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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.
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Pelvic floor muscles training group | Active Comparator | Pelvic floor muscles exercises twice a day for 30 min |
|
| Diaphragm muscles training group | Active Comparator | Breathing exercises twice a day for 30 min |
|
| Abdominal muscles training group | Active Comparator | Abdominal muscles exercises twice a day for 30 min |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Muscles exercises program | Procedure |
|
| Measure | Description | Time Frame |
|---|---|---|
| Effect of activation of different muscles groups on pelvic floor muscles strength | Pelvic floor muscles strength was measured in cmH2O | 6 months after radical prostatectomy. |
| Effect of activation of different muscles groups on pelvic floor muscles endurance. | Pelvic floor muscles endurance was measured in seconds. | 6 months after radical prostatectomy. |
| Measure | Description | Time Frame |
|---|---|---|
| Urinary loss dynamics | Pad weight by grams during 8 hours pad test | 6 month after radical prostatectomy |
| correlation between urinary incontinence and pelvic floor muscles strength and endurance dynamics |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Daimantas Milonas, MD, PhD | LUHS | Principal Investigator |
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 26421383 | Result | Zachovajeviene B, Siupsinskas L, Zachovajevas P, Milonas D. Dynamics of pelvic floor muscle functional parameters and their correlations with urinary incontinence in men after radical prostatectomy. Neurourol Urodyn. 2017 Jan;36(1):126-131. doi: 10.1002/nau.22887. Epub 2015 Sep 30. |
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De-identified individual participant data for all primary and secondary outcome measures will be made available
Data will be available within 12 months of study completion
Data access request will be reviewed by investigators. Requestors will be required to sign a Data Access Agreement
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| ID | Term |
|---|---|
| D011471 | Prostatic Neoplasms |
| D014549 | Urinary Incontinence |
| ID | Term |
|---|---|
| D005834 | Genital Neoplasms, Male |
| D014565 | Urogenital Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
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correlation coefficient
| 6 months after radical prostatectomy |
| D005832 |
| Genital Diseases, Male |
| D000091662 | Genital Diseases |
| D000091642 | Urogenital Diseases |
| D011469 | Prostatic Diseases |
| D052801 | Male Urogenital Diseases |
| D014555 | Urination Disorders |
| D014570 | Urologic Diseases |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D059411 | Lower Urinary Tract Symptoms |
| D020924 | Urological Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |