Evidence map›Paper›PMID 41267066›Full record

ArticleTrials2025

Comparison of 90-90 ball and balloon exercise versus Kegel's exercise on pelvic floor muscle strength and quality of life among postpartum women with stress urinary incontinence-a randomized clinical trial protocol.

S Kavitha, Rajasekar Sannasi, M Premkumar, Praveen Kumar Kandakurti

Abstract readClinical Trial Protocol
In one paragraph

Article in Trials, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

S KavithaInstitute of Physiotherapy, Srinivas University, Mangaluru, Karnataka, India.ORCID http://orcid.org/0000-0001-7843-8940
Rajasekar SannasiInstitute of Physiotherapy, Srinivas University, Mangaluru, Karnataka, India.ORCID http://orcid.org/0000-0003-0958-6143
M PremkumarInstitute of Physiotherapy, Srinivas University, Mangaluru, Karnataka, India.ORCID http://orcid.org/0000-0001-6182-2014
Praveen Kumar KandakurtiDepartment of Physiotherapy, College of Health Sciences, Gulf Medical University, Ajman, United Arab Emirates. dean.coahs@gmu.ac.ae.ORCID http://orcid.org/0000-0003-0839-5943

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundStress urinary incontinence (SUI) is one of the notable problems in postpartum women. Even though Kegel's exercise (KE) is a universally followed pelvic floor exercise for SUI, it is tough to perform as patients find it hard to identify the correct tiny muscles to contract. Co-contraction of the pelvic diaphragm during 90-90 ball balloon exercises (BBE) will work against IAP, and that produces a more controlled action of pelvic floor muscles. This study aims to compare the effectiveness of 90-90 BBE vs. KE over pelvic floor muscle strength (PFMS) and quality of life (QoL) in women with postpartum SUI.

methodEighty-six postpartum women with SUI will be screened and recruited through purposive sampling. Subjects will be divided into experimental and control groups through block randomization. The control group will receive KE along with the Knack technique (KT); meanwhile, the experimental group will receive 90/90 BBE with KT (10 repetitions, 3 sets a day, 3 days a week, 8 weeks). Outcome measures are pelvic floor muscle strength (PFMS), quality of life, 1-h pad test, and global rate of change, which will be taken at pre- and post-intervention at the 8th week, 3rd month, and 6th month follow-up. Parametric or nonparametric statistical tests will be used based on the normal distribution of data. The result will be presented in the form of a 95% confidence interval and P value. DISCUSSION: This trial will provide novel evidence comparing a commonly used exercise (Kegel's) with the 90-90 ball and balloon exercise, a physiologically guided approach targeting pelvic floor-abdominal synergy. If effective, this intervention may offer an easier and potentially more acceptable alternative to postpartum women with stress urinary incontinence. However, the interpretation of findings should consider that the sample size estimation was based on pre-post data, which may overestimate the true effect. CLINICAL

trial registrationCTRI-Clinical Trial Registry of India (ICMR)-Reg.No: CTRI/2024/06/069047. Trial registered prospectively. Registered on 18.06.2024.

Indexed as

Exercise TherapyMuscle StrengthPelvic FloorPostpartum PeriodQuality of LifeUrinary Incontinence, StressAdultFemaleHumansRandomized Controlled Trials as TopicTime FactorsTreatment OutcomeYoung Adult90-90 ball and balloon exercisesKegel’s exercisePostpartum womenRandomized clinical trialStress urinary incontinence

Identifiers

PMID41267066
PMCPMC12632004

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LicenceCC BY-NC-ND
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.