Cinara Sacomori1, Paulina Araya-Castro2, Paulette Diaz-Guerrero3, Ingrid Alanis Ferrada1, Angélica Claudia Martínez-Varas4, Kamilla Zomkowski5. 1. Universidad Bernardo O'Higgins, School of Kinesiology, Santiago, Chile. 2. Universidad del Desarrollo, Escuela de Kinesiología, Santiago, Chile. pauli.ac2010@gmail.com. 3. Instituto Nacional del Cáncer, Rehabilitation Service, North Metropolitan Health Service, Santiago, Chile. 4. Universidad San Sebastián, Postgraduation Program on Oncological Physical Therapy, Santiago, Chile. 5. Universidade do Sul de Santa Catarina, Departamento de Fisioterapia, Palhoça, Santa Catarina, Brazil.
Abstract
INTRODUCTION AND HYPOTHESIS: The objective was to evaluate pelvic floor muscle (PFM) function regarding strength, activation and incontinence, approximately 1 month before and after radiation therapy in women with cervical cancer. METHODS: This was a pilot study of 49 women with cervical cancer at stages I to III. These women attended an educational session with a physical therapist who taught them to perform preventive pelvic floor muscle exercises (PFMEs; slow and fast contractions and the "knack") at home before, during and after radiation therapy. The women received instructions for performing PFME prior to radiation therapy. The modified Oxford scale, electromyography (EMG), the International Consultation on Incontinence Questionnaire Short Form to assess urinary incontinence and two questions for faecal and gas incontinence were used. RESULTS: Twenty-eight women (57%; mean age = 44 years, range 27-66) completed the study, 21 (43%) were lost to follow-up. There was no significant change from baseline to post-radiation therapy in muscle strength, EMG records and incontinence (p > 0.05). The median of PFM strength was equal at baseline and after intervention (median = 2; IQR = 1). CONCLUSIONS: The results of this study suggest that pre-rehabilitation teaching PFMEs might be a protective factor for preserving PFM strength and preventing incontinence 1 month after radiation therapy. It is a feasible intervention.
INTRODUCTION AND HYPOTHESIS: The objective was to evaluate pelvic floor muscle (PFM) function regarding strength, activation and incontinence, approximately 1 month before and after radiation therapy in women with cervical cancer. METHODS: This was a pilot study of 49 women with cervical cancer at stages I to III. These women attended an educational session with a physical therapist who taught them to perform preventive pelvic floor muscle exercises (PFMEs; slow and fast contractions and the "knack") at home before, during and after radiation therapy. The women received instructions for performing PFME prior to radiation therapy. The modified Oxford scale, electromyography (EMG), the International Consultation on Incontinence Questionnaire Short Form to assess urinary incontinence and two questions for faecal and gas incontinence were used. RESULTS: Twenty-eight women (57%; mean age = 44 years, range 27-66) completed the study, 21 (43%) were lost to follow-up. There was no significant change from baseline to post-radiation therapy in muscle strength, EMG records and incontinence (p > 0.05). The median of PFM strength was equal at baseline and after intervention (median = 2; IQR = 1). CONCLUSIONS: The results of this study suggest that pre-rehabilitation teaching PFMEs might be a protective factor for preserving PFM strength and preventing incontinence 1 month after radiation therapy. It is a feasible intervention.
Authors: Aparna S Ramaseshan; Jessica Felton; Dana Roque; Gautam Rao; Andrea G Shipper; Tatiana V D Sanses Journal: Int Urogynecol J Date: 2017-09-19 Impact factor: 2.894
Authors: Akila N Viswanathan; Larissa J Lee; Jairam R Eswara; Neil S Horowitz; Panagiotis A Konstantinopoulos; Kristina L Mirabeau-Beale; Brent S Rose; Arvind G von Keudell; Jennifer Y Wo Journal: Cancer Date: 2014-07-23 Impact factor: 6.860
Authors: Amelia Barcellini; Mattia Dominoni; Francesca Dal Mas; Helena Biancuzzi; Sara Carla Venturini; Barbara Gardella; Ester Orlandi; Kari Bø Journal: Front Med (Lausanne) Date: 2022-02-03
Authors: Paulina Araya-Castro; Sonia Roa-Alcaino; Claudia Celedón; Mónica Cuevas-Said; Diego de Sousa Dantas; Cinara Sacomori Journal: Support Care Cancer Date: 2022-09-06 Impact factor: 3.359