Relations Between Pelvic Floor, Diaphragm and Trunk Muscles

Prostate Cancer Clinical Trial

Official title:

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

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03858452
• Other study ID #: BE-2-61
• Status: Completed
• Phase: N/A
• Start date: September 1, 2010
• Est. completion date: December 30, 2012

Study information

• Verified date: February 2019
• Source: Lithuanian University of Health Sciences
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial 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.

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.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 148
• Est. completion date: December 30, 2012
• Est. primary completion date: May 30, 2012
• Accepts healthy volunteers: No
• Gender: Male
• Age group: 45 Years to 75 Years

Eligibility

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

Related Conditions & MeSH terms

• Enuresis
• Prostate Cancer
• Urinary Incontinence

Intervention

Procedure:
• Muscles exercises program

Locations

Country	Name	City	State
n/a

Sponsors (1)

Lead Sponsor	Collaborator
Lithuanian University of Health Sciences

References & Publications (1)

Zachovajeviene B, Šiupšinskas L, Zachovajevas P, Milonas D. Dynamics of pelvic floor muscle functional parameters and their correlations with urinary incontinence in men after radical prostatectomy. Neurourol Urodyn. 2017 Jan;36(1):126-131. doi: 10.1002/n — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Effect of activation of different muscles groups on pelvic floor muscles strength	Pelvic floor muscles strength was measured in cmH2O	6 months after radical prostatectomy.
Primary	Effect of activation of different muscles groups on pelvic floor muscles endurance.	Pelvic floor muscles endurance was measured in seconds.	6 months after radical prostatectomy.
Secondary	Urinary loss dynamics	Pad weight by grams during 8 hours pad test	6 month after radical prostatectomy
Secondary	correlation between urinary incontinence and pelvic floor muscles strength and endurance dynamics	correlation coefficient	6 months after radical prostatectomy