The Effects of Pilates Method in Muscle Strength of the Pelvic Floor as Treatment of Post Prostatectomy Urinary Incontinence: : a Randomized Control Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 115
- 主要终点
- improves muscle strength of the pelvic floor at 3 months
研究概览
简要总结
The purpose of this study is to compare the efficacy between a Pilates exercise program and a Pelvic Floor Muscle Training (PFMT) protocol combined with anal electrical stimulation (AES) in muscular pressure strength of the pelvic floor as conservative treatment of urinary incontinence after prostatectomy.
详细描述
This randomized clinical trial includes 115 individuals with urinary incontinence one month after radical prostatectomy. One physiotherapist, with experience in urogynecology, was responsible for all the assessments. muscular pressure strength of the pelvic floor, 24-hour pad test and the International Consultation on Incontinence Questionnaire - Short Form (ICIQ-SF) were the variables evaluated.
The subjects were allocated in one of three treatment groups (G1: Pilates; G2: anal electrical stimulation combined with pelvic floor muscle training and G3: Control Group).
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
- None
入排标准
- 年龄范围
- 50 Years 至 75 Years（Adult, Older Adult）
- 性别
- Male
- 接受健康志愿者
- 否
入选标准
- •Volunteers between 50 and 75 years old;
- •Submitted to radical prostatectomy;
- •With complaints of urinary incontinence;
- •That completed one month of surgery;
排除标准
- •History of incontinence;
- •Transurethral resection of the prostate;
- •Diagnosis of neurological or cognitive impairment;
- •Subjects who were unable to attend treatment sessions, due to distance or physical limitations.
研究组 & 干预措施
PFMT and AES
For also 10 weeks, the participants went trough anal electrical stimulation (AES) associated with Pelvic Floor Muscle Training (PFMT), supervised by a specialized physiotherapist. All subjects received orientation to perform the same pelvic floor exercises at home.
干预措施: PFMT and AES (Other)
Control
Control Group
干预措施: Control (Other)
PILATES
Weekly Pilates sessions, guided by a specialized physiotherapist. The duration of the treatment was 10 weeks, and each session lasted 45 to 50 minutes. All subjects received instruction to perform specific daily home exercises.
干预措施: Pilates (Other)
结局指标
主要结局
improves muscle strength of the pelvic floor at 3 months
时间窗: baseline and 3 months
Evaluation of the contraction capacity of the pelvic floor using perineometer (Myomed 932 Enraf/Nonius®)
次要结局
- Change in the International Consultation of Urinary Incontinence- Short Form questionnaire at 3 months(baseline and 3 months)
- Change in Pad test 24 hours at 3 months(baseline and 3 months)
研究者
Cíntia Spagnolo Gomes
Physioterapist student of a masters degree program at the Center of Health Science
Universidade Estadual de Londrina