Estrogen replacement therapyGeneral advicePostural correction exercise program
Estrogen replacement therapy: The participants will receive estrogen replacement therapy for 3 months to enhance postmenopausal symptoms and their quality of life
General advice: Postmenopausal women will be instructed to maintain a neutral spinal alignment during sitting, standing, and daily activities, avoid prolonged slouched sitting, and use supportive seating to encourage correct posture. Light to moderate physical activity, such as daily walking, will be encouraged to reduce sedentary behavior and maintain overall physical function. women will also receive guidance on healthy bowel and bladder habits, including avoiding straining during bowel movements and unnecessary frequent urination, as increased intra-abdominal pressure can worsen pelvic floor dysfunction.
Postural correction exercise program: The participants will follow a structured postural correction exercise program, 3 times per week for 12 weeks, each session lasting 45-60 minutes.
Study summary
This study aimed to investigate the effect of postural correction exercises on pelvic floor dysfunction in postmenopausal osteoporotic women
Eligibility
Sex
FEMALE
Min age
55 Years
Max age
65 Years
Healthy volunteers
No
Inclusion Criteria:
* Postmenopausal women with ages between 55 and 65 years.
* Their body mass index will not exceed 35 Kg/m2.
* All women have mild to moderate pelvic floor muscle dysfunction.
* All women were diagnosed with osteoporosis confirmed by Dual-energy X-ray Absorptiometry (DEXA) (T-score ≤ -2.5).
Exclusion Criteria:
* Women will be excluded if they have one or more of the following:
* Previous pelvic or abdominal surgery affecting pelvic floor function.
* Severe pelvic organ prolapse (Grade III or IV).
* Neurological disorders affecting pelvic floor or lower limb function.
* Severe musculoskeletal disorders limiting exercise participation.
* Current participation in pelvic floor rehabilitation programs during the last 6 months.
* Severe cardiovascular or respiratory conditions contraindicating exercise.
Primary outcome measure(s)
Pelvic Floor Muscle Assessment — 12 weeks Pelvic floor muscle function will be assessed using surface electromyographic (EMG) to measure muscle activation patterns. For the measurement, women will be placed in a supine position with knees flexed. A vaginal surface probe electrode will be gently inserted to record pelvic floor muscle (PFM) activity, and a reference electrode will be placed on a bony landmark such as the anterior superior iliac spine to reduce electrical noise. Participants will be instructed to contract their pelvic floor muscles as if stopping urine flow, holding each contraction for 5 seconds, followed by 10 seconds of relaxation. Each contraction will be repeated three times, and the highest root mean square RMS amplitude of the three contractions will be used for analysis. EMG signals will be processed to calculate RMS amplitude and normalized to maximum voluntary contraction for inter-individual comparisons
Kyphotic angle — 12 weeks Formetric System will be used to evaluate spinal alignment parameters including thoracic kyphosis before and after treatment The system is a non-invasive, radiation-free optical imaging technology that projects a light grid onto the back surface and captures the reflected pattern using a high-resolution digital camera. Using surface topography, the software reconstructs a three-dimensional model of the back allowing precise calculation of spinal angles. Thoracic kyphosis angle is measured as the angle between tangent lines at the upper and lower thoracic vertebrae.
Lumbar lordotic angle — 12 weeks Formetric System will be used to evaluate spinal alignment parameters including lumbar lordosis before and after treatment The system is a non-invasive, radiation-free optical imaging technology that projects a light grid onto the back surface and captures the reflected pattern using a high-resolution digital camera. Using surface topography, the software reconstructs a three-dimensional model of the back allowing precise calculation of spinal angles. Lumbar lordosis angle as the angle between tangent lines at the upper lumbar and sacral vertebrae.
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
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