Sayed A Tantawy1, Hany M I Elgohary2, Walid K Abdelbasset3, Dalia M Kamel4. 1. Department of Physiotherapy, Centre of Radiation, Oncology and Nuclear Medicine, Cairo University, Giza, Egypt; Department of Physiotherapy, College of Medical and Health Sciences, Ahlia University, Manama, Bahrain. Electronic address: smosa@ahlia.edu.bh. 2. Department of Physical Therapy for Surgery, Faculty of Physical Therapy, Cairo University, Giza, Egypt. 3. Department of Physical Therapy and Health Rehabilitation, College of Applied Medical Sciences, Prince Sattam Bin Abulaziz University, Al-Kharj, Saudi Arabia; Department of Physical Therapy, Kasr Al-Aini Hospital, Cairo University, Giza, Egypt. 4. Department of Physiotherapy, College of Medical and Health Sciences, Ahlia University, Manama, Bahrain; Department of Physical Therapy for Obstetrics and Gynaecology, Faculty of Physical Therapy, Cairo University, Cairo, Egypt.
Abstract
BACKGROUND: Stress urinary incontinence is common in men after prostate cancer surgery. Rehabilitative interventions incorporate pelvic floor muscle training, biofeedback, electrical stimulation, lifestyle changes, or a combination of these strategies. However, little is known about the physiological impact of whole-body vibration for stress urinary incontinence after radical prostatectomy. OBJECTIVE: To investigate the effect of whole-body vibration training on stress urinary incontinence after prostate cancer surgery. DESIGN: Randomised controlled trial. SETTING:Tertiary university hospitals. PARTICIPANTS: Sixty-one patients with mild stress urinary incontinence after radical prostatectomy. INTERVENTION: Group 1 included 30 patients who performed pelvic floor muscle training and whole-body vibration training with a frequency and amplitude of 20Hz/2mm for the first two sessions and 40Hz/4mm for the rest of the intervention. Group 2 included 31 patients who performed pelvic floor muscle training alone. The intervention in both groups was conducted three times per week for 4 weeks. MAIN OUTCOMES: Incontinence Visual Analogue Scale (I-VAS) score, International Consultation on Incontinence Questionnaire-Urinary Incontinence-Short Form (ICIQ-UI-SF) score and 24-hour pad test result. RESULTS:I-VAS score, ICIQ-UI-SF score and 24-hour pad test result showed significant within-group differences at each assessment with the exception of the baseline and post-intervention I-VAS score in Group 2. For example, Group 1 I-VAS score had a median difference of 3.9cm [95% confidence interval (CI) -4.0 to -3.8] from baseline to first follow-up, and a median difference of -2.0cm (95% CI -2.2 to -1.8) at 4-week follow-up. Comparisons between the groups demonstrated significant differences in favour of Group 1 after 4 weeks of intervention and at follow-up for all measured parameters. CONCLUSION:Whole-body vibration training is an effective modality for treating patients with stress urinary incontinence after prostatectomy. TRIAL REGISTRATION: Clinicaltrial.gov (NCT03325660).
RCT Entities:
BACKGROUND:Stress urinary incontinence is common in men after prostate cancer surgery. Rehabilitative interventions incorporate pelvic floor muscle training, biofeedback, electrical stimulation, lifestyle changes, or a combination of these strategies. However, little is known about the physiological impact of whole-body vibration for stress urinary incontinence after radical prostatectomy. OBJECTIVE: To investigate the effect of whole-body vibration training on stress urinary incontinence after prostate cancer surgery. DESIGN: Randomised controlled trial. SETTING: Tertiary university hospitals. PARTICIPANTS: Sixty-one patients with mild stress urinary incontinence after radical prostatectomy. INTERVENTION: Group 1 included 30 patients who performed pelvic floor muscle training and whole-body vibration training with a frequency and amplitude of 20Hz/2mm for the first two sessions and 40Hz/4mm for the rest of the intervention. Group 2 included 31 patients who performed pelvic floor muscle training alone. The intervention in both groups was conducted three times per week for 4 weeks. MAIN OUTCOMES: Incontinence Visual Analogue Scale (I-VAS) score, International Consultation on Incontinence Questionnaire-Urinary Incontinence-Short Form (ICIQ-UI-SF) score and 24-hour pad test result. RESULTS: I-VAS score, ICIQ-UI-SF score and 24-hour pad test result showed significant within-group differences at each assessment with the exception of the baseline and post-intervention I-VAS score in Group 2. For example, Group 1 I-VAS score had a median difference of 3.9cm [95% confidence interval (CI) -4.0 to -3.8] from baseline to first follow-up, and a median difference of -2.0cm (95% CI -2.2 to -1.8) at 4-week follow-up. Comparisons between the groups demonstrated significant differences in favour of Group 1 after 4 weeks of intervention and at follow-up for all measured parameters. CONCLUSION: Whole-body vibration training is an effective modality for treating patients with stress urinary incontinence after prostatectomy. TRIAL REGISTRATION: Clinicaltrial.gov (NCT03325660).
Authors: Stefano Salciccia; Alessandro Sciarra; Martina Moriconi; Martina Maggi; Pietro Viscuso; Davide Rosati; Marco Frisenda; Giovanni Battista Di Pierro; Vittorio Canale; Giulio Bevilacqua; Gianluca Nesi; Francesco Del Giudice; Alessandro Gentilucci; Susanna Cattarino; Gianna Mariotti Journal: J Clin Med Date: 2021-12-27 Impact factor: 4.241