Cochrane · systematic review · CD004462
Interventions for treating urinary incontinence after stroke in adults
Thomas, LH, Coupe, J, Cross, LD, et al. · Cochrane Database of Systematic Reviews · 2019 · Cochrane Library
IncontinenceAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
24
current version
GRADE rated
6
No studies
18
Included studies
NR
No studies 18 · 75%Ungraded 0 · 0%Very low 0 · 0%Low 4 · 16.7%Moderate 2 · 8.3%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Behavioural interventions compared with usual care or no treatment for treating urinary incontinence after stroke
Population: people with stroke and urinary incontinence
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Number of participants continent after treatment Behavioural interventions vs usual care or no treatment | no estimate extracted | NR | No studies |
Number of incontinent episodes Behavioural interventions vs usual care or no treatment | no estimate extracted | 1 study · 18 participants | Low Downgraded: risk of bias, imprecision |
Perception of improvement or cure Behavioural interventions vs usual care or no treatment | no estimate extracted | NR | No studies |
Health status and quality of life assessed by Bristol Female Lower Urinary Tract Symptoms Questionnaire (quality of life items, score range 0, best case, to 18, worst case); mean total score Incontinence Impact Questionnaire (each subscale score r... Behavioural interventions vs usual care or no treatment | no estimate extracted | 2 studies · 55 participants | Low Downgraded: risk of bias, imprecision |
Functional ability Behavioural interventions vs usual care or no treatment | no estimate extracted | NR | No studies |
Adverse events Behavioural interventions vs usual care or no treatment | no estimate extracted | NR | No studies |
Specialised professional input interventions compared with usual care or no treatment for treating urinary incontinence after stroke
Population: people with stroke and urinary incontinence
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Number of participants continent after treatment ‐ three months Specialised professional input interventions vs usual care or no treatment | RR 1.28 [0.81, 2.02] | 1 study · 121 participants | Moderate Downgraded: risk of bias |
Number of incontinent episodes Specialised professional input interventions vs usual care or no treatment | no estimate extracted | NR | No studies |
Perception of improvement or cure Specialised professional input interventions vs usual care or no treatment | no estimate extracted | NR | No studies |
Health status and quality of life Specialised professional input interventions vs usual care or no treatment | no estimate extracted | NR | No studies |
Functional ability Specialised professional input interventions vs usual care or no treatment | no estimate extracted | NR | No studies |
Adverse events Specialised professional input interventions vs usual care or no treatment | no estimate extracted | NR | No studies |
Complementary therapy interventions compared with usual care or no treatment for treating urinary incontinence after stroke
Population: people with stroke and urinary incontinence
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Number of participants continent after treatment Complementary therapy interventions vs usual care or no treatment | RR 2.82 [1.57, 5.07] | 5 studies · 524 participants | Low Downgraded: risk of bias, imprecision |
Number of incontinent episodes Complementary therapy interventions vs usual care or no treatment | no estimate extracted | NR | No studies |
Perception of improvement or cure Complementary therapy interventions vs usual care or no treatment | no estimate extracted | NR | No studies |
Health status and quality of life Complementary therapy interventions vs usual care or no treatment | no estimate extracted | NR | No studies |
Functional ability Complementary therapy interventions vs usual care or no treatment | no estimate extracted | NR | No studies |
Adverse events Complementary therapy interventions vs usual care or no treatment | no estimate extracted | NR | No studies |
Physical therapy interventions compared with usual care or no treatment for treating urinary incontinence after stroke
Population: people with stroke and urinary incontinence
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Number of participants continent after treatment Physical therapy interventions vs usual care or no treatment | no estimate extracted | NR | No studies |
Number of incontinent episodes Physical therapy interventions vs usual care or no treatment | no estimate extracted | 2 studies · 142 participants | Low Downgraded: risk of bias, imprecision |
Perception of improvement or cure Physical therapy interventions vs usual care or no treatment | no estimate extracted | NR | No studies |
Health status and quality of life Physical therapy interventions vs usual care or no treatment | no estimate extracted | NR | No studies |
Functional ability: mean Barthel score (continuous variables) Physical therapy interventions vs usual care or no treatment | MD 8.97 [1.27, 16.68] | 81 participants | Moderate Downgraded: risk of bias, imprecision |
Adverse events Physical therapy interventions vs usual care or no treatment | no estimate extracted | NR | No studies |