The Relationship Between Urinary Incontinence and Motor Symptoms in Patients with Stroke

Pınar Yaşar; Mehmet Duray; Süleyman Kutluhan; Vedat Ali Yürekli

doi:10.17343/sdutfd.1723093

The Relationship Between Urinary Incontinence and Motor Symptoms in Patients with Stroke

Abstract

Objective: This study aims to evaluate the relationship between post-stroke urinary incontinence and the severity of spasticity, balance, and gait performance. Material and Method: This cross-sectional study was conducted with 46 patients with stroke. The Modified Rankin Scale (MRS) was used to determine the functional status of the participants. A 24-hour pad test was performed to assess urinary incontinence, and the Danish Prostate Symptom Score (DANN-PSS) was utilized to evaluate urinary function. Spasticity, as one of the motor symptoms, was assessed using the Modified Ashworth Scale (MAS), while balance and gait were evaluated through the Tinetti Balance and Gait Assessment. Results: The mean age of patients with urinary incontinence was significantly higher than that of those without incontinence (p<0.05). When comparing balance and gait performance between groups, the balance scores of the incontinent group were found to be significantly lower (p<0.05), whereas no significant difference was observed in gait scores (p>0.05). According to the Tinetti test results, both the balance and total scores were significantly lower in the group with urinary incontinence (p<0.05). Conclusion: While urinary incontinence in post-stroke patients was not associated with spasticity, it was negatively associated with balance and, to a lesser extent, walking performance. These findings suggest that UI may contribute to functional dependence by indirectly affecting motor functions.

Keywords

Supporting Institution

This research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors.

Ethical Statement

Ethical approval was obtained from the Clinical Research Ethics Committee of the Faculty of Medicine, Süleyman Demirel University (Date: 16.11.2021, Protocol No: 72867572-050.01.04-320). Informed consent forms were obtained from the participants in accordance with the principles of the Declaration of Helsinki.

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Details

Primary Language

English

Subjects

Health Physics

Journal Section

Research Article

Authors

Pınar Yaşar ^*
0000-0002-6671-0238
Türkiye

Mehmet Duray
0000-0002-3764-215X
Türkiye

Süleyman Kutluhan
0000-0001-9749-2467
Türkiye

Vedat Ali Yürekli
0000-0002-2042-4463
Türkiye

Publication Date

December 1, 2025

Submission Date

June 19, 2025

Acceptance Date

September 4, 2025

Published in Issue

Year 2025 Volume: 32 Number: 4

DOI

https://doi.org/10.17343/sdutfd.1723093

IZ

https://izlik.org/JA45PR73UD

Cite

RIS / Bibtex

APA

Yaşar, P., Duray, M., Kutluhan, S., & Yürekli, V. A. (2025). The Relationship Between Urinary Incontinence and Motor Symptoms in Patients with Stroke. Medical Journal of Süleyman Demirel University, 32(4), 291-298. https://doi.org/10.17343/sdutfd.1723093

AMA

1.Yaşar P, Duray M, Kutluhan S, Yürekli VA. The Relationship Between Urinary Incontinence and Motor Symptoms in Patients with Stroke. Med J SDU. 2025;32(4):291-298. doi:10.17343/sdutfd.1723093

Chicago

Yaşar, Pınar, Mehmet Duray, Süleyman Kutluhan, and Vedat Ali Yürekli. 2025. “The Relationship Between Urinary Incontinence and Motor Symptoms in Patients With Stroke”. Medical Journal of Süleyman Demirel University 32 (4): 291-98. https://doi.org/10.17343/sdutfd.1723093.

EndNote

Yaşar P, Duray M, Kutluhan S, Yürekli VA (December 1, 2025) The Relationship Between Urinary Incontinence and Motor Symptoms in Patients with Stroke. Medical Journal of Süleyman Demirel University 32 4 291–298.

IEEE

[1]P. Yaşar, M. Duray, S. Kutluhan, and V. A. Yürekli, “The Relationship Between Urinary Incontinence and Motor Symptoms in Patients with Stroke”, Med J SDU, vol. 32, no. 4, pp. 291–298, Dec. 2025, doi: 10.17343/sdutfd.1723093.

ISNAD

Yaşar, Pınar - Duray, Mehmet - Kutluhan, Süleyman - Yürekli, Vedat Ali. “The Relationship Between Urinary Incontinence and Motor Symptoms in Patients With Stroke”. Medical Journal of Süleyman Demirel University 32/4 (December 1, 2025): 291-298. https://doi.org/10.17343/sdutfd.1723093.

JAMA

1.Yaşar P, Duray M, Kutluhan S, Yürekli VA. The Relationship Between Urinary Incontinence and Motor Symptoms in Patients with Stroke. Med J SDU. 2025;32:291–298.

MLA

Yaşar, Pınar, et al. “The Relationship Between Urinary Incontinence and Motor Symptoms in Patients With Stroke”. Medical Journal of Süleyman Demirel University, vol. 32, no. 4, Dec. 2025, pp. 291-8, doi:10.17343/sdutfd.1723093.

Vancouver

1.Pınar Yaşar, Mehmet Duray, Süleyman Kutluhan, Vedat Ali Yürekli. The Relationship Between Urinary Incontinence and Motor Symptoms in Patients with Stroke. Med J SDU. 2025 Dec. 1;32(4):291-8. doi:10.17343/sdutfd.1723093