Effect of Verbal Instruction on Pelvic Floor Muscle Contraction in Post Stroke Patients

Not Applicable

Completed

• Conditions: Pelvic Floor Muscle Weakness
• Interventions: Other: verbal instruction

• Registration Number: NCT03903627
• Lead Sponsor: University of Haifa

Brief Summary

The aim of this study is to investigate which verbal instruction will lead to the most efficient contraction of pelvic floor muscles in post stroke patients. Pelvic floor muscle contraction will be evaluated via transabdominal ultrasound. ultrasound.

Detailed Description

Sub-acute stroke patients during the rehabilitation period in the rehabilitation hospital will be examined. Each participant will be asked to contract the pelvic floor muscles using three different verbal instructions: (1) "contract your pelvic floor - all sphincters"; (2) "contract your anus"; (3) "contract your pelvic floor as if you're trying to stop urinating". Those who will not be able to contract will be taught by the ultrasound as a biofeedback.

The assessment of pelvic floor contraction will be measured by measuring bladder displacement via abdominal ultrasound. A curved linear array transducer will be placed in the transverse plane immediately suprapubically over the lower abdomen angled at 15-30 degrees from the vertical. An on screen caliper and measurement tool will be used to measure bladder displacement.

Study Timeline

• Status Verified: 2019-04
• Study First Submitted: 2019-04-03
• Study First Submitted QC: 2019-04-03
• Study First Posted: 2019-04-04
• Study Start: 2019-04-08
• Primary Completion: 2020-02-01
• Study Completion: 2020-02-01
• Last Update Submitted: 2020-05-18
• Last Update Posted: 2020-05-19

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 77

Inclusion Criteria

• one to 6 months post first stroke
• understand the language and simple instruction
• willing to participate in the study
• mini mental assessment >21

Exclusion Criteria

• Aphasia
• side neglect
• active urinary tract infection
• has been treated before for pelvic floor rehabilitation

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Verbal instruction	verbal instruction	The participants will be verbal instructed to contract the pelvic floor muscle with the following sentences: (1) "contract your pelvic floor - all sphincters"; (2) "contract your anus"; (3) "contract your pelvic floor as if you're trying to stop urinating". Those who will not be able to contract will be taught by the ultrasound as a biofeedback.

Primary Outcome Measures

Name	Time	Method
urinary bladder displacement in millimeters during verbal instructions	baseline	bladder displacement will be measured via diagnostic ultrasound using the on screen caliper tool

Secondary Outcome Measures

Name	Time	Method
International Consultation on Incontinence Questionnaire	baseline	questionnaire regarding symptoms of urinary incontinence,scale range 0-21 points. higher values represent worse outcome
pelvic floor muscles endurance of contraction in seconds	baseline	time of muscle contraction will be measured during the last contraction in each instruction
Functional Independence Measurement (FIM) tool	baseline	assess and grade the functional status of a person based on the level of assistance he or she requires

Trial Locations

Locations (1)

Leowenstein hospital, Department of Physical Therapy; 🇮🇱 Ra'anana, Israel