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Inicio Actas Urológicas Españolas (English Edition) Urinary incontinence and prostate cancer: A rehabilitation program design
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Vol. 34. Issue 6.
Pages 522-530 (January 2010)
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Vol. 34. Issue 6.
Pages 522-530 (January 2010)
Urinary incontinence and prostate cancer: A rehabilitation program design
La incontinencia urinaria en el cáncer de próstata: diseño de un programa de rehabilitación
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B.-C. Serdàa,
Corresponding author
bernat.serda@udg.edu

Author for correspondence.
, J. Vesab, A. del Vallec, P. Monrealc
a Department of Nursing, Universitat de Girona, Girona, Spain
b Urology Service, Hospital de Figueres, Girona, Spain
c Department of Psychology, Universitat de Girona, Girona, Spain
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Abstract
Introduction and objectives

This article presents the design and implementation of a rehabilitation program based on the muscular exercises of the pelvic floor, incorporating the strength resistance work.

Materials and methods

The design is quasi-experimental. The sample is formed by 33 participants in treatment phase. The variables studied are: anthropometrics variables, variables related to UI evolution (intensity, difficulty, frequency and activities limitation), obesity, fatigue and pain, muscular strength and quality of life. Measures pre (0 week) and post test (24 weeks) are taken with the aim of evaluating intra-subject change. Statistic analysis is made with the Student-fisher test, Wilcoxon or U Man Whitney, and χ2 test. Analysis was performed with SPSS program version 15. Signification level chosen was 5%.

Results

After 24 weeks of program an improvement was identified in: anthropometric variables waist-to-hip ratio (p=,003), waist perimeter (p=,001), body fat percentage (p=,001), IU intensity (p=,0001), frequency and difficulty and the relation with activities limitation (p=,0001), and also the existing relationship between the improvement of IU and the improvement of QoL (p=,039).

Conclusions

The article establishes scientifically the efficacy of the progressive strength to diminish IU. The improvement of QoL of men with prostate cancer is mediated by the improvement of the urinary continence.

Keywords:
Incontinence
Exercise
Prostate cancer
Quality of life
Resumen
Introducción y objetivo

Este trabajo presenta el diseño e implementación de un programa progresivo de rehabilitación basado en los ejercicios musculares del suelo pélvico, incorporando el trabajo muscular de fuerza contrarresistencia.

Material y método

El diseño del estudio es casi experimental. La muestra es de 33 participantes en fase de tratamiento. Las variables de estudio son las antropométricas, las relacionadas con la evolución de la incontinencia urinaria (IU) (intensidad, dificultad, frecuencia y limitación de las actividades), la obesidad, fatiga y dolor, la fuerza muscular y la calidad de vida (CdV). Para evaluar el cambio intrasujeto se tomaron medidas pretest (semana 0) y postest (semana 24). En el análisis estadístico se utilizan las pruebas t Student-Fisher, Wilcoxon o U de Mann Whitney y el test del χ2. El análisis se realiza con el programa SPSS versión 15. El nivel de significación escogido es del 5%.

Resultados

Al finalizar las 24 semanas del programa se identifica una disminución significativa de las variables antropométricas índice de cintura-cadera (p=0,003), perímetro de cintura (p=0,001) y porcentaje de masa de grasa (p=0,001); de las variables de IU: intensidad (p=0,0001), frecuencia y dificultad y su relación con la limitación de las actividades (p=0,0001), así como la relación existente entre la mejora de IU y la mejora de la CdV (p=0,039).

Conclusiones

Queda científicamente demostrada la eficacia del programa progresivo de fuerza para disminuir la IU. La mejora de la CdV del hombre mayor con cáncer de próstata viene mediada por la mejora de la continencia urinaria.

Palabras clave:
Incontinencia
Ejercicio
Cáncer de próstata
Calidad de vida

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