PostpartumNCT07576283
Comparative Effects of Hypopressive and Transverses Abdominis Focused Core Training in Postpartum
A study testing hypopressive training and transverses abdominis focused core training in people with Postpartum, run by Riphah International University at 1 site in Pakistan.
Trial summary
The study aims to compare the effectiveness of these two core training approaches in improving urinary incontinence, pelvic floor function, and quality of life in postpartum women. Read more about this study
- Who is it for?
- Ages 18 to 35 years, women onlyHealthy volunteers can take part
- Conditions the study is for
- Postpartum
- What is being tested?
- hypopressive training and transverses abdominis focused core training
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 60 participants
- Where
- 1 sitePakistan
- Study dates
- 1 Oct 2025to Oct 2026
- Phase
- Interventional
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 35 years
- Women only
- Healthy volunteers accepted
- Adult
Who may be able to join
- Multiparous women with urinary incontinence
- Who had undergone normal vaginal delivery
- Free from any medical and gynecological risk factors and /or conditions
- Stress urinary incontinence test is positive: Pad test
Who cannot join
- Had neurological impairments or connective tissue disorders
- Active urinary or vaginal infection in the past 3 months
- Had known detrusor instability
- Had undergone previous surgery to alleviate SUI
- Had pelvic organ prolapse
Trial locations and contacts
1 site in 1 country. Contact the study team or a site near you to ask about taking part.
Pakistan1 site, 1 recruiting
- Recruiting
Al-madawah rehabilitation clinic
Lahore, Punjab Province, 6400
hina gul, 03214979172, hina.gul@riphah.edu.pk
hina gul gul, 03214979172, hina.gul@riphah.edu.pk
About this study
Official title: Comparative Effects of Hypopressive and Transverses Abdominis Focused Core Training on Urinary Incontinence, Pelvic Floor Function and Quality of Life in Postpartum
The study aims to compare the effectiveness of these two core training approaches in improving urinary incontinence, pelvic floor function, and quality of life in postpartum women.
Read the detailed description
The primary outcomes of this study are urinary incontinence, pelvic floor function, and quality of life in postpartum women. These outcomes will be assessed using validated instruments: the International Consultation on Incontinence Questionnaire-Urinary Incontinence (ICIQ-UI) for evaluating the severity of urinary incontinence, the King's Health Questionnaire (KHQ) for assessing the impact on pelvic floor function and health-related quality of life, and the Incontinence Impact Questionnaire (IIQ-7) for measuring the broader impact of incontinence on daily activities and emotional well-being. Outcome measures will be measured at baseline and after 4 weeks. Data analysis will be done by SPSS version 25.
- Conditions
- Postpartum
- Being tested
- hypopressive training, transverses abdominis focused core training
- Keywords
- urinary incontinence, pelvic floor function, quality of life, postpartum, female
- Medical subject headings
- Urinary Incontinence
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
hypopressive trainingOther
Frequency: 3 sessions/week under supervision Duration: 30-40 minutes/session For 6 weeks
transverses abdominis focused core trainingOther
3 sessions/week under supervision Duration: 30-40 minutes/session For 6 weeks
| Study group | Role | What they receive |
|---|---|---|
| hypopressive training | Experimental | Exercises were conducted in various postures to challenge the body differently and enhance muscular endurance Receives: Other: hypopressive training |
| transverses abdominis focused core training | Active comparator | Teach correct pelvic floor and TrA activation; build foundational strength Receives: Other: transverses abdominis focused core training |
What is being measured
The primary outcome is the main question the study is designed to answer.
International Consultation on Incontinence Questionnaire - Urinary Incontinence
The tool is used for assessing urinary incontinence symptoms by measuring the frequency, severity, and impact of urinary leakage on quality of life. It includes specific questions related to how often leakage occurs, the amount of urine lost, and how these symptoms affect various aspects of daily life, providing a comprehensive evaluation of the individual's condition
Measured: 6th week
King's Health Questionnaire
The tool is used for evaluating the impact of urinary incontinence on the quality of life in women, offering a comprehensive understanding of how stress urinary incontinence (SUI) affects their physical, emotional, and social well-being. It is particularly relevant for postpartum women, as it captures the functional limitations and lifestyle disruptions caused by incontinence, making it a valuable instrument for assessing the broader effects of SUI on daily life.
Measured: 6th week
Incontinence Impact Questionnaire
The Incontinence Impact Questionnaire (IIQ) is a validated self-report tool designed to measure the impact of urinary incontinence on a woman's quality of life across physical, social, and emotional domains.30 items divided into four domains:
Physical activity (6 items), Travel (6 items), Social relationships (10 items), Emotional health (8 items)
Measured: 6th week
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted8 May 2026
- Study start1 Oct 2025
- Primary completionOct 2026 (estimated)
- Study completionOct 2026 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (5)Papers the sponsor has linked to this study.
- Other trials for PostpartumStudies of the same condition, open and under way.
- More trials run by Riphah International UniversityThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind
- Who is masked
- Outcomes assessor
- Enrolment
- 60 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Riphah International University
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- hina gul, PhD*, Principal investigator, Riphah International University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07576283
- Sponsor's protocol ID
- REC/RCR & AHS/25/0508
- Status last verified
- Sep 2026
- First submitted
- 4 May 2026
- Last updated
- 24 Sep 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Molina-Torres G, Moreno-Munoz M, Rebullido TR, Castellote-Caballero Y, Bergamin M, Gobbo S, Hita-Contreras F, Cruz-Diaz D. The effects of an 8-week hypopressive exercise training program on urinary incontinence and pelvic floor muscle activation: A randomized controlled trial. Neurourol Urodyn. 2023 Feb;42(2):500-509. doi: 10.1002/nau.25110. Epub 2022 Dec 8.
PubMed 36482844Katz CMS, Barbosa CP. Effects of hypopressive exercises on pelvic floor and abdominal muscles in adult women: A systematic review of randomized clinical trials. J Bodyw Mov Ther. 2024 Jan;37:38-45. doi: 10.1016/j.jbmt.2023.03.003. Epub 2023 Aug 24.
PubMed 38432833Abd elglil AA, Mahmoud NSA. Effect of hypopressive exercises versus pelvic floor muscle exercises on stress urinary incontinence among multiparous women. Assiut Scientific Nursing Journal. 2023;11(40):162-74.
Soomro KUQ, Mughal SA, Hussain SA, Rajpar ZH, Shaikh AQ, Shaikh A. Pelvic Floor Muscle Exercise plus Core Stability Exercise on Urinary Incontinence in Females. Journal of The Society of Obstetricians and Gynaecologists of Pakistan. 2024;14(2):139-42.
Sikora K. The Effects of Core Stability Training on Improving Quality of Life and Symptom Severity in Females with Stress and Mixed Urinary Incontinence: A Meta-Analysis: California State University, Fresno; 2023.
Study at a glance
From the registry record, last updated by the sponsor on 24 Sep 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Comparative Effects of Hypopressive and Transverses Abdominis Focused Core Training on Urinary Incontinence, Pelvic Floor Function and Quality of Life in Postpartum
- ClinicalTrials.gov ID
- NCT07576283
- Acronym / sponsor ID
- REC/RCR & AHS/25/0508
- Conditions
- Postpartum
- Keywords
- urinary incontinence, pelvic floor function, quality of life, postpartum, female
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 60 participants (estimated)
- Lead sponsor
- Riphah International UniversityUniversity, hospital or other
- Study start
- 1 Oct 2025 (actual)
- Primary completion
- Oct 2026 (estimated)
- Study completion
- Oct 2026 (estimated)
- First posted
- 8 May 2026 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The study aims to compare the effectiveness of these two core training approaches in improving urinary incontinence, pelvic floor function, and quality of life in postpartum women.
Detailed description
The primary outcomes of this study are urinary incontinence, pelvic floor function, and quality of life in postpartum women. These outcomes will be assessed using validated instruments: the International Consultation on Incontinence Questionnaire-Urinary Incontinence (ICIQ-UI) for evaluating the severity of urinary incontinence, the King's Health Questionnaire (KHQ) for assessing the impact on pelvic floor function and health-related quality of life, and the Incontinence Impact Questionnaire (IIQ-7) for measuring the broader impact of incontinence on daily activities and emotional well-being. Outcome measures will be measured at baseline and after 4 weeks. Data analysis will be done by SPSS version 25.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| hypopressive training | Experimental | Other: hypopressive trainingExercises were conducted in various postures to challenge the body differently and enhance muscular endurance |
| transverses abdominis focused core training | Active comparator | Other: transverses abdominis focused core trainingTeach correct pelvic floor and TrA activation; build foundational strength |
Who may qualify
- Ages
- 18 to 35 years
- Sex
- Female only
- Healthy volunteers
- Accepted
- Age groups
- Adult
Key inclusion criteria (4 listed)
- Multiparous women with urinary incontinence
- Who had undergone normal vaginal delivery
- Free from any medical and gynecological risk factors and /or conditions
- Stress urinary incontinence test is positive: Pad test
Key exclusion criteria (5 listed)
- Had neurological impairments or connective tissue disorders
- Active urinary or vaginal infection in the past 3 months
- Had known detrusor instability
- Had undergone previous surgery to alleviate SUI
- Had pelvic organ prolapse
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| hypopressive trainingFrequency: 3 sessions/week under supervision Duration: 30-40 minutes/session For 6 weeks | Other | hypopressive training |
| transverses abdominis focused core training3 sessions/week under supervision Duration: 30-40 minutes/session For 6 weeks | Other | transverses abdominis focused core training |
Primary outcome
International Consultation on Incontinence Questionnaire - Urinary Incontinence
Time frame: 6th week
The tool is used for assessing urinary incontinence symptoms by measuring the frequency, severity, and impact of urinary leakage on quality of life. It includes specific questions related to how often leakage occurs, the amount of urine lost, and how these symptoms affect various aspects of daily life, providing a comprehensive evaluation of the individual's condition
King's Health Questionnaire
Time frame: 6th week
The tool is used for evaluating the impact of urinary incontinence on the quality of life in women, offering a comprehensive understanding of how stress urinary incontinence (SUI) affects their physical, emotional, and social well-being. It is particularly relevant for postpartum women, as it captures the functional limitations and lifestyle disruptions caused by incontinence, making it a valuable instrument for assessing the broader effects of SUI on daily life.
Incontinence Impact Questionnaire
Time frame: 6th week
The Incontinence Impact Questionnaire (IIQ) is a validated self-report tool designed to measure the impact of urinary incontinence on a woman's quality of life across physical, social, and emotional domains.30 items divided into four domains: Physical activity (6 items), Travel (6 items), Social relationships (10 items), Emotional health (8 items)
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 24 Sep 2026.
- Background: PubMed 36482844Molina-Torres G, Moreno-Munoz M, Rebullido TR, Castellote-Caballero Y, Bergamin M, Gobbo S, Hita-Contreras F, Cruz-Diaz D. The effects of an 8-week hypopressive exercise training program on urinary incontinence and pelvic floor muscle activation: A randomized controlled trial. Neurourol Urodyn. 2023 Feb;42(2):500-509. doi: 10.1002/nau.25110. Epub 2022 Dec 8.
- Background: PubMed 38432833Katz CMS, Barbosa CP. Effects of hypopressive exercises on pelvic floor and abdominal muscles in adult women: A systematic review of randomized clinical trials. J Bodyw Mov Ther. 2024 Jan;37:38-45. doi: 10.1016/j.jbmt.2023.03.003. Epub 2023 Aug 24.
- BackgroundAbd elglil AA, Mahmoud NSA. Effect of hypopressive exercises versus pelvic floor muscle exercises on stress urinary incontinence among multiparous women. Assiut Scientific Nursing Journal. 2023;11(40):162-74.
- BackgroundSoomro KUQ, Mughal SA, Hussain SA, Rajpar ZH, Shaikh AQ, Shaikh A. Pelvic Floor Muscle Exercise plus Core Stability Exercise on Urinary Incontinence in Females. Journal of The Society of Obstetricians and Gynaecologists of Pakistan. 2024;14(2):139-42.
- BackgroundSikora K. The Effects of Core Stability Training on Improving Quality of Life and Symptom Severity in Females with Stress and Mixed Urinary Incontinence: A Meta-Analysis: California State University, Fresno; 2023.
- Individual participant dataSharing planned: No
Related trials for Postpartum
Not yet recruiting
Comparison of Effect of Two Different Doses of Intravenous Oxytocin on Patients Undergoing Elective Cesarean Section
Postpartum Hemorrhage, Uterine Atony
Active, not recruitingPhase 2
Effectiveness Study of a Lifestyle Intervention Versus Metformin in Mothers With Recent Gestational Diabetes
Weight Loss, Gestational Diabetes Mellitus in Pregnancy
Recruiting
Exercise to Improve Heart and Metabolic Health After Childbirth in Women at High Risk for Preeclampsia
Postpartum Exercise, Cardiometabolic Health
RecruitingPhase 1
Ketamine Pharmacokinetics and Pharmacodynamics for Postpartum Depression and Pain After Cesarean Delivery
Pain, Postpartum Depression
Active, not recruiting
Hypopressive-Core Stabilization With and Without Whole-Body Vibration in Postpartum Pelvic Girdle Pain
Postpartum Pelvic Girdle Pain
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
hina gul, PhD* principal investigator
Riphah International University
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing hypopressive training and transverses abdominis focused core training in people with Postpartum, run by Riphah International University at 1 site in Pakistan.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 4 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: looking for participants now, as of the sponsor's last update on 24 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Pakistan. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact imran amjad (03324390125, imran.amjad@riphah.edu.pk), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
International Consultation on Incontinence Questionnaire - Urinary Incontinence (time frame: 6th week). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT07576283, which also lists 5 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 24 Sep 2026.