The Effect of a Physiotherapy Treatment Program on Pelvic Function Following Gynaecological Surgery
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 50
- 试验地点
- 2
- 主要终点
- Prolapse symptom (prevalence and bother) questionnaire.
研究概览
简要总结
Optimal pelvic floor muscle function is known to assist bladder and bowel function and control, pelvic organ support, as well as other areas of health. It is also known that problems in some of tehse areas can be a consequence of pelvic surgery. By addressing the requirements for good bladder and bowel function/control, and organ support in the early post-surgery phase when tissue repair and scar formation are critical, it is proposed that there will be a rduction in the longterm prevalence of bladder problems, bowel difficulties and weakened pelvic floor and abdominal muscles in post-surgery patients. This study is a randomised controlled trial to compare patients undergoing a physiotherapy-supervised pelvic floor muscle training and behavioural therapy program with a control group. It is hypothesised that at the 12 month post-operative follow-up assessment, the treatment group will demonstrate better outcomes in bladder and bowel function and control, as well as stronger pelvic floor muscle contractile strength than the control group.
详细描述
Optimal pelvic floor muscle function is known to assist bladder and bowel function and control, pelvic organ support, as well as other areas of pelvic health. It is also known that problems in some of these areas can develop after pelvic surgery. By addressing the requirements for good bladder and bowel function/control, and organ support in the early post-surgical phase when tissue repair and scar formation are critical, it is proposed that there will be a reduction in the long-term prevalence of bladder and bowel dysfunction, and weak pelvic floor and abdominal muscles in post-surgical patients. There have been no previous studies investigating whether a physiotherapy intervention can assist pelvic function in this group of surgical patients.
This study aims to investigate the effect of a physiotherapy treatment program on pelvic function following gynaecological surgery.
Comparisons: Pre- and post-operative physiotherapy treatment vs no treatment following gynaecological surgery.
Outcome measures: Pelvic floor muscle strength, urine leakage, quality of life, sexual functioning, general fitness, measured at 3, 6 and 12 months post-operatively
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
- Single (Outcomes Assessor)
入排标准
- 性别
- Female
- 接受健康志愿者
- 是
入选标准
- •undergoing vaginal gynaecological surgery, for hysterectomy or prolapse repair
排除标准
- •surgery for malignancy
- •anti-incontinence surgery
- •laparotomy
结局指标
主要结局
Prolapse symptom (prevalence and bother) questionnaire.
时间窗: Pre-operative compared to 12 months post-operative
A questionnaire about prolapse symptoms
Bladder symptom (prevalence and bother) questionnaire.
时间窗: Pre-operative compared to 12 months post-operative
A questionnaire about bladder symptoms
次要结局
- Pelvic floor muscle strength.(Pre-operative compared to 12 months post-operative)
研究者
Mary Galea
Professor
University of Melbourne