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Thomas, Lois H; Cross, Stephen; Barrett, James; French, Beverley; Leathley, Michael; Sutton, Chris J; Watkins, Caroline (2009)
Publisher: Cochrane Collaboration
Languages: English
Types: Article
Background:\ud Urinary incontinence can affect 40-60% of people admitted to hospital after a stroke, with 25% still having problems on hospital discharge and 15% remaining incontinent at one year.\ud \ud Objectives:\ud To determine the optimal methods for treatment of urinary incontinence after stroke in adults.\ud \ud Search methods:\ud We searched the Cochrane Incontinence and Stroke Groups specialised registers (searched 15 March 2007 and 5 March 2007 respectively), CINAHL (January 1982 to January 2007), national and international trial databases for unpublished data, and the reference lists of relevant articles.\ud \ud Selection criteria:\ud Randomised or quasi-randomised controlled trials evaluating the effects of interventions designed to promote continence in people after stroke.\ud \ud Data collection and analysis:\ud Data extraction and quality assessment were undertaken by two reviewers working independently. Disagreements were resolved by a third reviewer.\ud \ud Main results:\ud Twelve trials with a total of 724 participants were included in the review. Participants were from a mixture of settings, age groups and phases of stroke recovery.\ud Behavioural interventions Three trials assessed behavioural interventions, such as timed voiding and pelvic floor muscle training. All had small sample sizes and confidence intervals were wide.
  • The results below are discovered through our pilot algorithms. Let us know how we are doing!

    • Wikander 1998b {published data only} Wikander B, Ekelund P, Milsom I. An evaluation of multidisciplinary intervention governed by functional independence measure (FIMSM) in incontinent stroke patients. Scandinavian Journal of Rehabilitation Medicine 1998;30(1):15-21.
    • Zhang 2002 {published data only} ∗ Zhang Z, Ma F, Ma Y. Observation on the effects of acupuncture in the treatment of urinary retention due to cerebral infarction in 36 patients. Heilongjiang Medicine and Pharmacy. 2002; Vol. 25, issue 3:71.
    • Zhou 1999 {published data only} ∗ Zhou G, Wu D. 40 examples of using eye acupuncture and electriferous scalp acupuncture to treat urinary incontinence after cerebrovascular accident. Journal of Clinical Acupuncture. 1999; Vol. 15, issue 9:33-34.
    • Zhu 2003 {published data only} ∗ Zhu Y, Zhu X, Zhu D, Jin Z. Meclofenoxate in treating urinary incontinence after acute cerebral infarction. Chinese Journal of New Drugs and Clinical Remedies 2003;9: 520-522.
    • Cook 1998 {published data only} Cook D, Huboky E, Hasskarl J, Hochrien S, Reding M. Effect of voiding position on urinary retention post stroke. Journal of Stroke and Cerebrovascular Diseases 1998;7:382.
    • Gross 1990 {published data only} Gross J C. Bladder dysfunction after a stroke: it's not always inevitable. Journal of Gerontological Nursing 1990;16:20-5, 41-2.
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    • McDowell 1999 {published and unpublished data} McDowell BJ, Engberg S, Sereika S, Donovan N, Jubeck ME, Weber E, Engberg R. Effectiveness of behavioral therapy to treat incontinence in homebound older adults. Journal of the American Geriatrics Society 1999;47:309-318.
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    • Brittain 1998b Brittain KR, Peet SM, Castleden MD. Stroke and incontinence. Stroke 1998;29:524-8.
    • Brittain 1999 Brittain KR, Peet SM, Potter JF, Castleden CM. Prevalence and management of urinary incontinence in stroke survivors. Age & Ageing 1999;28(6):509-11.
    • Brittain 2000b Brittain KR, Perry SI, Peet SM, Shaw C, Dallosso H, Assassa RP, et al.Prevalence and impact of urinary symptoms among community dwelling stroke survivors. Stroke 2000; 31:886-91.
    • Burney 1996a Burney TL, Senapati M, Desai S, Choudary ST, Badlani GH. Effects of cerebrovascular accident on micturition. Urologic Clinics of North America 1996;23:483-90.
    • Burney 1996b Burney TL, Senepati M, Desai S, Choudhary MS, Badlani GH. Acute cerebrovascular accident and lower urinary tract dysfunction: a prospective correlation of the site of brain injury with urodynamic findings. Journal of Urology 1996; 156:1748.
    • Cifu 1999 Cifu DX, Stewart DG. Factors affecting functional outcome after stroke: a critical review of rehabilitation interventions. Archives of Physical Medicine and Rehabilitation 1999;80 (Suppl):S35-9.
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    • Meijer 2003 Meijer R, Ihnenfeldt DS, de Groot IJM, van Limbeek J, Vermeulen M, de Haan RJ. Prognostic factors for ambulation and activities of daily living in the subacute phase after stroke. A systematic review of the literature. Clinical Rehabilitation 2003;17(2):119-29.
    • Nakayama 1997 Nakayama H, Jorgensen HS, Pedersen PM, Raaschou HO, Olsen TS. Prevalence and risk factors of incontinence after stroke. The Copenhagen Stroke Study. Stroke 1997;28(1): 58-62.
    • Ostaszkiewicz 2004a Ostaszkiewicz J, Johnston L, Roe B. Habit retraining for the management of urinary incontinence in adults. Cochrane Database of Systematic Reviews 2004, Issue 2. [DOI: 10.1002/14651858.CD002801.pub2]
    • Database of Systematic Reviews 2004, Issue 1. [DOI: 10.1002/14651858.CD002802.pub2] Patel 2001 Patel M, Coshall C, Lawrence E, Rudd AG, Wolfe CD. Recovery from poststroke urinary incontinence: associated factors and impact on outcome. Journal of the American Geriatrics Society 2001;49(9):1229-33.
    • Roe 2007 Roe B, Ostaszkiewicz J, Milne J, Wallace S. Systematic review of bladder training and voiding programmes in adults: a synopsis of findings from data analysis and outcomes using metastudy techniques. Journal of Advanced Nursing 2007;57(1):15-31.
    • Thuroff 1999 Thuroff JW, Abrams P, Artibani W, Haab F, Khoury S, Madersbacher H. Clinical Guidelines For The Management Of Incontinence. In: Abrams P, Khoury S, Wein A editor(s). Incontinence: 1st International Consultation on Incontinence, Monaco. Plymouth, UK: Health Publication Ltd, 1999: 933-43.
    • Ween 1996 Ween JE, Alexander MP, D'Esposito M, Roberts M. Incontinence after stroke in a rehabilitation setting: outcome associations and predictive factors. Neurology 1996;47(3):659-63.
    • Wikander 1998a Wikander B, Ekelund P, Milsom I. An evaluation of multidisciplinary intervention governed by functional independence measure (FIMSM) in incontinent stroke patients. Scandinavian Journal of Rehabilitation Medicine 1998;30(1):15-21.
  • Inferred research data

    The results below are discovered through our pilot algorithms. Let us know how we are doing!

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