ClinicalTrials.gg
CompletedNCT03252951Updated Oct 25, 2022

Physical Therapy for Anal Incontinence

An interventional study of Eccentric Training and Concentric Training in Anal Incontinence and Fecal Incontinence, sponsored by San Diego State University. Completed at 1 site in United States. Open to female participants aged 22 Years and older. Per ClinicalTrials.gov, last updated 2022-10-25.

Sponsored by San Diego State University · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
71
Allocation
Randomized
Ages
22 Years and older
Sex
Female
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 101 studies in Fecal Incontinence with a site in United States — 14 open to participants now, 19 under way, 2 of them phase 3. Fecal Incontinence · United States.

Enrollment
34th of 79
71 · median 44
Started
2017
with 3 others
No phase
58 of 101
10 open now
Registered
57th of 101
by date

Among the 101 studies in Fecal Incontinence with a site in United States, this one is the 34th largest by enrollment of the 79 interventional ones that give a count, is one of 4 that started in 2017, is one of 58 with no phase, and was the 57th registered.

Fecal Incontinence

283 studies on the registry are indexed under Fecal Incontinence; 52 are open to participants now.

Browse Fecal Incontinence studies →

Open to participants now

14 of the 101 studies in Fecal Incontinence with a site in United States are open now. Recruiting first, the newest first:

9 more — sign in →

All 14 open studies →

A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 38 Fecal Incontinence studies recruiting now, 25 (66%) set no upper age limit and 9 (24%) stop at 75 or younger; 6 take children under 18; 3 take healthy volunteers.

This study: 22 Years and older · female · no healthy volunteers.

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02

Study summary

Anal incontinence is a significant public health problem estimated to affect 7-15% of women in the United States. Traditional rehabilitation strategies include biofeedback and Kegel exercises for pelvic floor muscle strengthening, but this strategy does not incorporate strategies for resistance training that are known to cause muscle strengthening and hypertrophy in other muscles in the body. This study aims to investigate whether a novel pelvic floor resistance exercise program will increase pelvic floor muscle strength and improve anal incontinence and has the potential to impact rehabilitation strategies for the millions of women affected anal incontinence.

Read the detailed description

The current proposal is focused on examining whether a novel resistance exercise program for the pelvic floor will strengthen pelvic floor muscles and improve symptoms in women with anal incontinence. Anal incontinence is a significant public health issue that is estimated to impact 7-15% of women. Traditional rehabilitation strategies such as Kegel exercises and biofeedback are a noninvasive strategy designed to strengthen the pelvic floor muscles, however, these exercises are performed with no resistance. There is a large body of evidence indicating that for muscle strengthening and hypertrophy to occur, exercises must be performed against resistance. Therefore, we have designed a novel exercise program for the pelvic floor that incorporates principals of resistance training known to be effective in other muscles in the body. The long-term goal of this research is to determine the most appropriate noninvasive strategies and interventions to improve pelvic floor function and symptoms of anal incontinence. This project is the first step in achieving this goal. The overall purpose of the current proposal is to determine whether novel physical therapy interventions are more effective than traditional biofeedback strategies in the treatment of anal incontinence. The specific aims of the proposal are: (1) To describe the use of the Functional Lumen Imaging Probe (FLIP) for pelvic floor exercise; (2) To determine whether eccentric, concentric, or isometric exercise training of the pelvic floor has a positive impact on the pelvic floor muscles and on symptoms of anal incontinence compared to traditional biofeedback training; (3) To determine whether using the FLIP in the vagina is as effective as its use in the anal canal for treatment of anal incontinence. To test these aims, the approach includes a randomized controlled exercise trial with use of validated measures of muscle function, muscle hypertrophy and validated symptom measures. This proposal describes an innovative approach to rehabilitation of the pelvic floor muscles that will provide information about pelvic floor function and that has the potential to shift the treatment paradigm for women with pelvic floor disorders.

03

Conditions studied

  • Anal Incontinence
  • Fecal Incontinence

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04

Who can participate

Ages eligible
22 Years and older
Sexes eligible
Female
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • AI based on FISI questionnaire
  • FISI scores between 10 and 45
  • able to voluntarily contract pelvic floor muscles based on manometry measures

Exclusion criteria

Exclusion Criteria:

  • FISI score below 10 (mild disease) or greater than 45 (severe disease)
  • manometry measure below the 10th percentile of normal (lack of muscle) or above 70th percentile of normal (little room to improve strength)
  • history of large external hemorrhoids or history of bleeding hemorrhoids; co-existing inflammatory bowel disease
  • constipation that is directly linked to neurological conditions such as spinal and peripheral nerve pathologies
  • large pelvic organ prolapse (greater than stage 3)
  • inability to contract the pelvic floor muscles on command
  • pregnancy
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
71 participants (actual)

Study arms

  • Experimental
    Eccentric Training

    Behavioral: Eccentric Training

  • Experimental
    Concentric Training

    Behavioral: Concentric Training

  • Experimental
    Isometric Training

    Behavioral: Isometric Training

  • Active comparator
    Biofeedback

    Behavioral: Biofeedback

Interventions

  • BehavioralEccentric Training

    Different Anal Sphincter Exercise Types for muscle hypertrophy

  • BehavioralConcentric Training

    Different Anal Sphincter Exercise Types for muscle hypertrophy

  • BehavioralIsometric Training

    Different Anal Sphincter Exercise Types for muscle hypertrophy

  • BehavioralBiofeedback

    Standard of Care Biofeedback Training

06

What researchers measure

Primary outcomes

  1. Change in Length Tension Manometry after 12 weeks

    change from baseline to 12 weeks

    Time frame: 12 weeks

Secondary outcomes

  1. Change in Muscle Hypertrophy (Ultrasound) after 12 weeks

    change from baseline to 12 weeks

    Time frame: 12 weeks

  2. Change in FISI score after 12 weeks

    change from baseline to 12 weeks

    Time frame: 12 weeks

Other outcomes

  1. Change in Length Tension Manometry after 1 year

    change from baseline to 12 months

    Time frame: 12 months

  2. Change in Length Tension Manometry after 2 years

    change from baseline to 24 months

    Time frame: 24 months

  3. Change in Muscle Hypertrophy (ultrasound) after 1 year

    change from baseline to 12 months

    Time frame: 12 months

  4. Change in Muscle Hypertrophy (ultrasound) after 2 years

    change from baseline to 24 months

    Time frame: 24 months

  5. Change in FISI score after 1 year

    change from baseline to 12 months

    Time frame: 12 months

  6. Change in FISI score after 2 years

    change from baseline to 24 months

    Time frame: 24 months

07

Study locations

1 site
  • University of California San Diego
    San Diego, California 92102, United States
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Sep 2017 to primary completion in Jun 2022, 57 months.

Of 70 non-industry interventional studies with no phase under Fecal Incontinence, half reached primary completion within 36 months of starting (the median), counting those still running; a quarter within 16 and three quarters within 57. This study's 57 months is above that.

Counting every sponsor, half of 86 studies reached it within 36 months; a quarter within 20 and three quarters within 57.

How these figures are worked out, and which studies are left out of them.

Registered
Aug 14, 2017
First posted
Aug 17, 2017
StartActual
Sep 1, 2017
Primary completionActual
Jun 30, 2022
CompletionActual
Jun 30, 2022
Last update
Oct 25, 2022
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Oct 25, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03252951
Responsible party
Lori Tuttle (Associate Professor, San Diego State University) — Principal investigator
First posted
Aug 17, 2017
Start date
Sep 1, 2017
Primary completion
Jun 30, 2022
Completion
Jun 30, 2022
Last update
Oct 25, 2022

Study contacts

Lori Tuttle, PT, PhD
principal investigator · San Diego State University

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Oct 2022. You cannot join it, but the record below documents what was studied.

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