Effect of Verbal Instruction on Pelvic Floor Muscle Contraction in Post Stroke Patients

University of Haifa

Status: Completed

Conditions: Pelvic Floor Muscle Weakness

Treatments: Other: verbal instruction

Study type: Interventional

Funder types: Other

Identifiers

NCT03903627

0026-18-LOE

Details and patient eligibility

About

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.

Full 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.

Enrollment: 77 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

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

Trial design

Primary purpose: Treatment

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

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77 participants in 1 patient group

Verbal instruction

Experimental group

Description:

The participants will be verbal instructed to contract the pelvic floor muscle with the following sentences: (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.

Treatment:

Other: verbal instruction