Effects of a home-based pelvic floor muscle training with and without action and cue observation on urinary incontinence after prostatectomy: A randomized controlled trial.
Filippo Russo, Federico Temporiti, Damiana Cifoletti, Elisabetta Benaglia, Claudia Franzini, Vittorio Fasulo, Marco Paciotti, Nicolò Maria Buffi, Roberto Gatti
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Abstract
Objective: To investigate the effects of a home-based pelvic floor muscle training with and without action and cue observation on urinary incontinence after prostatectomy.
Setting: Humanitas Research Hospital, Milan, Italy.
Participants: Ninety-two participants with age between 40 and 80 years and urinary incontinence after robot-assisted laparoscopic prostatectomy.
Intervention: Participants were randomized into an action and cue observation (n = 46) or control (n = 46) group undergoing an 8-week home-based pelvic floor muscle training. Action and cue observation group observed video clips showing exercises synchronized with a visual cue indicating the correct pelvic floor muscle activation timing and imitated the observed tasks. Control group observed landscape video clips and performed the same exercises of experimental group.
Main measures: A blinded physiotherapist assessed participants for urinary leakages (24-h pad test), symptom severity (International Prostate Symptoms Score and International Prostate Symptoms Score - Quality of Life), quality of life (International Consultation on Incontinence Questionnaire - Short Form), and erectile dysfunction (International Index of Erectile Function) before and after the training.
Results: All participants improved urinary leakages, symptom severity, and quality of life after training. Action and cue observation group revealed significantly larger improvements in 24-h pad test (mean difference: 106.1 g, 95% CI: 13.4 g, 199.1 g, p = .037) than control group.
Conclusions: Home-based pelvic floor muscle training with action and cue observation led to larger improvements in urinary continence compared to the same training without action and cue observation after prostatectomy.
期刊介绍：
Clinical Rehabilitation covering the whole field of disability and rehabilitation, this peer-reviewed journal publishes research and discussion articles and acts as a forum for the international dissemination and exchange of information amongst the large number of professionals involved in rehabilitation. This journal is a member of the Committee on Publication Ethics (COPE)
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