Is Pelvic Floor Muscle Training Effective for Men With Poststroke Lower Urinary Tract Symptoms? A Single-Blinded Randomized, Controlled Trial

The aim of the current study was to evaluate the effect of pelvic floor muscle training in men with poststroke lower urinary tract symptoms. Thirty-one poststroke men, median age 68 years, were included in this single-blinded randomized controlled trial. Thirty participants, 15 in each group, comple...

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Main Authors: Sigrid Tibaek DMSc, Gunvor Gard PhD, Christian Dehlendorff PhD, Helle K. Iversen DMSc, Fin Biering-Soerensen DMSc, Rigmor Jensen DMSc
Format: Article
Language:English
Published: SAGE Publishing 2017-09-01
Series:American Journal of Men's Health
Online Access:https://doi.org/10.1177/1557988315610816
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author Sigrid Tibaek DMSc
Gunvor Gard PhD
Christian Dehlendorff PhD
Helle K. Iversen DMSc
Fin Biering-Soerensen DMSc
Rigmor Jensen DMSc
author_facet Sigrid Tibaek DMSc
Gunvor Gard PhD
Christian Dehlendorff PhD
Helle K. Iversen DMSc
Fin Biering-Soerensen DMSc
Rigmor Jensen DMSc
author_sort Sigrid Tibaek DMSc
collection DOAJ
description The aim of the current study was to evaluate the effect of pelvic floor muscle training in men with poststroke lower urinary tract symptoms. Thirty-one poststroke men, median age 68 years, were included in this single-blinded randomized controlled trial. Thirty participants, 15 in each group, completed the study. The intervention consisted of 3 months (12 weekly sessions) of pelvic floor muscle training in groups and home exercises. The effect was evaluated by the DAN-PSS-1 (Danish Prostate Symptom Score) questionnaire, a voiding diary, and digital anal palpation of the pelvic floor muscle. The DAN-PSS-1, symptom score indicated a statistical significant improvement ( p < .01) in the treatment group from pretest to posttest, but not in the control group. The DAN-PSS-1, total score improved statistically significantly in both groups from pretest to posttest (treatment group: p < .01; control group: p = .03). The median voiding frequency per 24 hours decreased from 11 at pretest to 7 (36%; p = .04) at posttest and to 8 (27%; p = .02) at follow-up in treatment group, although not statistical significantly more than the control group. The treatment group but not the control group improved statistically significantly in pelvic floor muscle function ( p < .01) and strength ( p < .01) from pretest to posttest and from pretest to follow-up ( p = .03; p < .01). Compared with the control group the pretest to posttest was significantly better in the treatment group ( p = .03). The results indicate that pelvic floor muscle training has an effect for lower urinary tract symptoms, although statistical significance was only seen for pelvic floor muscle.
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spelling doaj.art-85ef38098df1493f996b4c41a82700752022-12-22T02:38:42ZengSAGE PublishingAmerican Journal of Men's Health1557-98831557-98912017-09-011110.1177/1557988315610816Is Pelvic Floor Muscle Training Effective for Men With Poststroke Lower Urinary Tract Symptoms? A Single-Blinded Randomized, Controlled TrialSigrid Tibaek DMSc0Gunvor Gard PhD1Christian Dehlendorff PhD2Helle K. Iversen DMSc3Fin Biering-Soerensen DMSc4Rigmor Jensen DMSc5Rigshospitalet–Glostrup, Glostrup, DenmarkLund University, Lund, SwedenDanish Cancer Society Research Centre, Copenhagen, DenmarkRigshospitalet–Glostrup, Glostrup, DenmarkRigshospitalet–Glostrup, Glostrup, DenmarkRigshospitalet–Glostrup, Glostrup, DenmarkThe aim of the current study was to evaluate the effect of pelvic floor muscle training in men with poststroke lower urinary tract symptoms. Thirty-one poststroke men, median age 68 years, were included in this single-blinded randomized controlled trial. Thirty participants, 15 in each group, completed the study. The intervention consisted of 3 months (12 weekly sessions) of pelvic floor muscle training in groups and home exercises. The effect was evaluated by the DAN-PSS-1 (Danish Prostate Symptom Score) questionnaire, a voiding diary, and digital anal palpation of the pelvic floor muscle. The DAN-PSS-1, symptom score indicated a statistical significant improvement ( p < .01) in the treatment group from pretest to posttest, but not in the control group. The DAN-PSS-1, total score improved statistically significantly in both groups from pretest to posttest (treatment group: p < .01; control group: p = .03). The median voiding frequency per 24 hours decreased from 11 at pretest to 7 (36%; p = .04) at posttest and to 8 (27%; p = .02) at follow-up in treatment group, although not statistical significantly more than the control group. The treatment group but not the control group improved statistically significantly in pelvic floor muscle function ( p < .01) and strength ( p < .01) from pretest to posttest and from pretest to follow-up ( p = .03; p < .01). Compared with the control group the pretest to posttest was significantly better in the treatment group ( p = .03). The results indicate that pelvic floor muscle training has an effect for lower urinary tract symptoms, although statistical significance was only seen for pelvic floor muscle.https://doi.org/10.1177/1557988315610816
spellingShingle Sigrid Tibaek DMSc
Gunvor Gard PhD
Christian Dehlendorff PhD
Helle K. Iversen DMSc
Fin Biering-Soerensen DMSc
Rigmor Jensen DMSc
Is Pelvic Floor Muscle Training Effective for Men With Poststroke Lower Urinary Tract Symptoms? A Single-Blinded Randomized, Controlled Trial
American Journal of Men's Health
title Is Pelvic Floor Muscle Training Effective for Men With Poststroke Lower Urinary Tract Symptoms? A Single-Blinded Randomized, Controlled Trial
title_full Is Pelvic Floor Muscle Training Effective for Men With Poststroke Lower Urinary Tract Symptoms? A Single-Blinded Randomized, Controlled Trial
title_fullStr Is Pelvic Floor Muscle Training Effective for Men With Poststroke Lower Urinary Tract Symptoms? A Single-Blinded Randomized, Controlled Trial
title_full_unstemmed Is Pelvic Floor Muscle Training Effective for Men With Poststroke Lower Urinary Tract Symptoms? A Single-Blinded Randomized, Controlled Trial
title_short Is Pelvic Floor Muscle Training Effective for Men With Poststroke Lower Urinary Tract Symptoms? A Single-Blinded Randomized, Controlled Trial
title_sort is pelvic floor muscle training effective for men with poststroke lower urinary tract symptoms a single blinded randomized controlled trial
url https://doi.org/10.1177/1557988315610816
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