Evidence map›Paper›PMID 32601784›Full record

ArticleInternational urogynecology journal2020

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

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

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In one paragraph

Article in International urogynecology journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Review
  4. Review
  5. Article
  6. Article
  7. Review
  8. Barriers to and facilitators of adherence to pelvic floor muscle exercises and vaginal dilator use among gynecologic cancer patients: a qualitative study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022
    Article
  9. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Cinara SacomoriUniversidad Bernardo O'Higgins, School of Kinesiology, Santiago, Chile.
Paulina Araya-CastroUniversidad del Desarrollo, Escuela de Kinesiología, Santiago, Chile. pauli.ac2010@gmail.com.ORCID http://orcid.org/0000-0003-1274-2792
Paulette Diaz-GuerreroInstituto Nacional del Cáncer, Rehabilitation Service, North Metropolitan Health Service, Santiago, Chile.
Ingrid Alanis FerradaUniversidad Bernardo O'Higgins, School of Kinesiology, Santiago, Chile.
Angélica Claudia Martínez-VarasUniversidad San Sebastián, Postgraduation Program on Oncological Physical Therapy, Santiago, Chile.
Kamilla ZomkowskiUniversidade do Sul de Santa Catarina, Departamento de Fisioterapia, Palhoça, Santa Catarina, Brazil.

Funding

UNIVERSIDAD BERNARDO O´HIGGINS Ref.UBO/VRIP 170202Universidad San Sebastian PI0073-2016-0003-IE
6 · The paper itself

Abstract

introduction and hypothesisThe 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.

methodsThis 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.

resultsTwenty-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).

conclusionsThe 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.

Indexed as

Urinary IncontinenceUterine Cervical NeoplasmsAdultAgedExercise TherapyFemaleHumansMiddle AgedMuscle ContractionMuscle StrengthPelvic FloorPilot ProjectsTreatment OutcomeBrachytherapyCervical cancerMuscle strengthPelvic floorPre-rehabilitationRadiotherapy

Identifiers

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.