{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:02:30Z","timestamp":1788220950667,"version":"build-2803163510"},"reference-count":30,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2025,1,29]],"date-time":"2025-01-29T00:00:00Z","timestamp":1738108800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Rehabil"],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To investigate the effects of a home-based pelvic floor muscle training with and without action and cue observation on urinary incontinence after prostatectomy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Two-armed single-blind randomized controlled trial.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Humanitas Research Hospital, Milan, Italy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>Ninety-two participants with age between 40 and 80 years and urinary incontinence after robot-assisted laparoscopic prostatectomy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Intervention<\/jats:title>\n                    <jats:p>\n                      Participants were randomized into an action and cue observation (\n                      <jats:italic>n\u2009=\u2009<\/jats:italic>\n                      46) or control (\n                      <jats:italic>n\u2009=\u2009<\/jats:italic>\n                      46) group undergoing an 8-week home-based pelvic floor muscle training. Action and cue observation group observed video clips showing exercises synchronized with a visual cue indicating the correct pelvic floor muscle activation timing and imitated the observed tasks. Control group observed landscape video clips and performed the same exercises of experimental group.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main measures<\/jats:title>\n                    <jats:p>A blinded physiotherapist assessed participants for urinary leakages (24-h pad test), symptom severity (International Prostate Symptoms Score and International Prostate Symptoms Score - Quality of Life), quality of life (International Consultation on Incontinence Questionnaire - Short Form), and erectile dysfunction (International Index of Erectile Function) before and after the training.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      All participants improved urinary leakages, symptom severity, and quality of life after training. Action and cue observation group revealed significantly larger improvements in 24-h pad test (mean difference: 106.1 g, 95% CI: 13.4 g, 199.1 g,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u2009.037) than control group.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Home-based pelvic floor muscle training with action and cue observation led to larger improvements in urinary continence compared to the same training without action and cue observation after prostatectomy.<\/jats:p>\n                  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