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, 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.
1 Rigshospitalet-Glostrup, Glostrup, Denmark.
Sigrid
S
Tibaek
2 Lund University, Lund, Sweden.
Gunvor
G
Gard
3 Danish Cancer Society Research Centre, Copenhagen, Denmark.
Christian
C
Dehlendorff
1 Rigshospitalet-Glostrup, Glostrup, Denmark.
Helle K
HK
Iversen
1 Rigshospitalet-Glostrup, Glostrup, Denmark.
Fin
F
Biering-Soerensen
1 Rigshospitalet-Glostrup, Glostrup, Denmark.
Rigmor
R
Jensen
D005081:Exercise Therapy; D006801:Humans; D059411:Lower Urinary Tract Symptoms / Q000209:etiology* / Q000534:rehabilitation*; D008297:Male; D017773:Pelvic Floor; D016037:Single-Blind Method; D020521:Stroke / Q000150:complications*; D000071939:Stroke Rehabilitation; D011795:Surveys and Questionnaires
male incontinence; overactive bladder; quality of life; stroke