Relations Between Pelvic Floor, Diaphragm and Trunk Muscles

Lithuanian University of Health Sciences

Status: Completed

Conditions: Prostate Cancer; Urinary Incontinence

Treatments: Procedure: Muscles exercises program

Study type: Interventional

Funder types: Other

Identifiers

NCT03858452

BE-2-61

Details and patient eligibility

About

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.

Full 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.

Enrollment: 148 patients

Sex: Male

Ages: 45 to 75 years old

Volunteers: No 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

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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148 participants in 3 patient groups

Pelvic floor muscles training group

Active Comparator group

Description:

Pelvic floor muscles exercises twice a day for 30 min

Treatment:

Procedure: Muscles exercises program

Diaphragm muscles training group

Active Comparator group

Description:

Breathing exercises twice a day for 30 min

Treatment:

Procedure: Muscles exercises program

Abdominal muscles training group

Active Comparator group

Description:

Abdominal muscles exercises twice a day for 30 min

Treatment:

Procedure: Muscles exercises program