stroke
Conditions
Interventions
Group I: Traditional bladder function training:Simple pelvic floor muscle training and anal lifting exercise
Group II: New bladder function training:On the basis of group I patients, group II patients added abdominal muscle strength training and urination training, and adopted advanced training program to ma
Group III: Ultrashort wave combined with new bladder function training group:Addition of ultrashort wave therapy to group III patients in addition to group II patients
Sponsors
Beijing Xiaotangshan Hospital
Eligibility
Sex/Gender
All
Age
40 Years to 70 Years
Inclusion criteria
Inclusion criteria: (1) Conforming to the diagnostic criteria for stroke in the 2016 Chinese Guidelines and Consensus for the Diagnosis and Treatment of Cerebrovascular Diseases formulated by the neurology Branch of the Chinese Medical Association, it was confirmed as cerebral infarction or cerebral hemorrhage by head CT or MRI; (2) Under the guidance of the European Society of Urology and the International Association of Urinary Incontinence, urodynamic examination was performed to confirm the diagnosis of spastic neurogenic bladder. When the safe capacity of the bladder is less than 300ml, the internal pressure of the bladder increases by more than 15cmH20, and the bladder compliance is less than 20ml/cmH20; (3) First onset, 15 days = course = 3 months, 40 years = age = 70 years, stable condition, able to cooperate with this project research; (4) Minimal Intelligence State Examination Scale (MMSE) = 27 points; Please refer to Appendix 1 for details.(5) Using MMT to evaluate abdominal muscle strength at level 2; (6) No urinary tract infections; (7) Patients with hemiplegia on one side; (8) Patients and their families are willing to participate in the research project and sign an informed consent form.
Exclusion criteria
Exclusion criteria: (1) Presence of small bladder, ureterorenal reflux, upper urinary tract infection, or other kidney diseases; (2) Overflow urinary incontinence; (3) There are diseases that lead to severe dysuria, such as severe prostatic hyperplasia, completeness spinal cord injury, cauda equina conus syndrome, etc; (4) Patients who experience incontinence after stroke due to cognitive, speech, limb dysfunction, and mental disorders, such as inability to express their urine intention in a timely and accurate manner, and/or inability to use toilet utensils normally, rather than bladder and urethral dysfunction; (5) Symptoms such as urinary incontinence, frequent urination, and urgency existed before the onset of stroke; (6) Patients with severe hyperreflexia of the autonomic nervous system and inability to undergo catheterization; (7) Bleeding tendency, heart failure, active tuberculosis, malignant tumor, increased intracranial pressure, diabetes, presence of metal implants or cardiac pacemakers in the body, etc;
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Bladder capacity (VH2O);Bladder compliance (BC);Bladder pressure (Pves);Detrusor pressure (Pdet);24-hour urination diary indicators;Ultrasound examination of urinary system; | — |
Secondary
| Measure | Time frame |
|---|---|
| International Lower Urinary Tract Symptom Score (LUTS);Classification of bladder balance status; | — |
Countries
China
Contacts
Public ContactWu Liang
Beijing Xiaotangshan Hospital
Outcome results
None listed