Mar 6, 2025
  • participants needed
  • sponsor
    Université de Montréal
Updated on 22 March 2022


The recommended treatment for urinary incontinence (UI) in women is individualized pelvic floor muscle training (PFMT), a costly and resource-intensive approach; one Canada is currently unable to meet.

A recent non-inferiority randomized controlled trial just confirmed that group-based PFMT is equally effective but less resource-intensive (more cost-effective) than individual PFMT to treat UI in older women ( Identifier: NCT02039830). In times of COVID-19 however, with the Quebec, Canada's public health authorities preventing gatherings to stop the virus' spread, the potential of in-person group approaches is temporarily limited. It is thus important to develop innovative ways to deliver this first-line treatment remotely, particularly for those confined at home for whom UI can have a detrimental impact on physical health and quality of life. Ensuring an online option for group-based PFMT would also allow to increase the accessibility of UI treatment for women living in rural or remote areas in Canada, where pelvic floor rehabilitation services are not available or scarce.

To this end, this study will assess the feasibility, acceptability and effects of a tele-rehabilitation PFMT group program for UI in older women.

Condition Urinary Incontinence, Urinary Stress Incontinence
Treatment Group pelvic floor telerehabilitation
Clinical Study IdentifierNCT05182632
SponsorUniversité de Montréal
Last Modified on22 March 2022


Yes No Not Sure

Inclusion Criteria

65 or older, as older women will show a particular genitourinary profile compared with younger women, notably due to menopause. This age cut-off was used in other studies in UI
Ambulatory (able to walk, move about safely and autonomously without any mobility device)
Describe a pattern of stress/mixed UI, confirmed using the Questionnaire for Incontinence Diagnosis (QUID)
Have at least three urinary leakage per week, persisting for 3 months or more
Understand French or English instructions
Report no important cognitive deficit (determined with a Mini-Mental State Evaluation (MMSE) score of 24/30 or more)
Have an internet access; and
Able to give informed consent and complete a gynecological examination and fill 7-day bladder diaries and questionnaires

Exclusion Criteria

Present risk factors known to interfere with the effects of PFMT or with the PFM evaluation, including chronic constipation (as defined by the International Working Committee for Chronic Constipation), important pelvic organ prolapse (Baden-Walker score > stage 2), or any other comorbidities with a potential impact on the treatment (i.e. cognitive impairment, diabetes, active cancer, respiratory or cardiovascular conditions, etc)
Currently taking medication for UI or medications affecting skeletal muscles
Considered obese with a body mass index (BMI) over 35
Had an active urinary or vaginal infection in the past 3 months
Underwent a change in hormonal replacement therapy in the past 6 months
Received pelvic floor physiotherapy treatment or surgery for UI or pelvic organ prolapse in the past year
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