Relations Between Pelvic Floor, Diaphragm and Trunk Muscles

Study Overview
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Brief Summary
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The present study evaluates the functional relations of pelvic floor, diaphragm, and torso muscles, their variation and correlations with urinary incontinence while separately training physical characteristics of the mentioned muscles in men after radical prostatectomy.

Detailed Description
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During the last two decades, the connection between pelvic floor muscles (PFM) and abdominal muscles or diaphragm has been detected: PFM contract and relax during the inhalation and exhalation in pace with the diaphragm; the activity of the PFM increases with the increase of intra-abdominal pressure during forced exhalations or cough. The role of pelvic floor is essential for the synergy of diaphragm and abdominal muscles in maintenance of intra-abdominal pressure. According to the aforementioned physiological functional relationships, the investigators have postulated a hypothesis that diaphragm muscles training and abdominal muscles training could have similar effect as direct PFM training on pelvic floor muscles strength and pelvic floor muscles endurance measured using perineometer in men after radical prostatectomy.

Official Title
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Evaluation of Functional Relations and Their Changes Between Pelvic Floor, Diaphragm and Trunk Muscles in Men After Radical Prostatectomy

Conditions
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Prostate Cancer, Urinary Incontinence

Intervention / Treatment
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* Procedure: Muscles exercises program


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: stable somatic state written informed consent. Exclusion Criteria: chronic obstructive pulmonary disease, surgical interventions in abdominal area, complains in lower back, acute musculoskeletal injuries in last 6 months cognitive dysfunction

Ages Eligible for Study
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Minimum Age: 45 Years
Maximum Age: 75 Years

Sexes Eligible for Study
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Male

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Pelvic floor muscles training group<br>Pelvic floor muscles exercises twice a day for 30 min | Procedure: Muscles exercises program<br> <br> |
| Active Comparator: Diaphragm muscles training group<br>Breathing exercises twice a day for 30 min | Procedure: Muscles exercises program<br> <br> |
| Active Comparator: Abdominal muscles training group<br>Abdominal muscles exercises twice a day for 30 min | Procedure: Muscles exercises program<br> <br> |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Effect of activation of different muscles groups on pelvic floor muscles strength | Pelvic floor muscles strength was measured in cmH2O | 6 months after radical prostatectomy. | 
| Effect of activation of different muscles groups on pelvic floor muscles endurance. | Pelvic floor muscles endurance was measured in seconds. | 6 months after radical prostatectomy. | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Urinary loss dynamics | Pad weight by grams during 8 hours pad test | 6 month after radical prostatectomy | 
| correlation between urinary incontinence and pelvic floor muscles strength and endurance dynamics | correlation coefficient | 6 months after radical prostatectomy | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Prostatectomy, Rehabilitation, Incontinence