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The Relationship Between Urinary Symptom Severity And Functional Status İn Patients With Stroke
1111330Gaziler Physical Therapy and Rehabilitation Training and Research Hospital, Ankara, Turkey.
Scottish Medical Journal
|January 5, 2022
Summary
Lower Urinary Tract Dysfunction (LUTD) is common in stroke survivors, impacting their quality of life. Urinary symptom severity correlates with poorer functional status, highlighting a key link for patient care.
Area of Science:
- Neurology
- Urology
- Rehabilitation Medicine
Background:
- Lower Urinary Tract Dysfunction (LUTD) significantly impacts stroke patients' quality of life and psychological well-being.
- Understanding LUTD in stroke is crucial for improving patient outcomes.
Purpose of the Study:
- To identify factors influencing LUTD severity in stroke patients.
- To assess the relationship between LUTD and functional status post-stroke.
Main Methods:
- A study involving 77 stroke patients, recording demographic and clinical data.
- Utilized Functional Ambulation Scale (FAS), Functional Independence Measure (FIM), Core Lower Urinary Tract Symptom Score (CLSS), and Beck Depression Scale.
- A subgroup of 33 patients underwent urodynamic studies to analyze detrusor function and detrusor sphincter dyssynergia (DSD).
Main Results:
- Mean CLSS scores were higher in men than women (P=0.017).
- Age showed a positive correlation with CLSS (P=0.035, r=0.24).
- A significant negative correlation was found between total FIM scores and CLSS (P=0.001, r=-0.467).
Conclusions:
- LUTD is prevalent in stroke patients and associated with diminished functional status.
- Urinary symptoms in stroke survivors indicate poorer functional outcomes.
- Urodynamic parameters, except maximum flow rate, did not show a significant relationship with CLSS.
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