Guided Versus Non-guided Pelvic Floor Exercises for Urinary Incontinen
Assessment of the Effectiveness of Guided by a Physiotherapist Versus Non-guided Pelvic Floor Exercises for Urinary Incontinence (UI) in Patients With Relapsing-Remitting (RR) Multiple Sclerosis
What it found
A paper reports the results; we have not read it yet. See Papers below.
What was tested
Treatment tested
- Pelvic floor exercises guided by a physiotherapist
- Non guided pelvic floor exercises
What it measured
Main measures
Decrease in the number of urinary leakages from baseline
12 weeks
Bladder, bowel and sexual function
Other measures (5)
Decrease of urinary incontinence severity from baseline
4,8 and 12 weeks
Bladder, bowel and sexual functionChange in quality of life from baseline
4,8 and 12 weeks
Bladder, bowel and sexual functionQuality of life (reported by participants)Decrease in the number of urinary leakages from baseline
4 and 8 weeks
Bladder, bowel and sexual functionLower urinary tract symptoms from baseline
4,8 and 12 weeks
Bladder, bowel and sexual functionAdherence
12 weeks
Physical functionQuality of life (reported by participants)
Who could take part
Relapsing MS · 18 to 65 · EDSS 0 to 4
Show the full criteria
Inclusion criteria
1. Diagnosed with Relapsing-Remitting Multiple Sclerosis 2. Diagnosed with Urinary Incontinence 3. Minimental Sate Examination (MMSE) scale: More than 24 4. Expanded Disability Status Scale (EDSS) scale: Bladder function 0-4; EDSS 0-6,5 5. Willing to participate in the study 6. Having Signed an informed consent
Exclusion criteria
1. Diagnosed with another neurological disease 2. Diagnosed with kidney diseases 3. Having a Relapse of the disease in the last 6 months 4. In Women: Pregnancy os postpartum \< 6 months 5. Having gone through surgery for urinary incontinence or prolapses or prostate diseases 6. Having gone through other treatment for pelvic floor 7. MMSE scale: Under 24 8. EDSS scale: Bladder function 5-6 or not knowing; EDSS 7-10 9. ICIQ-SF scale: Severity 19-21 10. Not willing to participate or sign the informed consent form or not able to understand the study
As registered. Criteria can change, so ask the trial team or your neurologist.
About this trial
In the sponsor's words
The aim of the study is to evaluate the effectiveness of guided versus non guided pelvic floor exercises for urinary incontinence in patients with Relapsing-Remitting Multiple Sclerosis
Papers
Results
Pelvic floor muscle training adapted for urinary incontinence in multiple sclerosis: a randomized clinical trial.Int Urogynecol J · 2020
Background
Quarto G, Autorino R, Gallo A, De Sio M, D'Armiento M, Perdona S, Damiano R. Quality of life in women with multiple sclerosis and overactive bladder syndrome. Int Urogynecol J Pelvic Floor Dysfunct. 2007 Feb;18(2):189-94. doi: 10.1007/s00192-006-0131-9. Epub 2006 May 13.Background
Gilpin SA, Gilpin CJ, Dixon JS, Gosling JA, Kirby RS. The effect of age on the autonomic innervation of the urinary bladder. Br J Urol. 1986 Aug;58(4):378-81. doi: 10.1111/j.1464-410x.1986.tb09089.x.Background
Lucio AC, Campos RM, Perissinotto MC, Miyaoka R, Damasceno BP, D'ancona CA. Pelvic floor muscle training in the treatment of lower urinary tract dysfunction in women with multiple sclerosis. Neurourol Urodyn. 2010 Nov;29(8):1410-3. doi: 10.1002/nau.20941.Background
De Ridder D, Vermeulen C, Ketelaer P, Van Poppel H, Baert L. Pelvic floor rehabilitation in multiple sclerosis. Acta Neurol Belg. 1999 Mar;99(1):61-4.Background
Litwiller SE, Frohman EM, Zimmern PE. Multiple sclerosis and the urologist. J Urol. 1999 Mar;161(3):743-57.
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History
Started
Oct 2015
Main results due
Oct 2016
Finished
Oct 2016