Adapted Physical Activity Based On Trunk Stabilization And Pelvic Floor Education For Female Pelvic Floor Disorders

The PFDI-20 has a total of 20 questions and 3 scales: Urinary Distress Inventory (UDI-6, questions 1 to 6), Pelvic Organ Prolapse Distress Inventory (POPDI-6, questions 7 to 14), and the Colorectal-Anal Distress Inventory (CRADI-8, questions 15 to 20). Each of the 3 scales of the PFDI-20 has a score range from 0 (least distress) to 100 (greatest distress) and is calculated based on the mean score of the questions (values ranging from 0 to 4), multiplied by 25. The total PFDI-20 score is obtained by summing the scores for each scale (ranging from 0 to 300).

This questionnaire consists of a table with 7 questions in lines and each of 3 scales in columns for the Urinary Impact Questionnaire (UIQ), the Pelvic Organ Prolapse Impact Questionnaire (POPIQ), and the Colorectal-Anal Impact Questionnaire (CRAIQ). Each of the 3 scales is scored from 0 (no impact) to 100 (greatest adverse impact) and is calculated based on the mean score of the questions (a value between 0 and 3) and then multiplied by 100/3 to derive the scale score (ranging from 0 to 100). The total PFIQ-7 score is obtained by summing the scores for each scale (ranging from 0 to 300).

Knowledge of the pelvic floor will be assessed with the APFK-Q. This questionnaire contains 33 items, and 31 items assess women's knowledge of the structure and function of the pelvic floor, urinary and defecatory physiology, the main pelvic floor disorders, risk factors, and management of pelvic floor disorders. Two items were dedicated to the perception of the level of self-knowledge of the participant concerning the pelvic floor (item 1) and care pathway (item 33). No scoring method is provided for this questionnaire; therefore, a percentage of total correct answers can be calculated across the knowledge assessment items.

Enacted and internalized stigma related to pelvic floor disorders will be assessed with the SSCI-8 adapted for pelvic floor disorders. Each of the 8 items is rated from 1 (Never) to 5 (Always). The total score ranges from 8 to 40, calculated by summing all the items. This tool has already been used in a population with pelvic floor disorders.

This questionnaire is a 12-item measure comprising two questions per item that assess perceived social support availability and satisfaction. For each of the six situations, respondents indicate the people they could count on (up to a maximum of nine people) and rate their satisfaction with the available support on a 6-point scale, from 1 (very dissatisfied) to 6 (very satisfied). Two separate total scores are calculated: an availability score (N), corresponding to the total number of people listed across the six situations and ranging from 0 to 54, and a satisfaction score and a satisfaction score (S), obtained by summing the six satisfaction ratings and ranging from 6 to 36. Higher N scores indicate greater perceived availability of social support, while higher S scores indicate greater satisfaction with the available support.

For each type of physical activity, the MET-minutes per week are calculated by multiplying the number of minutes spent on the activity per day by the number of days per week on which the activity is performed and by the corresponding MET value. An average MET score has been established for each type of activity. Total physical activity is then calculated by summing the MET-minutes per week for walking, moderate-intensity physical activity, and vigorous-intensity physical activity.

Care seeking is assessed using three questions. (1) related to consultation, (2) related to initiation of pelvic floor rehabilitation with a professional (physiotherapist or midwife), and (3) related to discontinuation of the planned pelvic floor rehabilitation. The results will be presented in four categories: (1) did not seek care, (2) consulted a healthcare professional, (3) began supervised pelvic floor rehabilitation (physiotherapist or midwife), and (4) discontinued pelvic floor rehabilitation prematurely. The outcome analyzed will be a binary measure of engagement in the process of care seeking. Individuals who sought care will be counted in care-seeking behavior and compared with those who did not initiate the process.

Physical Activity in a Health Context [Echelle de Motivation envers l'Activité Physique dans un context de Santé] is a scale based on self-determination theory and assesses six forms of motivation, each with its own score: intrinsic (item 1, 6,11), integrated (item 7, 10, 13), identified (item 4, 12, 16), introjected (item 3, 14, 18), external regulation (item 9, 15, 17), and amotivation (2, 5, 8). The scores are calculated by averaging the three scores associated with each form of motivation.

These variables are a part of the Health Action Process Approach model. The motivational and volitional stage assessment related to physical activity behavior and related to care-seeking behavior evaluates the participant's intention and action related to the behavior and corresponds to a scale ranging from 0 (no action and no intention) to 5 (action continuing) for each behavior.

These variables are a part of the Health Action Process Approach model. Outcome expectancies (positive and negative separately) related to physical activity behavior and related to care-seeking behavior consist of 5 positive and 5 negative statements for each scale (care seeking and physical activity) regarding pelvic floor disorders. The participant rates their level of agreement with each statement on a scale from 1 (strongly disagree) to 7 (strongly agree). The final score is the average of the scores for positive expectations and negative expectations separately.

This variable is a part of the Health Action Process Approach model. Action self-efficacy related to care-seeking will be measured using 2 statements where the participant rates their level of agreement on a scale from 1 (strongly disagree) to 7 (strongly agree). The final score is the average of the 2 statement scores. A high score indicates a high level of action self-efficacy.

This variable is a part of the Health Action Process Approach model. Maintenance self-efficacy related to physical activity behavior will be measured using 2 statements where the participant rates their level of agreement on a scale from 1 (strongly disagree) to 7 (strongly agree). The final score is the average of the 2 statement scores. A high score indicates a high level of maintenance self-efficacy.

This variable is a part of the Health Action Process Approach model. Recovery self-efficacy related to physical activity behavior will be measured using 3 statements where the participant rates their level of agreement on a scale from 0 (strongly disagree) to 7 (strongly agree). The final score is the average of the 3 statement scores. A high score indicates a high level of recovery self-efficacy.

This variable is a part of the Health Action Process Approach model. Action control related to physical activity behavior will be measured using 3 statements where the participant rates their level of agreement on a scale from 0 (strongly disagree) to 7 (strongly agree).

About ten volunteer participants will be able to receive a perineal probe. They will be free to use it or not. Participants will be able to submit data on the duration of use and their pelvic floor muscle control score, which is based on a series of different types of contractions: endurance, speed, and repetition.