Relations Between Pelvic Floor, Diaphragm and Trunk Muscles

Not Applicable

Completed

• Conditions: Prostate Cancer; Urinary Incontinence
• Interventions: Procedure: Muscles exercises program

• Registration Number: NCT03858452
• Lead Sponsor: Lithuanian University of Health Sciences

Brief Summary

The present study evaluates the functional relations of pelvic floor, diaphragm, and torso muscles, their variation and correlations with urinary incontinence while separately training physical characteristics of the mentioned muscles in men after radical prostatectomy.

Detailed Description

During the last two decades, the connection between pelvic floor muscles (PFM) and abdominal muscles or diaphragm has been detected: PFM contract and relax during the inhalation and exhalation in pace with the diaphragm; the activity of the PFM increases with the increase of intra-abdominal pressure during forced exhalations or cough. The role of pelvic floor is essential for the synergy of diaphragm and abdominal muscles in maintenance of intra-abdominal pressure. According to the aforementioned physiological functional relationships, the investigators have postulated a hypothesis that diaphragm muscles training and abdominal muscles training could have similar effect as direct PFM training on pelvic floor muscles strength and pelvic floor muscles endurance measured using perineometer in men after radical prostatectomy.

Study Timeline

• Study Start: 2010-09-01
• Primary Completion: 2012-05-30
• Study Completion: 2012-12-30
• Status Verified: 2019-02
• Study First Submitted: 2019-02-26
• Study First Submitted QC: 2019-02-27
• Last Update Submitted: 2019-02-27
• Study First Posted: 2019-02-28
• Last Update Posted: 2019-02-28

Recruitment & Eligibility

• Status: COMPLETED
• Sex: Male
• Target Recruitment: 148

Inclusion Criteria

• stable somatic state
• written informed consent.

Exclusion Criteria

• chronic obstructive pulmonary disease,
• surgical interventions in abdominal area,
• complains in lower back,
• acute musculoskeletal injuries in last 6 months
• cognitive dysfunction

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Pelvic floor muscles training group	Muscles exercises program	Pelvic floor muscles exercises twice a day for 30 min
Abdominal muscles training group	Muscles exercises program	Abdominal muscles exercises twice a day for 30 min
Diaphragm muscles training group	Muscles exercises program	Breathing exercises twice a day for 30 min

Primary Outcome Measures

Name	Time	Method
Effect of activation of different muscles groups on pelvic floor muscles endurance.	6 months after radical prostatectomy.	Pelvic floor muscles endurance was measured in seconds.
Effect of activation of different muscles groups on pelvic floor muscles strength	6 months after radical prostatectomy.	Pelvic floor muscles strength was measured in cmH2O

Secondary Outcome Measures

Name	Time	Method
Urinary loss dynamics	6 month after radical prostatectomy	Pad weight by grams during 8 hours pad test
correlation between urinary incontinence and pelvic floor muscles strength and endurance dynamics	6 months after radical prostatectomy	correlation coefficient