The Efficacy of Pilates Compared to Pelvic Floor Muscle Training Associated With Electrical Stimulation in the Recovery of Post-prostatectomy Urinary Incontinence: a Randomized Clinical Trial.
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 54
- 主要终点
- Change in the number of pads used per day at 3 months
研究概览
简要总结
The purpose of this study is to compare the efficacy between a Pilates exercise program and a Pelvic Floor Muscle Training (PFMT) protocol combined with anal electrical stimulation (AES) in the recovery of urinary continence (UI) after radical prostatectomy.
There are no studies that evaluate Pilates mat exercises for incontinence in men although it can be assured that this method has the pelvic floor contractions as a principle for practice. If this new therapeutic approach proves to be as effective as described treatment in improving urinary complaints, it will be an option for patients who prefer a non-invasive treatment.
详细描述
This randomized clinical trial includes 69 individuals with urinary incontinence one month after radical prostatectomy. One physiotherapist, with experience in urogynecology, was responsible for all the assessments. Urinary frequency, nocturia, 24-hour pad test, number of pads used per day, and the International Consultation on Incontinence Questionnaire - Short Form (ICIQ-SF) were the variables evaluated.
The subjects were allocated in one of two treatment groups (G1: Pilates; G2: anal electrical stimulation combined with pelvic floor muscle training). Volunteers participated of 10 sessions of the corresponding treatment and were reassessed objectively by the number of pads used per day, and subjectively with the score of quality of life.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 50 Years 至 75 Years（Adult, Older Adult）
- 性别
- Male
- 接受健康志愿者
- 否
入选标准
- •Volunteers between 50 and 75 years old;
- •Submitted to radical prostatectomy;
- •With complaints of urinary incontinence;
- •That completed one month of surgery;
排除标准
- •History of incontinence;
- •Transurethral resection of the prostate;
- •Diagnosis of neurological or cognitive impairment;
- •Subjects who were unable to attend treatment sessions, due to distance or physical limitations.
结局指标
主要结局
Change in the number of pads used per day at 3 months
时间窗: 3 months
次要结局
- Change in the 24 hours Pad Test at 3 months(3 months)
- Change in the episodes of nocturia at 3 months(3 months)
- Change in the International Consultation of Urinary Incontinence- Short Form at 3 months(3 months)
研究者
Fabiana Rotondo Pedriali
Physioterapist student of a masters degree program at the Center of Health Science
Universidade Estadual de Londrina