Evaluation of Functional Relations and Their Changes Between Pelvic Floor, Diaphragm and Trunk Muscles in Men After Radical Prostatectomy
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 148
- 主要终点
- Effect of activation of different muscles groups on pelvic floor muscles endurance.
研究概览
简要总结
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.
详细描述
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.
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
- Double (Participant, Investigator)
入排标准
- 年龄范围
- 45 Years 至 75 Years（Adult, Older Adult）
- 性别
- Male
- 接受健康志愿者
- 否
入选标准
- •stable somatic state
- •written informed consent.
排除标准
- •chronic obstructive pulmonary disease,
- •surgical interventions in abdominal area,
- •complains in lower back,
- •acute musculoskeletal injuries in last 6 months
- •cognitive dysfunction
研究组 & 干预措施
Pelvic floor muscles training group
Pelvic floor muscles exercises twice a day for 30 min
干预措施: Muscles exercises program (Procedure)
Diaphragm muscles training group
Breathing exercises twice a day for 30 min
干预措施: Muscles exercises program (Procedure)
Abdominal muscles training group
Abdominal muscles exercises twice a day for 30 min
干预措施: Muscles exercises program (Procedure)
结局指标
主要结局
Effect of activation of different muscles groups on pelvic floor muscles endurance.
时间窗: 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
时间窗: 6 months after radical prostatectomy.
Pelvic floor muscles strength was measured in cmH2O
次要结局
- Urinary loss dynamics(6 month after radical prostatectomy)
- correlation between urinary incontinence and pelvic floor muscles strength and endurance dynamics(6 months after radical prostatectomy)
研究者
Zemyna Milasauskiene
Head of Research and Studies Coordination Centre
Lithuanian University of Health Sciences