Relations Between Pelvic Floor, Diaphragm and Trunk Muscles

Evaluation of Functional Relations and Their Changes Between Pelvic Floor, Diaphragm and Trunk Muscles in Men After Radical Prostatectomy

Status

Completed

Phases

Study type

Interventional

Source

ClinicalTrials.gov

Registry ID

NCT03858452

Enrollment

148

Registered

2019-02-28

Start date

2010-09-01

Completion date

2012-12-30

Last updated

2019-02-28

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Prostate Cancer, Urinary Incontinence

Keywords

Prostatectomy, Rehabilitation, Incontinence

Brief summary

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.

Detailed description

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.

Interventions

PROCEDUREMuscles exercises program

Study design

Allocation

RANDOMIZED

Intervention model

PARALLEL

Primary purpose

TREATMENT

Masking

DOUBLE (Subject, Investigator)

Eligibility

Sex/Gender

MALE

Age

45 Years to 75 Years

Healthy volunteers

Inclusion criteria

* stable somatic state * written informed consent.

Exclusion criteria

* chronic obstructive pulmonary disease, * surgical interventions in abdominal area, * complains in lower back, * acute musculoskeletal injuries in last 6 months * cognitive dysfunction

Design outcomes

Primary

Measure	Time frame	Description
Effect of activation of different muscles groups on pelvic floor muscles strength	6 months after radical prostatectomy.	Pelvic floor muscles strength was measured in cmH2O
Effect of activation of different muscles groups on pelvic floor muscles endurance.	6 months after radical prostatectomy.	Pelvic floor muscles endurance was measured in seconds.

Secondary

Measure	Time frame	Description
Urinary loss dynamics	6 month after radical prostatectomy	Pad weight by grams during 8 hours pad test
correlation between urinary incontinence and pelvic floor muscles strength and endurance dynamics	6 months after radical prostatectomy	correlation coefficient

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026