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01-04-2013 | Research Article

Inhibitory control task is decreased in vascular incontinence patients

Authors: Hiroyuki Haruta, Ryuji Sakakibara, Tsuyoshi Ogata, Jalesh Panicker, Clare J. Fowler, Fuyuki Tateno, Masahiko Kishi, Yohei Tsuyusaki, Tomoyuki Uchiyama, Tatsuya Yamamoto

Published in: Clinical Autonomic Research | Issue 2/2013

Abstract

Objective

‘Vascular incontinence’ is a part of elderly incontinence due to cerebral white matter change (WMC). We studied the relationship between performance on several cognitive tasks and urodynamic detrusor overactivity (DO) in patients with vascular incontinence.

Methods

We recruited 40 patients with lower urinary tract symptoms due to WMC [20 male, 20 female; mean age 77 years (60–89 years)]. Other neurologic, urologic, and systemic causes of LUT dysfunction were excluded. All patients underwent urodynamics tests and two sets of cognitive tasks, i.e., the Mini-Mental State Examination (MMSE) (general cognitive tasks), and the Frontal Assessment Battery (FAB) (frontal lobe tasks).

Results

The most common urinary symptom was urinary urgency (27 patients), followed by urinary incontinence (26) and nocturnal urinary frequency (25). The urodynamic testing revealed DO in 22 patients. The cognitive testing revealed that the patients’ mean MMSE score was 25.8 (range 15–30), and their mean FAB score was 13.6 (4–18). There was no relationship between DO and the total MMSE or FAB score, but our analysis of the relationship between DO and the six subdomains of the FAB (conceptualization, mental flexibility, programming, sensitivity to interference, inhibitory control, and environmental autonomy) revealed a significant relationship between DO and the inhibitory control task (p < 0.005).

Conclusions

The results of the present study showed that performance on an inhibitory control task is decreased in vascular incontinence patients with DO.

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Title: Inhibitory control task is decreased in vascular incontinence patients
Authors: Hiroyuki Haruta
Ryuji Sakakibara
Tsuyoshi Ogata
Jalesh Panicker
Clare J. Fowler
Fuyuki Tateno
Masahiko Kishi
Yohei Tsuyusaki
Tomoyuki Uchiyama
Tatsuya Yamamoto
Publication date: 01-04-2013
Publisher: Springer-Verlag
Published in: Clinical Autonomic Research / Issue 2/2013
Print ISSN: 0959-9851
Electronic ISSN: 1619-1560
DOI: https://doi.org/10.1007/s10286-013-0187-9

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Inhibitory control task is decreased in vascular incontinence patients

Abstract

Objective

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Objective

Methods

Results

Conclusions

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