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RecruitingNCT07576283Updated Sep 24, 2026

Comparative Effects of Hypopressive and Transverses Abdominis Focused Core Training in Postpartum

An interventional study of hypopressive training and transverses abdominis focused core training in Postpartum, sponsored by Riphah International University. Recruiting at 1 site in Pakistan. Open to female participants aged 18 Years to 35 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-09-24.

Sponsored by Riphah International University · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Registered 7 months after the study started (first participant enrolled Oct 2025, registered May 2026).
  • Started Oct 2025; still recruiting 1 year 1 month later.
Phase
Not applicable
Study type
Interventional
Enrollment
60
Allocation
Randomized
Ages
18 Years to 35 Years
Sex
Female
01

Study 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 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.

02

Conditions studied

  • Postpartum

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Keywords

  • urinary incontinence
  • pelvic floor function
  • quality of life
  • postpartum
  • female
03

In context

Urinary Incontinence

983 studies on the registry are indexed under Urinary Incontinence; 180 are open to participants now.

This study's planned enrollment of 60 is close to the median of 66 across 739 interventional studies indexed under Urinary Incontinence.

Browse Urinary Incontinence studies →

Lead sponsor

Riphah International University is the lead sponsor of 2,193 studies on the registry; 650 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 35 Years
Sexes eligible
Female
Accepts healthy volunteers
Yes

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

  • 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

Exclusion criteria

Exclusion Criteria:

  • 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
05

Study design

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

Study arms

  • Experimental
    hypopressive training

    Exercises were conducted in various postures to challenge the body differently and enhance muscular endurance

    Other: hypopressive training

  • Active comparator
    transverses abdominis focused core training

    Teach correct pelvic floor and TrA activation; build foundational strength

    Other: transverses abdominis focused core training

Interventions

  • Otherhypopressive training

    Frequency: 3 sessions/week under supervision Duration: 30-40 minutes/session For 6 weeks

  • Othertransverses abdominis focused core training

    3 sessions/week under supervision Duration: 30-40 minutes/session For 6 weeks

06

What researchers measure

Primary outcomes

  1. 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

    Time frame: 6th week

  2. 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.

    Time frame: 6th week

  3. 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)

    Time frame: 6th week

07

Study locations

1 of 1 sites recruiting
  • Al-madawah rehabilitation clinic
    Lahore, Punjab Province 6400, Pakistan
    Recruiting
08

References and documents

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 36482844 ↗
  • Katz 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 38432833 ↗
  • Abd 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.

Individual participant data

Plan to share: No

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

Started Oct 2025 (actual). Primary completion is estimated for Oct 2026, 12 months after the start.

Of 301 non-industry interventional studies with no phase under Urinary Incontinence, half reached primary completion within 15 months of starting (the median), counting those still running; a quarter within 7 and three quarters within 37. This study's planned 12 months is below that.

Counting every sponsor, half of 364 studies reached it within 15 months; a quarter within 7 and three quarters within 35.

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

Registered
May 4, 2026
First posted
May 8, 2026
StartActual
Oct 1, 2025
Primary completionEst.
Oct 2026
CompletionEst.
Oct 2026
Last update
Sep 24, 2026
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 Sep 24, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07576283
Responsible party
Sponsor
First posted
May 8, 2026
Start date
Oct 1, 2025
Primary completion
Oct 2026 (estimated)
Completion
Oct 2026 (estimated)
Last update
Sep 24, 2026

Study contacts

imran amjad
Contact
imran.amjad@riphah.edu.pk
03324390125
hina gul, PhD*
principal investigator · Riphah International University

Oversight

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

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