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01-11-2020 | Brachytherapy | Original Article

Pre-rehabilitation of the pelvic floor before radiation therapy for cervical cancer: a pilot study

Authors: Cinara Sacomori, Paulina Araya-Castro, Paulette Diaz-Guerrero, Ingrid Alanis Ferrada, Angélica Claudia Martínez-Varas, Kamilla Zomkowski

Published in: International Urogynecology Journal | Issue 11/2020

Abstract

Introduction and hypothesis

The objective was to evaluate pelvic floor muscle (PFM) function regarding strength, activation and incontinence, approximately 1 month before and after radiation therapy in women with cervical cancer.

Methods

This was a pilot study of 49 women with cervical cancer at stages I to III. These women attended an educational session with a physical therapist who taught them to perform preventive pelvic floor muscle exercises (PFMEs; slow and fast contractions and the “knack”) at home before, during and after radiation therapy. The women received instructions for performing PFME prior to radiation therapy. The modified Oxford scale, electromyography (EMG), the International Consultation on Incontinence Questionnaire Short Form to assess urinary incontinence and two questions for faecal and gas incontinence were used.

Results

Twenty-eight women (57%; mean age = 44 years, range 27–66) completed the study, 21 (43%) were lost to follow-up. There was no significant change from baseline to post-radiation therapy in muscle strength, EMG records and incontinence (p > 0.05). The median of PFM strength was equal at baseline and after intervention (median = 2; IQR = 1).

Conclusions

The results of this study suggest that pre-rehabilitation teaching PFMEs might be a protective factor for preserving PFM strength and preventing incontinence 1 month after radiation therapy. It is a feasible intervention.

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Title: Pre-rehabilitation of the pelvic floor before radiation therapy for cervical cancer: a pilot study
Authors: Cinara Sacomori
Paulina Araya-Castro
Paulette Diaz-Guerrero
Ingrid Alanis Ferrada
Angélica Claudia Martínez-Varas
Kamilla Zomkowski
Publication date: 01-11-2020
Publisher: Springer International Publishing
Keywords: Brachytherapy
Cervical Cancer
Urinary Incontinence
Cervical Cancer
Radiotherapy
Urinary Incontinence
Published in: International Urogynecology Journal / Issue 11/2020
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-020-04391-5

At a glance: The STEP trials

Springer Medicine

Pre-rehabilitation of the pelvic floor before radiation therapy for cervical cancer: a pilot study

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

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