Evaluation of Functional Relations and Their Changes Between Pelvic Floor, Diaphragm and Trunk Muscles in Men After Radical Prostatectomy
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Prostate Cancer
- Sponsor
- Lithuanian University of Health Sciences
- Enrollment
- 148
- Primary Endpoint
- Effect of activation of different muscles groups on pelvic floor muscles endurance.
- Status
- Completed
- Last Updated
- 7 years ago
Overview
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.
Investigators
Zemyna Milasauskiene
Head of Research and Studies Coordination Centre
Lithuanian University of Health Sciences
Eligibility Criteria
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
Outcomes
Primary Outcomes
Effect of activation of different muscles groups on pelvic floor muscles endurance.
Time Frame: 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
Time Frame: 6 months after radical prostatectomy.
Pelvic floor muscles strength was measured in cmH2O
Secondary Outcomes
- 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)