Plantarflexion Reduces Urgency and Peak Detrusor Pressure in Patients With Detrusor Overactivity

Study Overview
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Brief Summary
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The purpose of this study is to find out whether plantarflexion has an effect on the degree of urinary urgency and on the amplitude of detrusor contraction during filling cystometry in patients with detrusor overactivity (DO).

Detailed Description
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Patients with urodynamic DO will be included in this study. During urodynamics, the mean peak detrusor pressures of each contraction will be documented and compared. At the beginning of the 2nd or 3rd wave, patients will be asked to perform continuous plantar-flexion by pushing their tiptoes against the floor. Following each wave, patients will be asked to grade the severity of the urgency by a visual analogue scale

Official Title
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Plantarflexion Reduces Urgency and Peak Detrusor Pressure in Patients With Detrusor Overactivity

Conditions
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Overactive Detrusor

Intervention / Treatment
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* Behavioral: Plantarflexion 2nd wave
* Behavioral: Plantarflexion - 3rd wave


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: All patients with urodynamic detrusor overactivity Exclusion Criteria: Inability to perform plantarflexion due to mental or physical disability

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

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: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Plantarflexion - 2nd wave<br>At the beginning of the 2nd wave, patients will be asked to perform continuous plantar-flexion by pushing their tiptoes against the floor. | Behavioral: Plantarflexion 2nd wave<br>* At the beginning of the 2nd wave, patients will be asked to perform continuous plantar-flexion by pushing their tiptoes against the floor.<br>|
| Experimental: Plantarflexion - 3rd wave<br>At the beginning of the 3rd wave, patients will be asked to perform continuous plantar-flexion by pushing their tiptoes against the floor. | Behavioral: Plantarflexion - 3rd wave<br>* At the beginning of the 3rd wave, patients will be asked to perform continuous plantar-flexion by pushing their tiptoes against the floor.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Mean Peak Detrusor Pressures | Mean peak detrusor pressures of each contraction | through test completion, an average of 10 minutes | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Severity of the Urgency by a 0-10 Visual Analogue Scale (VAS). | Following each wave, patients will be asked to grade the severity of the urgency by a 0 (minimum) to 10 (maximum) visual analogue scale (VAS). | through test completion, an average of 10 minutes | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Detrusor Overactivity, Plantarflexion, Urgency