Synchronized Core-Pelvic Floor Activation in Urinary Incontinence

This study aims to investigate whether co-activation of the pelvic floor and core muscles improves treatment outcomes in individuals with urinary incontinence. Participants diagnosed with stress, or mixed urinary incontinence will undergo a 12-week pelvic floor physiotherapy program, with or without additional core muscle co-activation exercises. Changes in urinary incontinence severity, pelvic floor muscle function, core muscle activation, and quality of life will be evaluated.

Inclusion Criteria: * Aged between 18 and 65 years * Diagnosed with stress, urge, or mixed urinary incontinence * Pelvic floor muscle strength grade ≥ 3 according to the Modified Oxford Scale * At least one episode of urinary leakage within the last month Exclusion Criteria: * Pregnancy * Childbirth within the previous 6 weeks * Severe pelvic organ prolapse * Active vaginal or urinary tract infection * Presence of neurological or psychiatric disorders * Malignancy * Inability to cooperate with assessments or interventions