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Effects of Pelvic Floor Strengthening and Relaxation Exercises in Women Diagnosed With Multiple Sclerosis

CompletedNA

Sponsor: Gazi University

Conditions: Multiple Sclerosis, Neurogenic Bladder Disorder, Pelvic Floor Muscle Exercise

Interventions: Pelvic Floor Strengthening Exercises, Pelvic Floor Relaxation Exercises, Combined Pelvic Floor Exercises

Countries: Turkey (Türkiye)

The aim of this study was to compare the effects of pelvic floor strengthening and relaxation exercises on lower urinary tract dysfunction (LUTD), depression and quality of life (QoL) in women with Multiple Sclerosis (WwMS). The main questions it aims to answer are: * Are pelvic floor relaxation exercises effective on lower urinary tract dysfunction (LUTD)? * Is there a difference in the effect on LUTD symptoms between pelvic floor strengthening exercises and relaxation exercises? Participants were divided into three groups: pelvic floor strengthening, relaxation and combined (both pelvic floor strengthening and relaxation together) exercise groups. Participants were called every week for 8 weeks and an online session was held one day per week. Participants were asked to perform the exercises 3 times a day, every other day. Urogenital Distress Inventory (UDI-6), Incontinence Impact Questioonaire (IIQ-7), International Consultation on Incontinence Questionnaire-Short form (ICIQ-SF), Overactive Bladder Assessment Form (OAB-V8), 24-Hour Voiding Diary and Patient Health Questionnaire (PHQ) were used to evaluate.

Eligibility overview

Sex: FEMALE

Age: 18 Years to —

Healthy volunteers: No

Study type: INTERVENTIONAL

Eligibility criteria

Inclusion Criteria:

Participants were eligible to participate if they:

* were female and aged 18 years or older,
* had a score of less than 6.5 on the Expanded Disability Status Scale (EDSS) and were ambulatory,
* experienced neurogenic LUTD such as urgency, urge UI, urinary frequency, and nocturia,
* had normal cognitive function, defined as a score above 24 on the Standardized Mini-Mental State Examination (SMMSE)-Turkish version.

Exclusion Criteria:

* Participants were excluded if they:

  * had spasticity in the lower extremity muscles, particularly in the adductors,
  * experienced an MS relapse within the previous two months,
  * had a current urinary tract infection,
  * were pregnant,
  * had undergone urogynecological surgery within the past six months,
  * lacked access to or the ability to use tools required for telerehabilitation (e.g., internet, camera, microphone, or smartphone).

Locations (1)

Ankara, Çankaya, Turkey (Türkiye)