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Background: Educational and self-care measures are important for women after gynecological pelvic cancer treatment. Pelvic floor muscle training exercises (PFMT) are a conservative treatment for pelvic floor (PF) dysfunction. The purpose is to evaluate the impact of a telerehabilitation and self-care program on PF dysfunctions, reports of urinary incontinence (UI), and physical-emotional factors of participants post-treatment for gynecological pelvic cancer.

Methods: Two-arm randomized clinical trial: an intervention group (IG) will evaluate the effect of a telerehabilitation program on women undergoing clinical practice of radiotherapy for the treatment of gynecological pelvic cancer and a control group (CG) will maintain the routine. Primary outcome is the prevalence of reports of UI, which will be assessed using the International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF). The secondary outcomes will be the severity and impact of UI on quality of life, location and perception of pain intensity, presence and intensity of dyspareunia, vaginal stenosis, fecal incontinence (FI), and levels of physical activity. Statistical analysis will be performed by intention-to-treat, and multivariate mixed effects analysis will be used to compare results.

Discussion: Activities in the context of telerehabilitation using PFMT and self-care can represent a viable and effective solution to minimize the side effects of gynecological cancer treatment and improve women's quality of life.

Titel:	Educational telerehabilitation program for women with pelvic floor dysfunctions after gynecological pelvic cancer treatment: protocol study for a randomized and controlled clinical trial.
Autor/in / Beteiligte Person:	Bem Fretta, T ; Dacanal, GD ; de Souza Mendes PC ; Dias, M ; Jorge, CH
Link:	Full Text Finder (Volltext)
Zeitschrift:	Trials, Jg. 25 (2024-05-28), Heft 1, S. 347
Veröffentlichung:	[London] : BioMed Central, 2006-, 2024
Medientyp:	academicJournal
ISSN:	1745-6215 (electronic)
DOI:	10.1186/s13063-024-08138-1
Schlagwort:	Humans Female Treatment Outcome Self Care Surveys and Questionnaires Time Factors Recovery of Function Genital Neoplasms, Female radiotherapy Genital Neoplasms, Female rehabilitation Pelvic Neoplasms radiotherapy Health Knowledge, Attitudes, Practice Telerehabilitation Pelvic Floor physiopathology Urinary Incontinence rehabilitation Urinary Incontinence etiology Urinary Incontinence physiopathology Quality of Life Exercise Therapy methods Randomized Controlled Trials as Topic Patient Education as Topic Pelvic Floor Disorders rehabilitation Pelvic Floor Disorders etiology Pelvic Floor Disorders physiopathology
Sonstiges:	Nachgewiesen in: MEDLINE Sprachen: English Publication Type: Journal Article; Clinical Trial Protocol Language: English [Trials] 2024 May 28; Vol. 25 (1), pp. 347. <i>Date of Electronic Publication: </i>2024 May 28. MeSH Terms: Telerehabilitation* ; Pelvic Floor* / physiopathology ; Urinary Incontinence* / rehabilitation ; Urinary Incontinence* / etiology ; Urinary Incontinence* / physiopathology ; Quality of Life* ; Exercise Therapy* / methods ; Randomized Controlled Trials as Topic* ; Patient Education as Topic* ; Pelvic Floor Disorders* / rehabilitation ; Pelvic Floor Disorders* / etiology ; Pelvic Floor Disorders* / physiopathology ; Humans ; Female ; Treatment Outcome ; Self Care ; Surveys and Questionnaires ; Time Factors ; Recovery of Function ; Genital Neoplasms, Female / radiotherapy ; Genital Neoplasms, Female / rehabilitation ; Pelvic Neoplasms / radiotherapy ; Health Knowledge, Attitudes, Practice References: Int Urogynecol J. 2021 Feb;32(2):249-259. (PMID: 33175229) ; Acta Oncol. 2018 Mar;57(3):338-345. (PMID: 29140150) ; Braz J Phys Ther. 2019 Mar - Apr;23(2):79-92. (PMID: 30473435) ; Int Urogynecol J Pelvic Floor Dysfunct. 2008 Oct;19(10):1385-91. (PMID: 18506383) ; J Natl Cancer Inst. 1993 Mar 3;85(5):365-76. (PMID: 8433390) ; Acta Obstet Gynecol Scand. 2019 Nov;98(11):1404-1412. (PMID: 31237957) ; Rev Lat Am Enfermagem. 2012 May-Jun;20(3):583-9. (PMID: 22991122) ; Arq Gastroenterol. 2004 Jul-Sep;41(3):202-8. (PMID: 15678208) ; Psychol Methods. 2002 Jun;7(2):178-93. (PMID: 12090409) ; Front Med (Lausanne). 2022 Feb 03;8:813352. (PMID: 35186978) ; Maturitas. 2017 Nov;105:83-88. (PMID: 28396018) ; Sex Med. 2019 Dec;7(4):530-539. (PMID: 31501030) ; PLoS One. 2019 Aug 9;14(8):e0221054. (PMID: 31398239) ; Gynecol Oncol. 2014 Jan;132(1):154-8. (PMID: 24183730) ; Br J Sports Med. 2018 Apr;52(8):505-513. (PMID: 28954800) ; Semin Oncol Nurs. 2020 Oct;36(5):151075. (PMID: 33008685) ; PLoS One. 2022 Jan 25;17(1):e0262844. (PMID: 35077479) ; Annu Rev Public Health. 2000;21:121-45. (PMID: 10884949) ; Health Educ Q. 1988 Summer;15(2):175-83. (PMID: 3378902) ; Cochrane Database Syst Rev. 2020 Jun 2;6:CD007568. (PMID: 32483832) ; Cad Saude Publica. 2009 Nov;25(11):2333-44. (PMID: 19936472) ; Int Urogynecol J. 2018 Apr;29(4):459-476. (PMID: 28929201) ; J Physiother. 2018 Apr;64(2):91-96. (PMID: 29574170) ; Neurourol Urodyn. 2017 Feb;36(2):221-244. (PMID: 27918122) ; Eur J Oncol Nurs. 2010 Apr;14(2):137-46. (PMID: 19836305) ; Int J Reprod Biomed. 2016 Jan;14(1):29-38. (PMID: 27141546) ; J Sex Med. 2021 Jul;18(7):1236-1244. (PMID: 34187758) ; Rev Bras Epidemiol. 2013 Jun;16(2):352-63. (PMID: 24142007) ; J Sex Marital Ther. 2020;46(6):513-527. (PMID: 32364016) ; Ultrasound Obstet Gynecol. 2014 Jun;43(6):693-7. (PMID: 24127311) ; Sex Health. 2018 Nov;15(5):396-402. (PMID: 30048604) Grant Information: 001 CAPES Contributed Indexing: Keywords: Brachytherapy; Dyspareunia; Neoplasm; Pelvic floor; Telerehabilitation; Urinary incontinence Entry Date(s): Date Created: 20240527 Date Completed: 20240528 Latest Revision: 20240530 Update Code: 20240530 PubMed Central ID: PMC11131300

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Educational telerehabilitation program for women with pelvic floor dysfunctions after gynecological pelvic cancer treatment: protocol study for a randomized and controlled clinical trial.