Electromyographic evaluation of the effect of pelvic floor muscle training to improve the function of the lower urinary tract in women with ischemic stroke

INTERVENTION: Participants will be randomly assigned to one of two comparison groups: A group ‐ group, which will be used pelvic floor muscle training and B group (control) ‐ a group without specialized training of the pelvic floor muscles. In group A will be applied the pelvic floor muscle training. Therapy will be held for ten days (two weeks at five sessions per week) and each will last about 30 minutes a day. The whole therapy will be carried out under the supervision of a therapist at the hospital. Participants will be recruited from among patients of the hospital Selection of exercises will be individual determined, in depends on the function of the lower urinary tract and the condition of the tested women (physiotherapist decision). Training will take into account the contractions of the pelvic floor muscles. Participants will perform contraction lasting a few seconds (depending on the condition of the patient, with a break lasts twice as long). They will also be carried out short, rapid contraction of this muscle. In this training, a electromyograph with the function of the visual biofeedback will be used. Feedback on muscle contraction provided via a screen for participants throughout each session via sEMG sensors. Each training session will be supervised and managed by a physiotherapist. CONDITION: ischemic stroke urinary incontinence PRIMARY OUTCOME: Resting and functional bioelectrical activity of pelvic floor muscle assessed by electromyography SECONDARY OUTCOME: Assessment of subjective symptoms of urinary incontinence by ICIQ INCLUSION CRITERIA: ischaemic stroke episode for at least 6 months previously, the incidence of symptoms of lower urinary tract (urinary incontinence), consent to participate in research, permission doctor and general well‐being of the survey