Suscribirse

Time to be Ready to Void: A new tool to assess the time needed to perform micturition for patients with multiple sclerosis - 09/04/20

Doi : 10.1016/j.rehab.2020.01.002 
Claire Hentzen , Anaïs Villaumé, Nicolas Turmel, Gabriel Miget, Frédéric Le Breton, Camille Chesnel, Gérard Amarenco
 Sorbonne Université, GRC 001, GREEN Groupe de Recherche Clinique en Neuro-Urologie, AP–HP, Hôpital Tenon, 75020 Paris, France 

Corresponding author. Service de neuro-urologie, 4, rue de la Chine, 75020 Paris, France.Service de neuro-urologie4, rue de la ChineParis75020France

Bienvenido a EM-consulte, la referencia de los profesionales de la salud.
Artículo gratuito.

Conéctese para beneficiarse!

Highlights

The Time to be Ready to Void (TRV) is a new tool to measure the global time required to reach the toilet.
Two steps (mobility and settled) are timed, with the difficulty rated from 0 to 3.
The TRV was validated in people with multiple sclerosis.
Inter-rater reliability was excellent and test–retest reliability was good.
Most participants rated comprehension, acceptance and relevance as “good”.

El texto completo de este artículo está disponible en PDF.

Abstract

Background

Urgency urinary incontinence is one of the major disabling urinary symptoms in people with multiple sclerosis (PwMS). The warning time (time from first sensation of urgency to voiding or incontinence) only partially reflects the possibility of continence. Other factors such as mobility, difficulties in transfer or undressing can influence this time.

Objectives

The aim was to create a specific test for PwMS to assess the global time required to be ready to perform micturition and to assess its reliability.

Methods

The Time to be Ready to Void (TRV) was based on 2 timed steps: “mobility” stage, including standing up and walking 6m to the toilet, and the “settled” stage, starting as soon as the individual opens the toilet door until readiness for micturition. All participants performed the TRV twice. Reliability were assessed by the intraclass correlation coefficient (ICC) and convergent validity by Spearman correlation coefficient.

Results

We included 71 PwMS (mean [SD] age 54.4 [11.7] years). Inter-rater reliability was excellent for the TRV mobility stage (ICC: 0.97), settled stage (ICC: 0.99) and total test (ICC: 0.99). Test–retest reliability was good for the mobility stage (ICC: 0.88) and total test (ICC: 0.81) and moderate for the settled stage (ICC: 0.67). Test–retest reliability assessed by a Likert-type scale was good for each stage (κ 0.75 and 0.88). The mobility stage was correlated with the scores for the Timed Up and Go test, 10-Meter Walk Test, and Tinetti Mobility Test (ρ=0.89; ρ=0.88; ρ=−0.67, respectively; P<0.0001) and the settled stage with scores for the Tinetti Mobility Test, Functional Independence Measure and Nine Hold Peg test (right) (ρ=−0.48; ρ=−0.36; ρ=0.31, respectively; P<0.01). Comprehension, acceptance and relevance were rated good by most participants (97%, 95% and 90%, respectively).

Conclusion

The TRV is a new tool to measure the global time needed to be ready to achieve micturition in PwMS. It seems useful in clinical practice for overactive bladder in addition to the classical warning time because it takes into account all the time needed to accomplish micturition (mobility, undressing, installation).

El texto completo de este artículo está disponible en PDF.

Keywords : Multiple sclerosis, Overactive bladder, Urinary incontinence, Urge, Task performance and analysis


Esquema


© 2020  Elsevier Masson SAS. Reservados todos los derechos.
Añadir a mi biblioteca Eliminar de mi biblioteca Imprimir
Exportación

    Exportación citas

  • Fichero

  • Contenido

Vol 63 - N° 2

P. 99-105 - mars 2020 Regresar al número
Artículo precedente Artículo precedente
  • Factors influencing balance improvement in multiple sclerosis rehabilitation: A pragmatic multicentric trial
  • Davide Cattaneo, Susan Coote, Kamila Rasova, Elisa Gervasoni, Elisabetta Groppo, Terezie Prokopiusova, Jitka Reznickova, Angelo Montesano, Johanna Jonsdottir
| Artículo siguiente Artículo siguiente
  • Effect of a strong desire to void on walking speed in individuals with multiple sclerosis and urinary disorders
  • Claire Hentzen, Nicolas Turmel, Camille Chesnel, Audrey Charlanes, Frédérique Le Breton, Samer Sheikh Ismaël, Gérard Amarenco

Bienvenido a EM-consulte, la referencia de los profesionales de la salud.

Mi cuenta


Declaración CNIL

EM-CONSULTE.COM se declara a la CNIL, la declaración N º 1286925.

En virtud de la Ley N º 78-17 del 6 de enero de 1978, relativa a las computadoras, archivos y libertades, usted tiene el derecho de oposición (art.26 de la ley), el acceso (art.34 a 38 Ley), y correcta (artículo 36 de la ley) los datos que le conciernen. Por lo tanto, usted puede pedir que se corrija, complementado, clarificado, actualizado o suprimido información sobre usted que son inexactos, incompletos, engañosos, obsoletos o cuya recogida o de conservación o uso está prohibido.
La información personal sobre los visitantes de nuestro sitio, incluyendo su identidad, son confidenciales.
El jefe del sitio en el honor se compromete a respetar la confidencialidad de los requisitos legales aplicables en Francia y no de revelar dicha información a terceros.


Todo el contenido en este sitio: Copyright © 2024 Elsevier, sus licenciantes y colaboradores. Se reservan todos los derechos, incluidos los de minería de texto y datos, entrenamiento de IA y tecnologías similares. Para todo el contenido de acceso abierto, se aplican los términos de licencia de Creative Commons.