Pelvic Floor Muscle Weakness
Conditions
Keywords
verbal cue, pelvic diaphragm, stroke
Brief summary
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.
Detailed description
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.
Interventions
OTHERverbal instruction
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.
Sponsors
Ariel University
University of Haifa
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
all participants will receive the same verbal instruction
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* one to 6 months post first stroke * understand the language and simple instruction * willing to participate in the study * mini mental assessment \>21
Exclusion criteria
* Aphasia * side neglect * active urinary tract infection * has been treated before for pelvic floor rehabilitation
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| urinary bladder displacement in millimeters during verbal instructions | baseline | bladder displacement will be measured via diagnostic ultrasound using the on screen caliper tool |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| International Consultation on Incontinence Questionnaire | baseline | questionnaire regarding symptoms of urinary incontinence,scale range 0-21 points. higher values represent worse outcome |
| pelvic floor muscles endurance of contraction in seconds | baseline | time of muscle contraction will be measured during the last contraction in each instruction |
| Functional Independence Measurement (FIM) tool | baseline | assess and grade the functional status of a person based on the level of assistance he or she requires |
Countries
Israel
Outcome results
None listed