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| Name | Class |
|---|---|
| Ariel University | OTHER |
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The aim of this study is to investigate which verbal instruction will lead to the most efficient contraction of pelvic floor muscles in post stroke patients. Pelvic floor muscle contraction will be evaluated via transabdominal ultrasound. ultrasound.
Sub-acute stroke patients during the rehabilitation period in the rehabilitation hospital will be examined. Each participant will be asked to contract the pelvic floor muscles using three different verbal instructions: (1) "contract your pelvic floor - all sphincters"; (2) "contract your anus"; (3) "contract your pelvic floor as if you're trying to stop urinating". Those who will not be able to contract will be taught by the ultrasound as a biofeedback.
The assessment of pelvic floor contraction will be measured by measuring bladder displacement via abdominal ultrasound. A curved linear array transducer will be placed in the transverse plane immediately suprapubically over the lower abdomen angled at 15-30 degrees from the vertical. An on screen caliper and measurement tool will be used to measure bladder displacement.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Verbal instruction | Experimental | The participants will be verbal instructed to contract the pelvic floor muscle with the following sentences: (1) "contract your pelvic floor - all sphincters"; (2) "contract your anus"; (3) "contract your pelvic floor as if you're trying to stop urinating". Those who will not be able to contract will be taught by the ultrasound as a biofeedback. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| verbal instruction | Other | Verbal instruction for pelvic floor contraction will be given to participants. Ultrasound examination will be conducted to asses urinary bladder displacement being a marker for pelvic floor muscle function. |
| Measure | Description | Time Frame |
|---|---|---|
| urinary bladder displacement in millimeters during verbal instructions | bladder displacement will be measured via diagnostic ultrasound using the on screen caliper tool | baseline |
| Measure | Description | Time Frame |
|---|---|---|
| International Consultation on Incontinence Questionnaire | questionnaire regarding symptoms of urinary incontinence,scale range 0-21 points. higher values represent worse outcome | baseline |
| pelvic floor muscles endurance of contraction in seconds |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Noa Ben-Ami, PhD | Ariel University | Principal Investigator |
| Gali Dar, PhD | University of Haifa | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Leowenstein hospital, Department of Physical Therapy | Raanana | Israel |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 15014939 | Result | Tibaek S, Jensen R, Lindskov G, Jensen M. Can quality of life be improved by pelvic floor muscle training in women with urinary incontinence after ischemic stroke? A randomised, controlled and blinded study. Int Urogynecol J Pelvic Floor Dysfunct. 2004 Mar-Apr;15(2):117-23; discussion 123. doi: 10.1007/s00192-004-1124-1. Epub 2004 Jan 31. | |
| 25862769 |
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the result of the study will be analysed. a paper will be submitted to international journal with study description including methods, examination protocol results.
one year following completion of study
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| ID | Term |
|---|---|
| D020521 | Stroke |
| ID | Term |
|---|---|
| D002561 | Cerebrovascular Disorders |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
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all participants will receive the same verbal instruction
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time of muscle contraction will be measured during the last contraction in each instruction
| baseline |
| Functional Independence Measurement (FIM) tool | assess and grade the functional status of a person based on the level of assistance he or she requires | baseline |
| Shin DC, Shin SH, Lee MM, Lee KJ, Song CH. Pelvic floor muscle training for urinary incontinence in female stroke patients: a randomized, controlled and blinded trial. Clin Rehabil. 2016 Mar;30(3):259-67. doi: 10.1177/0269215515578695. Epub 2015 Apr 10. |
| 30152550 | Result | Ben Ami N, Dar G. What is the most effective verbal instruction for correctly contracting the pelvic floor muscles? Neurourol Urodyn. 2018 Nov;37(8):2904-2910. doi: 10.1002/nau.23810. Epub 2018 Aug 28. |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |