Effect of a strong desire to void on walking speed in individuals with multiple sclerosis and urinary disorders / Claire Hentzen in Annals of physical and rehabilitation medicine, Vol. 63, n°2 (Mars 2020)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 63, n°2 (Mars 2020) . - p. 106-110 Titre : Effect of a strong desire to void on walking speed in individuals with multiple sclerosis and urinary disorders Type de document : texte imprimé Auteurs : Claire Hentzen ; Nicolas Trumel ; Camille Chesnel ; Audrey Charlanes ; Frédérique Le Breton ; Samer Sheikh Ismaël ; Gérard Amarenco Année de publication : 2020 Article en page(s) : p. 106-110 Note générale : doi.org/10.1016/j.rehab.2019.11.007 Langues : Anglais (eng) Mots-clés : Multiple sclerosis  Walking speed  Gait  Urination  Lower urinary tract symptoms Résumé : Background Lower urinary tract symptoms, especially overactive bladder, are frequent and disabling in individuals with multiple sclerosis (IwMS). An association with gait disorders is common, which could aggravate continence difficulties and affect quality of life. The association between the need to void and walking has never been studied in this population. Objective The primary aim of this study was to assess the effect of a strong desire to void (SDV) on walking speed in IwMS and lower urinary tract symptoms. The secondary aim was to identify clinical or urodynamic factors associated with walking speed impairment at SDV in this population. Methods We included IwMS with urinary disorders and Expanded Disability Status Scale score < 7 in this observational study. Individuals underwent 3 10-m walk tests (10MWT) and one Timed Up and Go (TUG) test at SDV and at post-void (PV). Results Among the 72 IwMS included (mean [SD] age 50.6 [11.6] years; 46 [64%] females), the mean (SD) speed for 10MWT was 1.00 (0.31) m.s−1 at SDV and 1.07 (0.30) m.s−1 at PV (P < 0.0001). Time for TUG was also increased when individuals felt SDV: mean 11.53 (4.6) sec at SDV versus 10.77 (3.8) sec at PV (P = 0.004). No predictors of greater impairment of walking speed at SDV were identified. Conclusion This study suggests a clinical impact of bladder sensation on walking speed in IwMS and urinary disorders. None of the individual characteristics could predict greater decrease in gait velocity at SDV. Permalink : ./index.php?lvl=notice_display&id=90779 [article] Effect of a strong desire to void on walking speed in individuals with multiple sclerosis and urinary disorders [texte imprimé] / Claire Hentzen ; Nicolas Trumel ; Camille Chesnel ; Audrey Charlanes ; Frédérique Le Breton ; Samer Sheikh Ismaël ; Gérard Amarenco . - 2020 . - p. 106-110. doi.org/10.1016/j.rehab.2019.11.007 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 63, n°2 (Mars 2020) . - p. 106-110 Mots-clés : Multiple sclerosis  Walking speed  Gait  Urination  Lower urinary tract symptoms Résumé : Background Lower urinary tract symptoms, especially overactive bladder, are frequent and disabling in individuals with multiple sclerosis (IwMS). An association with gait disorders is common, which could aggravate continence difficulties and affect quality of life. The association between the need to void and walking has never been studied in this population. Objective The primary aim of this study was to assess the effect of a strong desire to void (SDV) on walking speed in IwMS and lower urinary tract symptoms. The secondary aim was to identify clinical or urodynamic factors associated with walking speed impairment at SDV in this population. Methods We included IwMS with urinary disorders and Expanded Disability Status Scale score < 7 in this observational study. Individuals underwent 3 10-m walk tests (10MWT) and one Timed Up and Go (TUG) test at SDV and at post-void (PV). Results Among the 72 IwMS included (mean [SD] age 50.6 [11.6] years; 46 [64%] females), the mean (SD) speed for 10MWT was 1.00 (0.31) m.s−1 at SDV and 1.07 (0.30) m.s−1 at PV (P < 0.0001). Time for TUG was also increased when individuals felt SDV: mean 11.53 (4.6) sec at SDV versus 10.77 (3.8) sec at PV (P = 0.004). No predictors of greater impairment of walking speed at SDV were identified. Conclusion This study suggests a clinical impact of bladder sensation on walking speed in IwMS and urinary disorders. None of the individual characteristics could predict greater decrease in gait velocity at SDV. Permalink : ./index.php?lvl=notice_display&id=90779

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Review of pelvic and perineal neuromuscular fatigue: Evaluation and impact on therapeutic strategies / Maëlys Teng in Annals of physical and rehabilitation medicine, Vol. 61, n°5 (Septembre 2018)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 61, n°5 (Septembre 2018) . - p. 345-351 Titre : Review of pelvic and perineal neuromuscular fatigue: Evaluation and impact on therapeutic strategies Type de document : texte imprimé Auteurs : Maëlys Teng ; Florian Kervinio ; Mirella Moutounaïck ; Gabriel Miget ; Audrey Charlanes ; Camille Chesnel ; Frédérique Le Breton ; Gérard Amarenco Année de publication : 2018 Article en page(s) : p. 345-351 Note générale : Doi : 10.1016/j.rehab.2018.06.006 Langues : Anglais (eng) Mots-clés : Pelvic floor muscle  Perineal fatigue  Evaluation  Stress urinary incontinence  Pelvic organ prolapse  Pelvic floor fatigue rehabilitation Résumé : Background Pelvic floor fatigue is known by its clinical consequences (fecal incontinence, stress urinary incontinence, pelvic organ prolapse), but there are still few studies on the subject. Objective This article presents an overview of the current knowledge of pelvic and perineal fatigue, focusing on its assessment and consequences in terms of evaluation and therapeutic strategies, to propose an evaluation that could be routinely performed. Methods We performed a systematic review of the literature in MEDLINE via PubMed and Cochrane Library databases by using the keywords pelvic floor, muscular fatigue, physiopathology, stress urinary incontinence, pelvic organ prolapse, fecal incontinence, physical activity, and pelvic rehabilitation. We included reports of systematic reviews and retrospective and prospective studies on adult humans and animals in English or French published up to April 2018 with no restriction on start date. Results We selected 59 articles by keyword search, 18 by hand-search and 3 specific guidelines (including the 2009 International Continence Society recommendations); finally 45 articles were included; 14 are described in the Results section (2 reviews of 6 and 20 studies, and 12 prospective observational or cross-over studies of 5 to 317 patients including 1 of animals). Perineal fatigue can be assessed by direct assessment, electromyography and spectral analysis and during urodynamics. Because pelvic floor fatigue assessments are not evaluated routinely, this fatigability is not always identified and is often falsely considered an exclusive pelvic floor weakness, as suggested by some rehabilitation methods that also weaken the pelvic floor instead of enhancing it. Conclusion Pelvic floor fatigue is not evaluated enough on a routine basis and the assessment is heterogeneous. A better knowledge of pelvic floor fatigue by standardized routine evaluation could lead to targeted therapeutic strategies. Permalink : ./index.php?lvl=notice_display&id=80637 [article] Review of pelvic and perineal neuromuscular fatigue: Evaluation and impact on therapeutic strategies [texte imprimé] / Maëlys Teng ; Florian Kervinio ; Mirella Moutounaïck ; Gabriel Miget ; Audrey Charlanes ; Camille Chesnel ; Frédérique Le Breton ; Gérard Amarenco . - 2018 . - p. 345-351. Doi : 10.1016/j.rehab.2018.06.006 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 61, n°5 (Septembre 2018) . - p. 345-351 Mots-clés : Pelvic floor muscle  Perineal fatigue  Evaluation  Stress urinary incontinence  Pelvic organ prolapse  Pelvic floor fatigue rehabilitation Résumé : Background Pelvic floor fatigue is known by its clinical consequences (fecal incontinence, stress urinary incontinence, pelvic organ prolapse), but there are still few studies on the subject. Objective This article presents an overview of the current knowledge of pelvic and perineal fatigue, focusing on its assessment and consequences in terms of evaluation and therapeutic strategies, to propose an evaluation that could be routinely performed. Methods We performed a systematic review of the literature in MEDLINE via PubMed and Cochrane Library databases by using the keywords pelvic floor, muscular fatigue, physiopathology, stress urinary incontinence, pelvic organ prolapse, fecal incontinence, physical activity, and pelvic rehabilitation. We included reports of systematic reviews and retrospective and prospective studies on adult humans and animals in English or French published up to April 2018 with no restriction on start date. Results We selected 59 articles by keyword search, 18 by hand-search and 3 specific guidelines (including the 2009 International Continence Society recommendations); finally 45 articles were included; 14 are described in the Results section (2 reviews of 6 and 20 studies, and 12 prospective observational or cross-over studies of 5 to 317 patients including 1 of animals). Perineal fatigue can be assessed by direct assessment, electromyography and spectral analysis and during urodynamics. Because pelvic floor fatigue assessments are not evaluated routinely, this fatigability is not always identified and is often falsely considered an exclusive pelvic floor weakness, as suggested by some rehabilitation methods that also weaken the pelvic floor instead of enhancing it. Conclusion Pelvic floor fatigue is not evaluated enough on a routine basis and the assessment is heterogeneous. A better knowledge of pelvic floor fatigue by standardized routine evaluation could lead to targeted therapeutic strategies. Permalink : ./index.php?lvl=notice_display&id=80637

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