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

University of Haifa77 enrolled

Overview

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.

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.

Study Type

INTERVENTIONAL

Allocation

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Pelvic Floor Muscle Weakness

Interventions

verbal instructionOTHER

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.

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

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

Locations (1)

Leowenstein hospital, Department of Physical Therapy

Raanana, Israel

Outcomes

Primary Outcomes

urinary bladder displacement in millimeters during verbal instructions

bladder displacement will be measured via diagnostic ultrasound using the on screen caliper tool

Time frame: baseline

Secondary Outcomes

International Consultation on Incontinence Questionnaire

questionnaire regarding symptoms of urinary incontinence,scale range 0-21 points. higher values represent worse outcome

Time frame: baseline

pelvic floor muscles endurance of contraction in seconds

time of muscle contraction will be measured during the last contraction in each instruction

Time frame: baseline

Functional Independence Measurement (FIM) tool

assess and grade the functional status of a person based on the level of assistance he or she requires

Time frame: baseline

Data from ClinicalTrials.gov

This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.