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RecruitingNCT07243028Updated Nov 21, 2025

Ultrasound and Electromyography Biofeedback for Pelvic Floor Muscle Training

An interventional study of Ultrasound Biofeedback Device and Manometer Biofeedback Device in Pelvic Floor Dysfunction and Pelvic Floor Muscle Weakness, sponsored by National Cheng-Kung University Hospital. Recruiting at 1 site in Taiwan. Open to female participants aged 21 Years and older. Per ClinicalTrials.gov, last updated 2025-11-21.

Sponsored by National Cheng-Kung University Hospital · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Registered 1 year 6 months after the study started (first participant enrolled Feb 2024, registered Sep 2025).
  • Started Feb 2024; still recruiting 2 years 7 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
70
Allocation
Randomized
Ages
21 Years and older
Sex
Female
01

Study summary

This study aims to investigate the factors influencing adherence to pelvic floor muscle training (PFMT) devices among patients with pelvic floor dysfunction (PFD) through structured questionnaires, while simultaneously comparing the effectiveness of different feedback modalities, including non-invasive ultrasound imaging and invasive manometry with electromyography (EMG). By integrating subjective adherence data with objective performance outcomes, the project seeks to evaluate the potential of system-level integration for personalized therapeutic strategies, ultimately enhancing treatment efficacy, improving patient satisfaction, and promoting sustained engagement in PFMT.

02

Conditions studied

  • Pelvic Floor Dysfunction
  • Pelvic Floor Muscle Weakness

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Keywords

  • Pelvic floor dysfunction
  • Pelvic floor muscle training
  • Health behavior
  • Biofeedback
03

In context

Health Behavior

228 studies on the registry are indexed under Health Behavior; 95 are open to participants now.

This study's planned enrollment of 70 is below the median of 114 across 196 interventional studies indexed under Health Behavior.

Browse Health Behavior studies →

Lead sponsor

National Cheng-Kung University Hospital is the lead sponsor of 268 studies on the registry; 68 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

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

Inclusion criteria

  1. Women aged 21 years or older diagnosed with pelvic floor muscle dysfunction and requiring pelvic floor muscle training (e.g., for symptomatic pelvic organ prolapse, stress urinary incontinence, or dysfunctional voiding).
  2. A Pelvic Floor Disability Index (PFDI-20) score greater than 1.
  3. Ability and willingness to provide written informed consent and authorization for the release of personal health information.
  4. Willingness and ability to complete all required questionnaires

Exclusion criteria

Exclusion Criteria:

  1. Individuals planning a future pregnancy.
  2. Inability to read, understand, or sign the written consent form prior to participation.
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Crossover assignment
Masking
None (open label)
Enrollment
70 participants (estimated)

Study arms

  • Active comparator
    Ultrasound group

    Participants in the ultrasound group received ultrasound-based feedback during the first three sessions, followed by manometry-based feedback during the subsequent three sessions.

    Device: Ultrasound Biofeedback Device · Device: Manometer Biofeedback Device

  • Active comparator
    Manometry Group

    Participants in the manometry group received manometry -based feedback during the first three sessions, followed by ultrasound-based feedback during the subsequent three sessions.

    Device: Ultrasound Biofeedback Device · Device: Manometer Biofeedback Device

Interventions

  • DeviceUltrasound Biofeedback Device

    Application of trans-abdominal ultrasonography as a biofeedback tool during pelvic floor muscle training

  • DeviceManometer Biofeedback Device

    Application of manometry as a biofeedback tool during pelvic floor muscle training. The manometer is a routinely used clinical device in hospital-based pelvic floor rehabilitation programs to provide quantitative intravaginal pressure feedback and guide patients in performing correct pelvic floor muscle contractions.

06

What researchers measure

Primary outcomes

  1. Bladder base displacement (cm) during pelvic floor muscle contractions measured by transabdominal ultrasound

    Transabdominal ultrasound imaging will be employed to provide real-time visualization and quantitative assessment of bladder base displacement during pelvic floor muscle (PFM) contractions. The displacement of the bladder base (in centimeters) will be recorded. Data will be aggregated as mean ± standard deviation.

    Time frame: Baseline and at each of the six pelvic floor muscle training sessions (Sessions 1-6). The six training sessions will be completed within approximately one month, and study parameters will be measured at each of these six sessions by the research staff.

  2. Change in bladder base angle (degrees) relative to the horizontal line during pelvic floor muscle contractions measured by transabdominal ultrasound

    Transabdominal ultrasound imaging will be used to quantify the angular change of the bladder base relative to a horizontal reference line during pelvic floor muscle (PFM) contractions. The angle (in degrees) at rest and during contraction will be recorded, and the difference will be calculated. Data will be summarized as mean ± standard deviation across participants for each session.

    Time frame: Baseline and at each of the six pelvic floor muscle training sessions (Sessions 1-6). The six training sessions will be completed within approximately one month, and study parameters will be measured at each of these six sessions by the research staff.

  3. Survey on Willingness to Use Pelvic Floor Muscle Training Devices

    A structured questionnaire designed to assess participants' willingness to use pelvic floor muscle training (PFMT) devices. The survey evaluates multiple domains, including both physical and psychological aspects, providing insights into patient adherence and acceptance of different pelvic floor muscle training (PFMT) assistive tools. The questionnaire is based on a 7-point Likert scale, ranging from 1 ("strongly disagree") to 7 ("strongly agree"). Higher scores indicate greater willingness, acceptance, and positive perception toward the use of pelvic floor muscle training devices.

    Time frame: A total of six pelvic floor muscle training sessions will be completed within approximately one month. Questionnaires will be administered at the 3rd session (midpoint of the treatment) and the 6th session (completion of all training sessions)

Secondary outcomes

  1. Surface Electromyography

    Electromyographic signals of pelvic floor muscle contractions will be recorded using the wireless surface EMG system.

    Time frame: At each of the six pelvic floor muscle training sessions (Sessions 1-6). The six training sessions will be completed within approximately one month, and outcome parameters will be measured at each of these six sessions by the research staff.

  2. Vaginal manometry measurement

    A pressure-sensing probe will be inserted vaginally to measure intravaginal pressure (expressed in cmH₂O) generated during pelvic floor muscle contractions.

    Time frame: Measurements will be performed during either the 1st to 3rd sessions (approximately days 1-14 after baseline) or the 4th to 6th sessions (approximately days 15-30 after baseline), according to each participant's assigned randomization sequence.

07

Study locations

1 of 1 sites recruiting
  • National Cheng-Kung University Hospital
    Tainan, Taiwan 704, Taiwan
    Recruiting
08

References and documents

Publications

  • Chao YH, Chiang CJ, Tsai CH, Cheng YM, Kuo LC, Su FC. Adherence and continuance intention of biofeedback-assisted pelvic floor muscle training: a theory-driven study among women with pelvic floor disorders. BMC Womens Health. 2026 Jul 18. doi: 10.1186/s12905-026-04711-9. Online ahead of print. PubMed 42471707 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 21, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07243028
Lead sponsor
National Cheng-Kung University Hospital
Responsible party
Sponsor
First posted
Nov 21, 2025
Start date
Feb 29, 2024
Primary completion
Dec 31, 2028 (estimated)
Completion
Dec 31, 2028 (estimated)
Last update
Nov 21, 2025

Study contacts

Li-Chieh Kuo, Ph. D.
Contact
jkkuo@mail.ncku.edu.tw
886-62353535 ext. 5908

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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