Introduction and objectives
The incidence of stroke in Denmark is 2 per 1.000 inhabitants corresponding to 10.000-12.000 new stroke patients per year.
Lower urinary tract symptoms are highly prevalent in both male and female patients after stroke, ranging up to 94%.
Stroke has a profound effect on quality of life. For patients with lower urinary tract symptoms the impact is also substantial, leading to increasing limitations in social and physical activities with psychological aspect as well as risk of falls.
Previously we published, for the first time in the world, significant effect of pelvic floor muscle training in women with urinary incontinence after stroke.
This project is a Post.doc. study.
The objectives of the study are i) to evaluate the effect of pelvic floor muscle training in men with poststroke lower urinary tract symptoms and ii) to compare lower urinary tract symptoms, erectile dysfunction and quality of life in poststroke and in healthy men.
Material and Methods
A sample of 120 poststroke men are recruited from neurologic departments at two university hospitals in the Capital of Copenhagen and screened for inclusion according to in- and exclusion criterion.
After baseline registration and Pre-test, performed by a blinded assessor, the participants are randomised to either a Treatment Group or a Control Group.
The participants in the Treatment Group followed a 3 months (12 weekly sessions) pelvic floor muscle training in small groups and home exercises. The participants in the Control group followed the standard rehabilitation for stroke patients.
After 12 weeks a Post-test is performed and a Follow-up test after 6 months.
The effect of pelvic floor muscle training is measured on the Danish Prostate Symptom Score (DAN-PSS-1), a voiding diary, function of the pelvic floor muscle, the International Index of Erectile Dysfunction (IIEF-5) and two quality of life questionnaire, SF-36 and Nocturia Quality of Life (N-QoL).
For comparison as controls, a sample of 120 healthy men is recruited by an invitation in the local newspaper and from Danish Web page for trials. The included participants are asked to fill in four questionnaires, DAN-PSS -1, IIEF-5, SF-36 and N-QoL.
- Tibaek S, Gard G, Dehlendorff C, Iversen HK, Erdal J, Biering-Sørensen F, Dorey G, Jensen R. The effect of pelvic floor muscle training on sexual function in men with lower urinary tract symptoms after stroke. Topics in Stroke Rehabilitation 2015;22(3):185-193.
- Tibaek S, Gard G, Dehlendorff C, Iversen HK, Biering-Sørensen F, Jensen R. Is pelvic floor muscle training effective for men with post-stroke lower urinary tract symptoms? Am J Men’s Health. 2017 Sep;11(5):1460-1471. doi: 10.1177/1557988315610816. Epub 2015 Oct 18.
- Tibaek S, Gard G, Dehlendorff C, Iversen HK, Biering-Soerensen F, Jensen R. Can pelvic floor muscle training improve quality of life in men with mild to moderate post stroke and lower urinary tract symptoms? Eur J Phys Rehabil Med. 2017 Jun;53(3):416-425. doi: 10.23736/S1973-9087.16.04119-8. Epub 2016 Mar 22..
- Tibaek S, Gard G, Dehlendorff C, Iversen HK, Biering-Soerensen F, Jensen RH. Lower Urinary Tract Symptoms, Erectile Dysfunction, and Quality of Life in Poststroke Men: A Controlled Cross-sectional study. Am J Men’s Health 2017;11(3):748-756. Doi: 10.1177/1557988317690283.
En skematisk tegning “Neurologisk kontrol af blæren Foto af Sigrid Tibæk