Rectal Cancer
Conditions
Brief summary
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.
Interventions
OTHERpelvic floor muscle exercise before stoma closure
pelvic floor muscle training for one month (2\ 3 times a week, for 4 weeks) just one month before the stoma closure
OTHERpelvic floor muscle exercise after stoma closure
pelvic floor muscle training for one month (2\ 3 times a week, for 4 weeks) just two weeks after the stoma closure
Sponsors
Taipei Medical University WanFang Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
20 Years to 75 Years
Healthy volunteers
No
Inclusion criteria
* rectal cancer patients who have received transanal total mesorectal excision(TaTME) surgery; 20\ 75 years old
Exclusion criteria
* terminal stage of cancer; unable to following orders due to poor cognitive condition; too weak to follow the experimental procedures; central nervous system lesions
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change of The Wexner Score | measurement point 1: 2 weeks after the stoma closure; measurement point 2: 1 month after the intervention start | for the change of severity of fecal incontinence assessment |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change of St. Mark's Hospital Incontinence Score | measurement point 1: 2 weeks after the stoma closure; measurement point 2: 1 month after the intervention start | for the change of severity of fecal incontinence assessment |
| Change of Functional assessment of Cancer Therapy - Colorectal (FACT-C) | measurement point 1: 2 weeks after the stoma closure; measurement point 2: 1 month after the intervention start | for the change of quality of life assessment |
Countries
Taiwan
Contacts
Primary ContactPin Li
Outcome results
None listed