Araştırma Makalesi

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

Cilt: 32 Sayı: 4 1 Aralık 2025
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The Relationship Between Urinary Incontinence and Motor Symptoms in Patients with Stroke

Öz

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.

Anahtar Kelimeler

Destekleyen Kurum

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

Etik Beyan

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.

Kaynakça

  1. 1. Suskind AM, Cawthon PM, Nakagawa S, et al. Urinary incontinence in older women: The role of body composition and muscle strength: From the health, aging, and body composition study. J Am Geriatr Soc 2017;65(1):42–50.
  2. 2. Wang S, Kang H, Wang Q, et al. Incidence and influencing factors of urinary incontinence in stroke patients: A meta-analysis. Neurourol Urodyn 2024;43(3):680–93.
  3. 3. Kohler M, Mayer H, Kesselring J, Saxer S. Urinary incontinence in stroke survivors – Development of a programme theory. J Clin Nurs 2020;29(15–16):3089–96.
  4. 4. Sadeghi MA, Hemmati S, Razavi SZE, Vahabizad F, Yekaninejad MS, Azadvari M. Prevalence and features of post-stroke urinary incontinence: A Retrospective cohort study. Arch Iran Med [Internet] 2023;26(5):234–40. Available from: https://doi.org/10.34172/aim.2023.36.
  5. 5. Arkan G, Beser A, Ozturk V. Experiences related to urinary incontinence of stroke patients: A qualitative descriptive study. J Neurosci Nurs 2018;50(1):42–7.
  6. 6. Tibaek S, Gard G, Klarskov P, Iversen HK, Dehlendorff C, Jensen R. Are activity limitations associated with lower urinary tract symptoms in stroke patients? A cross-sectional, clinical survey. Scand J Urol Nephrol 2009;43(5):383–9.
  7. 7. Bilir Kaya B. Role of gender on quality of life and functional status in stroke patients with urinary incontinance. South Clin Istanbul Eurasia 2019;30(1):77–82.
  8. 8. Thomas L, Coupe J, Cross L, Tan A, Watkins C. Interventions for treating urinary incontinence after stroke in adults. Cochrane Database Syst Rev 2019;2.

Ayrıntılar

Birincil Dil

İngilizce

Konular

Sağlık Fiziği

Bölüm

Araştırma Makalesi

Yayımlanma Tarihi

1 Aralık 2025

Gönderilme Tarihi

19 Haziran 2025

Kabul Tarihi

4 Eylül 2025

Yayımlandığı Sayı

Yıl 2025 Cilt: 32 Sayı: 4

Kaynak Göster

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. SDÜ Tıp Fak Derg. 2025;32(4):291-298. doi:10.17343/sdutfd.1723093
Chicago
Yaşar, Pınar, Mehmet Duray, Süleyman Kutluhan, ve 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 (01 Aralık 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, ve V. A. Yürekli, “The Relationship Between Urinary Incontinence and Motor Symptoms in Patients with Stroke”, SDÜ Tıp Fak Derg, c. 32, sy 4, ss. 291–298, Ara. 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 (01 Aralık 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. SDÜ Tıp Fak Derg. 2025;32:291–298.
MLA
Yaşar, Pınar, vd. “The Relationship Between Urinary Incontinence and Motor Symptoms in Patients with Stroke”. Medical Journal of Süleyman Demirel University, c. 32, sy 4, Aralık 2025, ss. 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. SDÜ Tıp Fak Derg. 01 Aralık 2025;32(4):291-8. doi:10.17343/sdutfd.1723093

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