Effect of 4 weeks of whole-body vibration training in treating stress urinary incontinence after prostate cancer surgery: a randomised controlled trial |
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| Authors: | Sayed A. Tantawy Hany M.I. Elgohary Walid K. Abdelbasset Dalia M. Kamel |
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| Affiliation: | 1. Department of Physiotherapy, Centre of Radiation, Oncology and Nuclear Medicine, Cairo University, Giza, Egypt;2. Department of Physiotherapy, College of Medical and Health Sciences, Ahlia University, Manama, Bahrain;3. Department of Physical Therapy for Surgery, Faculty of Physical Therapy, Cairo University, Giza, Egypt;4. Department of Physical Therapy and Health Rehabilitation, College of Applied Medical Sciences, Prince Sattam Bin Abulaziz University, Al-Kharj, Saudi Arabia;5. Department of Physical Therapy, Kasr Al-Aini Hospital, Cairo University, Giza, Egypt;6. Department of Physical Therapy for Obstetrics and Gynaecology, Faculty of Physical Therapy, Cairo University, Cairo, Egypt |
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| Abstract: | BackgroundStress 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.ObjectiveTo investigate the effect of whole-body vibration training on stress urinary incontinence after prostate cancer surgery.DesignRandomised controlled trial.SettingTertiary university hospitals.ParticipantsSixty-one patients with mild stress urinary incontinence after radical prostatectomy.InterventionGroup 1 included 30 patients who performed pelvic floor muscle training and whole-body vibration training with a frequency and amplitude of 20 Hz/2 mm for the first two sessions and 40 Hz/4 mm 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 outcomesIncontinence 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.ResultsI-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 3.9 cm [95% confidence interval (CI) ?4.0 to ?3.8] from baseline to first follow-up, and a median difference of ?2.0 cm (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.ConclusionWhole-body vibration training is an effective modality for treating patients with stress urinary incontinence after prostatectomy.
Trial registrationClinicaltrial.gov (NCT03325660). |
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| Keywords: | Corresponding author at: P.O. Box 10878, Manama, Bahrain. Whole-body vibration Pelvic floor muscle training Urinary incontinence Prostate cancer Rehabilitation Quality of life |
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