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Fecal incontinence is common in patients with rectal cancer after surgery. Previous studies showed that pelvic floor muscle and external sphincter muscle training after stoma closure could improve the severity of incontinence and other fecal symptoms, but there is no study about the effects of pelvic floor muscle exercise intervention before stoma closure. We are wondering would the symptom of fecal incontinence recover sooner and better if we give the pelvic floor muscle exercise intervention before the stoma closure. This article aims at comparing the effects of pelvic floor muscle training before stoma closure on fecal incontinence (pre-intervention group) with pelvic floor muscle training after stoma closure (post-intervention group), and we hypothesise that the severity of fecal incontinence will improve sooner and better in pre-intervention group.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Pre-intervention group | Active Comparator | Pre-intervention group interventions:pelvic floor muscle training for one month (2~3 times a week, for 4 weeks) just one month before the stoma closure |
|
| Post-intervention group | Active Comparator | Post-intervention group: pelvic floor muscle training for one month (2~3 times a week, for 4 weeks) two weeks after the stoma closure |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| pelvic floor muscle exercise before stoma closure | Other | pelvic floor muscle training for one month (2~3 times a week, for 4 weeks) just one month before the stoma closure |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change of The Wexner Score | for the change of severity of fecal incontinence assessment | measurement point 1: 2 weeks after the stoma closure; measurement point 2: 1 month after the intervention start |
| Measure | Description | Time Frame |
|---|---|---|
| Change of St. Mark's Hospital Incontinence Score | for the change of severity of fecal incontinence assessment | measurement point 1: 2 weeks after the stoma closure; measurement point 2: 1 month after the intervention start |
| Change of Functional assessment of Cancer Therapy - Colorectal (FACT-C) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Pin Li | Contact | +886-988-259-482 | 101476@w.tmu.edu.tw |
| Name | Affiliation | Role |
|---|---|---|
| Pin Li | Rehabilitation Department of Taipei Municipal WanFang Hospitial (Managed by Taipei Medical University) | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Taipei Municipal Wanfang Hospital (Managed by Taipei Medical University) | Recruiting | Taipei | Taiwan |
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| ID | Term |
|---|---|
| D012004 | Rectal Neoplasms |
| ID | Term |
|---|---|
| D015179 | Colorectal Neoplasms |
| D007414 | Intestinal Neoplasms |
| D005770 | Gastrointestinal Neoplasms |
| D004067 | Digestive System Neoplasms |
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| pelvic floor muscle exercise after stoma closure | Other | pelvic floor muscle training for one month (2~3 times a week, for 4 weeks) just two weeks after the stoma closure |
|
for the change of quality of life assessment |
| measurement point 1: 2 weeks after the stoma closure; measurement point 2: 1 month after the intervention start |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D004066 | Digestive System Diseases |
| D005767 | Gastrointestinal Diseases |
| D007410 | Intestinal Diseases |
| D012002 | Rectal Diseases |