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Randomized Controlled Trial
. 2014 Oct 21;4(10):e006326.
doi: 10.1136/bmjopen-2014-006326.

Efficacy and safety of ginger-salt-indirect moxibustion for urge urinary incontinence after stroke: protocol for a pilot multicentre randomised controlled trial

Affiliations
Randomized Controlled Trial

Efficacy and safety of ginger-salt-indirect moxibustion for urge urinary incontinence after stroke: protocol for a pilot multicentre randomised controlled trial

Linpeng Wang et al. BMJ Open. .

Abstract

Introduction: Ginger-salt-indirect moxibustion is widely applied to treat urge urinary incontinence after stroke, which is a common complication in stroke survivors. Moxa cone moxibustion and moxa box moxibustion are the main techniques of ginger-salt-indirect moxibustion. Our previous study had shown that ginger-salt-indirect moxibustion using moxa cones was feasible and effective for urination disorders post-stroke. This pilot study aims to assess the feasibility of conducting research to evaluate the efficacy and safety of ginger-salt-indirect moxibustion for patients with post-stroke urge urinary incontinence.

Methods and analysis: This is a multicentre, prospective, single-blinded, pilot randomised controlled trial. 120 eligible patients will be randomly allocated to three groups. Treatment group A (n=40) will receive moxa cone moxibustion and routine care; treatment group B (n=40) will receive moxa box moxibustion and routine care; control group (n=40) will only receive routine care for stroke recovery. The entire moxibustion treatment will consist of a total of 28 sessions during the course of 4 weeks. The primary outcome measure will be the increase in mean volume per void assessed at week 4 from the first moxibustion session (baseline). Secondary outcome measures will include mean frequency of urination per day and quality of life assessments measured by completion of the Incontinence Quality of Life Questionnaire and Barthel Index. All outcome measures will be assessed at baseline and at 4 and 16 weeks from baseline. Adverse events in the three groups will be recorded to assess the safety of moxibustion.

Ethics and dissemination: Research ethics was approved by the Research Ethical Committee of Beijing Hospital of Traditional Chinese Medicine Affiliated to the Capital Medical University (ref: 2013BL-094). Written informed consent will be obtained from all participants. Study results will be published in peer reviewed journals.

Trial registration number: ISRCTN 44706974.

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Figures

Figure 1
Figure 1
Trial flowchart.
Figure 2
Figure 2
Moxa cone moxibustion.
Figure 3
Figure 3
Moxa box moxibustion.
Figure 4
Figure 4
72 h frequency–volume chart.

References

    1. Abrams P, Andersson KE, Birder L, et al. . Fourth International Consultation on Incontinence Recommendations of the International Scientific Committee: evaluation and treatment of urinary incontinence, pelvic organ prolapse, and fecal incontinence. Neurourol Urodyn 2010;29:213–40 - PubMed
    1. Brittain KR, Peet SM, Potter JF, et al. . Prevalence and management of urinary incontinence in stroke survivors. Age Ageing 1999;28:509–11 - PubMed
    1. Marinkovic SP, Badlani G. Voiding and sexual dysfunction after cerebrovascular accidents. J Urol 2001;165:359–70 - PubMed
    1. Booth J, Kumlien S, Zang Y, et al. Rehabilitation nurses practices in relation to urinary incontinence following stroke: a cross-cultural comparison. J Clin Nurs 2009;18:1049–58 - PubMed
    1. Williams MP, Srikanth V, Bird M, et al. . Urinary symptoms and natural history of urinary continence after first-ever stroke—a longitudinal population-based study. Age Ageing 2012;41:371–6 - PubMed

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