ClinicalTrials.gg
RecruitingNCT07727460LIFTUpdated Jul 27, 2026

The Reliability of Pelvic Floor Measures From Ultrasound Images Acquired at Rest and During Weightlifting Tasks.

An observational study in Urinary Incontinence , Stress, sponsored by University of Ottawa. Recruiting at 2 sites in Canada. Open to female participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-07-27.

Sponsored by University of Ottawa · Observational

From the registry’s dates

  • Started May 2026; still recruiting 6 months later.
Study type
Observational
Model
Cohort
Time perspective
Cross-sectional
Enrollment
40
Ages
18 Years and older
Sex
Female
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 47 studies in Urinary Incontinence, Stress with a site in Canada — 6 open to participants now, 10 under way, 1 of them phase 3. Urinary Incontinence, Stress · Canada.

Started
2026
with 1 other
Observational
6 of 47
3 open now
Registered
47th of 47
by date
Lead sponsor
3 of 47
University of Ottawa

Among the 47 studies in Urinary Incontinence, Stress with a site in Canada, this one is one of 2 that started in 2026, is one of 6 observational ones, and was the 47th registered.

Urinary Incontinence, Stress

653 studies on the registry are indexed under Urinary Incontinence, Stress; 121 are open to participants now.

Browse Urinary Incontinence, Stress studies →

Open to participants now

6 of the 47 studies in Urinary Incontinence, Stress with a site in Canada are open now. Recruiting first, the newest first:

All 6 open studies →

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

Who these studies take

Of the 74 Urinary Incontinence, Stress studies recruiting now, 42 (57%) set no upper age limit and 18 (24%) stop at 75 or younger; 2 take children under 18; 16 take healthy volunteers.

This study: 18 Years and older · female · healthy volunteers too.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 47 studies in Urinary Incontinence, Stress with a site in Canada, or all of them as a file.
02

Study summary

We will evaluate the inter-and intra-rater reliability of pelvic floor morphometry obtained from transperineal ultrasound images collected at rest and during standardized weight lifting tasks.

Read the detailed description

The aim is to evaluate the inter-rater and intra-rater reliability of pelvic floor morphometry at rest and during dynamic, externally loaded barbell resistance training tasks using 2-dimensional (2D) transperineal ultrasound (TPUS) imaging in individuals with female pelvic anatomy. Establishing measurement reliability under these conditions is a necessary methodological prerequisite for future research in which we plan to investigate pelvic floor behaviour during resistance training and its potential relationship to exercise-induced urinary incontinence.

After a standard bladder filling protocol, TPUS imaging will be performed by two trained assessors using 2D ultrasound. Images and cine loops will be acquired under four standardized conditions: supine; standing; three loaded barbell back squats at 40%, 60%, and 80% of the participant's one-repetition maximum (1RM); and three loaded barbell deadlifts at 40%, 60%, and 80% of 1RM. Images and cine loops will be processed offline to measure levator plate length, levator plate angle, bladder neck height and anorectal junction height. The inter and intra-rater reliability of image acquisition and analysis will be determined for each measure under each condition.

03

Conditions studied

  • Urinary Incontinence , Stress

Keywords

  • exercise-induced urinary incontinence
  • pelvic floor
  • pelvic floor morphometry
  • ultrasound imaging
  • reliability
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
Female
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

Participants will be recruited from the Ottawa, Ontario and Vancouver, BC regions through local gyms, university facilities, and social media platforms. The study population includes active females aged 18 years or older who engage regularly in resistance training activities such as back squats and deadlifts and are able to lift > 80% of their body weight and are willing to attend a single in-person session at the University of Ottawa's Motor Function Measurement Laboratory or designated locations in the greater Vancouver area of BC.

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

  • Individuals with female or vulvo-vaginal anatomy
  • Age 18 years or older
  • No history of urogenital surgery
  • Not currently pregnant or less than 12 months postpartum, if applicable
  • Be able to safely perform a barbell back squat and deadlift exercises with a submaximal load of 80% of their body weight
  • Able to communicate in English to sufficiently understand study procedures and provide

Exclusion criteria

Exclusion Criteria:

  • Presence of significant medical conditions that could affect safety, including cardiac, pulmonary, metabolic or neurological conditions
  • Currently pregnant or less than 12 months postpartum
  • Current pelvic, hip, or low back injury that limits lifting or impairs safe performance of squats or deadlifts with a barbell
  • Unable to safely lift 80% of their body weight
  • Known pelvic organ prolapse > stage 2
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Observational model
Cohort
Time perspective
Cross-sectional
Enrollment
40 participants (estimated)
Patient registry
No
06

What researchers measure

Primary outcomes

  1. Bladder Neck Height

    Bladder neck height will be measured from 2D ultrasound images as the length of a line drawn perpendicularly from the long axis of the pubic symphysis to the bladder neck.

    Time frame: Day 1

  2. Levator Plate Length

    The levator plate length will be measured from the ultrasound images as the linear distance between the posterior margin of the pubic sympysis and the anterior margin of the anorectal junction.

    Time frame: Day 1

  3. Ano-rectal Junction Height

    Ano-rectal junction height will be measured from the ultrasound images as the length of a line drawn perpendicularly from the long axis of the pubic symphysis to the anterior margin of the anorectal junction.

    Time frame: Day 1

  4. Levator Plate Angle

    Levator plate angle will be assessed using ultrasound imaging.The images will be recorded under the standardized conditions.

    Time frame: Day 1

  5. Bladder Neck Funnelling

    Bladder neck funnelling will be assessed dichotomously as present or absent based on the visualization of an opening of the proximal urethra.

    Time frame: single visit

Secondary outcomes

  1. International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form (ICIQ-UI SF)

    The International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form (ICIQ-UI SF) is a questionnaire that includes three questions about urinary incontinence frequency, severity, and impact on daily life, resulting in a score of 0-21. The fourth question aims to classify the type of urinary incontinence. The questionnaire has been established as valid, reliable, and responsive. Participants will be asked to complete this questionnaire for descriptive purposes.

    Time frame: At enrolment

  2. Australian Pelvic Floor Questionnaire (APFQ)

    The APFQ consists of 42 questions in 4 domains (bladder, bowel, and sexual function and pelvic organ prolapse); the total score for both bladder and bowel function domains combined ranges from 0 to 20. Participants will be asked to complete this questionnaire for descriptive purposes.

    Time frame: At enrolment

  3. Five-part questionnaire on hypermobility (5PQ)

    The 5PQ is comprised of 5 questions and was designed as a screening tool for hypermobility. It has been validated and is frequently used in clinical and research settings. Participants will be asked to complete this questionnaire for descriptive purposes.

    Time frame: At enrolment

  4. Beighton Score

    The Beighton score is a 9-point physical screening test used to measure generalized joint hypermobility (joints that move beyond the normal range). It evaluates the pinkies, thumbs, elbows, knees, and spine. Participants will be asked to complete this screening test for descriptive purposes.

    Time frame: At enrolment

07

Study locations

2 of 2 sites recruiting
  • Eclipse Physiotherapy and Sport Injury Clinic
    Langley, British Columbia V2Y 1N5, Canada
    Recruiting
  • beSTRONG Training
    North Vancouver, British Columbia V7M 3G6, Canada
    Recruiting
08

References and documents

Publications

  • Forner LB, Cyr MP, Beckman EM, Hodges PW, Smith MD. The Immediate Impact of Heavy Weightlifting on Pelvic Floor Morphometry in Vaginally Parous Women: A Repeated Measures Study. Int Urogynecol J. 2026 Jun 20. doi: 10.1007/s00192-026-06772-8. Online ahead of print. PubMed 42322404 ↗
  • Chen Y, Peng L, Liu M, Shen H, Luo D. Diagnostic value of transperineal ultrasound in patients with stress urinary incontinence (SUI): a systematic review and meta-analysis. World J Urol. 2023 Mar;41(3):687-693. doi: 10.1007/s00345-022-04264-0. Epub 2023 Jan 4. PubMed 36598556 ↗
  • Braekken IH, Majida M, Ellstrom-Engh M, Dietz HP, Umek W, Bo K. Test-retest and intra-observer repeatability of two-, three- and four-dimensional perineal ultrasound of pelvic floor muscle anatomy and function. Int Urogynecol J Pelvic Floor Dysfunct. 2008 Feb;19(2):227-35. doi: 10.1007/s00192-007-0408-7. Epub 2007 Jun 29. PubMed 17599234 ↗
  • Czyrnyj CS, Labrosse MR, Graham RB, McLean L. UROKIN: A Software to Enhance Our Understanding of Urogenital Motion. Ann Biomed Eng. 2018 May;46(5):726-735. doi: 10.1007/s10439-018-1989-7. Epub 2018 Feb 7. PubMed 29417352 ↗
  • Dietz HP. Ultrasound imaging of the pelvic floor. Part I: two-dimensional aspects. Ultrasound Obstet Gynecol. 2004 Jan;23(1):80-92. doi: 10.1002/uog.939. PubMed 14971006 ↗
  • Dietz HP, Rojas RG, Shek KL. Postprocessing of pelvic floor ultrasound data: how repeatable is it? Aust N Z J Obstet Gynaecol. 2014 Dec;54(6):553-7. doi: 10.1111/ajo.12250. Epub 2014 Oct 22. PubMed 25338743 ↗
  • Almousa S, Bandin Van Loon A. The prevalence of urinary incontinence in nulliparous female sportswomen: A systematic review. J Sports Sci. 2019 Jul;37(14):1663-1672. doi: 10.1080/02640414.2019.1585312. Epub 2019 Mar 1. PubMed 30822258 ↗
  • Teixeira RV, Colla C, Sbruzzi G, Mallmann A, Paiva LL. Prevalence of urinary incontinence in female athletes: a systematic review with meta-analysis. Int Urogynecol J. 2018 Dec;29(12):1717-1725. doi: 10.1007/s00192-018-3651-1. Epub 2018 Apr 13. PubMed 29654349 ↗
  • Blazek D, Stastny P, Maszczyk A, Krawczyk M, Matykiewicz P, Petr M. Systematic review of intra-abdominal and intrathoracic pressures initiated by the Valsalva manoeuvre during high-intensity resistance exercises. Biol Sport. 2019 Dec;36(4):373-386. doi: 10.5114/biolsport.2019.88759. Epub 2019 Oct 17. PubMed 31938009 ↗
  • Berube ME, Niederauer S, Graham R, Hitchcock R, McLean L. Is pelvic floor loading in female runners associated with post-run changes in pelvic floor morphometry or function? BJU Int. 2025 Oct;136(4):707-718. doi: 10.1111/bju.16842. Epub 2025 Jun 30. PubMed 40586130 ↗
  • Vesting S, Rodrigues MP, McLean L. Measurement and Interpretation of Intra-Abdominal Pressure During Physical Activity: A Scoping Review. Int Urogynecol J. 2026 May 30. doi: 10.1007/s00192-026-06635-2. Online ahead of print. PubMed 42217021 ↗
  • Wikander L, Kirshbaum MN, Waheed N, Gahreman DE. Urinary Incontinence in Competitive Women Weightlifters. J Strength Cond Res. 2022 Nov 1;36(11):3130-3135. doi: 10.1519/JSC.0000000000004052. Epub 2021 Jun 3. PubMed 34100787 ↗
  • Wikander L, Kirshbaum MN, Waheed N, Gahreman DE. Urinary Incontinence in Competitive Women Powerlifters: A Cross-Sectional Survey. Sports Med Open. 2021 Dec 7;7(1):89. doi: 10.1186/s40798-021-00387-7. PubMed 34874496 ↗
  • Huebner M, Ma W, Harding S. Sport-related risk factors for moderate or severe urinary incontinence in master female weightlifters: A cross-sectional study. PLoS One. 2022 Nov 30;17(11):e0278376. doi: 10.1371/journal.pone.0278376. eCollection 2022. PubMed 36449558 ↗
  • Wikander L, Cross D, Gahreman DE. Prevalence of urinary incontinence in women powerlifters: a pilot study. Int Urogynecol J. 2019 Dec;30(12):2031-2039. doi: 10.1007/s00192-019-03870-8. Epub 2019 Jan 21. PubMed 30666426 ↗
  • Skaug KL, Engh ME, Frawley H, Bo K. Prevalence of Pelvic Floor Dysfunction, Bother, and Risk Factors and Knowledge of the Pelvic Floor Muscles in Norwegian Male and Female Powerlifters and Olympic Weightlifters. J Strength Cond Res. 2022 Oct 1;36(10):2800-2807. doi: 10.1519/JSC.0000000000003919. Epub 2020 Dec 3. PubMed 33278274 ↗
  • Bo K, Lillegard RH, Skaug KL. Pelvic Floor Muscle Training on Stress Urinary Incontinence in Power- and Weightlifters: a Pilot Study. Int Urogynecol J. 2024 Jun;35(6):1291-1298. doi: 10.1007/s00192-024-05801-8. Epub 2024 May 17. PubMed 38758455 ↗
  • Alves ASC, de Araujo MP, Pereira GMV, Brito LGO, Juliato CRT. Influence of Powerlifting and Weightlifting on Female Pelvic Floor Dysfunction: Systematic Literature Review. Int Urogynecol J. 2025 May;36(5):955-964. doi: 10.1007/s00192-025-06059-4. Epub 2025 Feb 7. PubMed 39918585 ↗
  • Skaug KL, Engh ME, Bo K. Acute Effect of Heavy Weightlifting on the Pelvic Floor Muscles in Strength-Trained Women: An Experimental Crossover Study. Med Sci Sports Exerc. 2024 Jan 1;56(1):37-43. doi: 10.1249/MSS.0000000000003275. Epub 2023 Aug 11. PubMed 37565457 ↗

Individual participant data

Plan to share: Yes — Spreadsheets will be provided by email upon request and based on the planned use of the data.

Supporting information: Study protocol, Statistical analysis plan, Informed consent form

Time frame: Data will be available for 10 years after the publication of the study results.

Access criteria: Planned use of data for systematic review or meta-analysis.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started May 2026 (actual). Primary completion is estimated for Nov 2026, 6 months after the start.

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

Registered
Jul 21, 2026
First posted
Jul 27, 2026
StartActual
May 4, 2026
Primary completionEst.
Nov 30, 2026
CompletionEst.
Dec 31, 2026
Last update
Jul 27, 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 Jul 27, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07727460
Responsible party
Dr. Linda McLean (Professor in the School of Rehabilitation Sciences at University Of Ottawa, University of Ottawa) — Principal investigator
First posted
Jul 27, 2026
Start date
May 4, 2026
Primary completion
Nov 30, 2026 (estimated)
Completion
Dec 31, 2026 (estimated)
Last update
Jul 27, 2026

Study contacts

Adrienne Sim
Contact
mfmlab_LIFT@uottawa.ca
613-562-5800 ext. Ext. 4102
Linda McLean
Contact
lmclea2@uottawa.ca
613-562-5800 ext. Ext. 4102
Linda McLean
principal investigator · University of Ottawa

Oversight

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

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