Effects of Action Observation Training (AOT) in the Achievement of Urinary Continence in Men After Robot-assisted Laparoscopic Prostatectomy (RALP)

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    Istituto Clinico Humanitas
Updated on 23 April 2022
pelvic floor muscle training


Urinary incontinence (UI) is one of the most common side effects of radical prostatectomy (RP) and compromises men's quality of life. The first line treatment for urinary incontinence is the conservative approach of Pelvic Floor Muscle Training (PFMT) but, up to date, there seems to be no statistically significant difference in the effectiveness of several proposed physiotherapy treatments.

Literature highlights the importance of also adding an educational component regarding the intentional contraction of the pelvic floor muscles (a skill termed "the Knack"). Moreover, in some studies, carried out on a sample of women, was introduced the use of virtual reality. This increased the adherence to treatment and showed an improvement in urinary continence. In addition to virtual reality, another intervention methodology used in physiotherapy is the one of Action Observation training (AOT) whose effectiveness has been proven both in sports and rehabilitation.

However, currently the effect of this innovative type of treatment has not yet been studied in men with UI following radical prostatectomy intervention.

The aim of this clinical study is to investigate the effectiveness of using AOT on urinary incontinence in subjects undergoing robotic radical prostatectomy.

Condition Urinary Incontinence
Treatment Action observation training
Clinical Study IdentifierNCT05311267
SponsorIstituto Clinico Humanitas
Last Modified on23 April 2022


Yes No Not Sure

Inclusion Criteria

Patients who have undergone Robot-assisted Laparoscopic Prostatectomy with post-operative IU
Objectivity of recruitment and contraction of pelvic floor musculature (PP) at manual perineal testing

Exclusion Criteria

Preoperative incontinence
Pre-intervention radiotherapy
Previous urogenital surgery beyond Robot-assisted Laparoscopic Prostatectomy
Concomitant presence of neurological, internal or musculoskeletal diseases that may affect functional or motor recovery
Less than 5 seconds of endurance in PP contraction
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