{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T16:24:24Z","timestamp":1786119864678,"version":"build-2736575974"},"reference-count":30,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,2,12]],"date-time":"2026-02-12T00:00:00Z","timestamp":1770854400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,2,12]],"date-time":"2026-02-12T00:00:00Z","timestamp":1770854400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Neurourology and Urodynamics"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>To investigate the association between a standardized ankle fascial manipulation protocol and improvements in symptoms and quality of life for patients with urinary incontinence (UI).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This retrospective study reviewed the clinical records of 81 patients (aged 30\u201375) with stress, urgency, or mixed UI who completed a standardized intervention. The protocol consisted of 16 sessions of ankle fascial manipulation over 8 weeks. Primary outcomes included the International Consultation on Incontinence Questionnaire\u2010Short Form (ICIQ\u2010SF) score and 24\u2010h pad test volume. Secondary outcomes included the King's Health Questionnaire (KHQ). Assessments were performed at baseline, 8 weeks, and a 3\u2010month follow\u2010up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Significant improvements were observed. The mean ICIQ\u2010SF score decreased from 14.3\u2009\u00b1\u20093.2 to 6.8\u2009\u00b1\u20092.9 (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), and the 24\u2010h pad test volume reduced by 63.7% (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Patients with stress UI demonstrated the greatest reduction in leakage (72.4%), compared to urgency (54.8%) and mixed (61.3%) UI (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.023). Quality of life improved significantly, with the mean total KHQ score decreasing from 65.3 to 31.8 (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Improvements were largely maintained at the 3\u2010month follow\u2010up.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Ankle fascial manipulation was associated with significant improvements in urinary incontinence symptoms and quality of life, particularly for stress UI. These findings suggest it may be a promising complementary therapy. Rigorous randomized controlled trials are needed to confirm efficacy and investigate underlying mechanisms.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/nau.70241","type":"journal-article","created":{"date-parts":[[2026,2,12]],"date-time":"2026-02-12T09:47:45Z","timestamp":1770889665000},"page":"600-608","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Observation of the Therapeutic Effect of Ankle Fascia Manipulation on Urinary Incontinence"],"prefix":"10.1002","volume":"45","author":[{"given":"Wang","family":"Yinuo","sequence":"first","affiliation":[{"name":"Department of Rehabilitation Medicine, Beijing Friendship Hospital Capital Medical University Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhang","family":"Xuan","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Medicine Third Affiliated Hospital of Sun\u2010Yat\u2010Sen,University Guangdong Guangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bi","family":"Fei","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Medicine, Beijing Friendship Hospital Capital Medical University Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhang","family":"Na","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Medicine, Beijing Friendship Hospital Capital Medical University Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhang","family":"Shuhan","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Medicine, Beijing Friendship Hospital Capital Medical University Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhang","family":"Bo","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Medicine, Beijing Friendship Hospital Capital Medical University Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gui","family":"Peijun","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Medicine, Beijing Friendship Hospital Capital Medical University Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xie","family":"Ying","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Medicine, Beijing Friendship Hospital Capital Medical University Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,2,12]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2020.10.039"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12894-023-01388-2"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.4103\/jmh.JMH_62_17"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2009.11.078"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000041108"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/CU9.0000000000000270"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD012337.pub2"},{"issue":"6","key":"e_1_2_10_9_1","first-page":"345","article-title":"Management of Urinary Incontinence","volume":"37","author":"DeMaagd G. A.","year":"2012","journal-title":"P & T: A Peer\u2010reviewed Journal for Formulary Management"},{"key":"e_1_2_10_10_1","first-page":"221","volume-title":"Function, and Medical Applications","author":"Stecco A."},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/HM9.0000000000000128"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.4103\/1673-5374.135319"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.35772\/ghm.2020.01010"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2015.07.023"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbmt.2021.03.024"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.3238\/arztebl.2011.0613"},{"key":"e_1_2_10_17_1","unstructured":"Urinary Incontinence in Adults \u2010 Genitourinary Disorders. Merck Manual Professional Edition. accessed December 1 2025 https:\/\/www.merckmanuals.com\/professional\/genitourinary-disorders\/voiding-disorders\/urinary-incontinence-in-adults."},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.5489\/cuaj.1619"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.12779\/dnd.2020.19.3.77"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.20635"},{"key":"e_1_2_10_21_1","unstructured":"International Consultation on Incontinence Questionnaire\u2010Urinary Incontinence Short Form (ICIQ\u2010UI SF). APTA accessed September 20 2025 https:\/\/www.apta.org\/patient-care\/evidence-based-practice-resources\/test-measures\/international-consultation-incontinence-questionnaire-urinary-incontinence-short-form-iciq-ui-sf."},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.mpsur.2023.02.010"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12894-023-01375-7"},{"key":"e_1_2_10_24_1","unstructured":"T.Lugo S. W.Leslie B. A.Mikes andJ.Riggs \u201cStress Urinary Incontinence \u201d In:StatPearls [Internet]. StatPearls Publishing;2024 accessed March 12 2025 https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK539769\/."},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2015.07.001"},{"key":"e_1_2_10_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbmt.2020.11.005"},{"key":"e_1_2_10_27_1","unstructured":"M. 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