Effects of Telerehabilitation-Based Pelvic Floor Muscle Training in Pe
Effects of Telerehabilitation-Based Pelvic Floor Muscle Training on Urinary Incontinence, Sexual Function and Quality of Life in People With Multiple Sclerosis
What it found
A paper reports the results; we have not read it yet. See Papers below.
What was tested
Treatment tested
- Telerehabilitation-based pelvic floor muscle training
Compared with
- Home-based pelvic floor muscle training
What it measured
Main measures
Feasibility of the methods-minimum recruitment rate
Through Study Completion, an Average of 8 Weeks
FeasibilityFeasibility of the methods-minimum retention rate
Through Study Completion, an Average of 8 Weeks
FeasibilityFeasibility of the methods-minimum adherence rate
Through Study Completion, an Average of 8 Weeks
Quality of life (reported by participants)FeasibilityFeasibility of the methods-adverse events
Through Study Completion, an Average of 8 Weeks
SafetyFeasibilityChange in Leakage Episodes
The assessments will be applied at baseline, 4, 8, and 12 weeks.
Bladder, bowel and sexual function
Other measures (12)
Expanded Disability Status Scale (EDSS)
The assessment will be applied at baseline.
Disability progressionBladder, bowel and sexual functionChange in Patient-Determined Disease Steps Scale (PDDS) Score
The assessments will be applied at baseline and 8 weeks.
Disability progressionWalking and mobilityChange in Brief International Cognitive Assessment for MS-Symbol Digit Modalities Test Score
The assessments will be applied at baseline and 8 weeks.
Thinking and memoryChange in Brief International Cognitive Assessment for MS-California Verbal Learning Test-Second Edition Score
The assessments will be applied at baseline and 8 weeks.
Thinking and memoryChange in Brief International Cognitive Assessment for MS-Brief Visuospatial Memory Test-Revised Score
The assessments will be applied at baseline and 8 weeks.
Thinking and memoryChange in Pad Usage
The assessments will be applied at baseline, 4, 8, and 12 weeks.
Bladder, bowel and sexual functionChange in International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form Score
The assessments will be applied at baseline, 4, 8, and 12 weeks.
Bladder, bowel and sexual functionQuality of life (reported by participants)Change in Overactive Bladder-Validated 8-Question (OAB-V8) Score
The assessments will be applied at baseline, 4, 8, and 12 weeks.
Bladder, bowel and sexual functionChange in EuroQOL 5-Dimension 3-Level Questionnaire Score
The assessments will be applied at baseline, 4, 8, and 12 weeks.
Walking and mobilityPainMood and sleepQuality of life (reported by participants)Change in Multiple Sclerosis Intimacy and Sexuality Questionnaire-19 (MSISQ-19) Score
The assessments will be applied at baseline, 4, 8, and 12 weeks.
MRI lesionsBladder, bowel and sexual functionQuality of life (reported by participants)
Who could take part
MS (type not specified) · 18 to 65
Show the full criteria
Inclusion criteria
* Having been diagnosed with MS according to McDonald diagnostic criteria * Having urinary incontinence * EDSS score less than 8 * Have the cognitive capacity to complete the assessment and treatment protocol
Exclusion criteria
* Pregnancy * Pelvic surgery history * A history of cesarean or vaginal delivery within 6 months prior to the study * Progressive disability (1 point increase in EDSS) or attacks in the last 3 months * Having received pelvic floor muscle training in the last 6 months * Have had or are receiving treatment for pelvic organ prolapse Patients receiving pharmacological therapy for incontinence whose dose has not changed over the past 3 months will be included, but will be excluded if the dose changes during the study.
As registered. Criteria can change, so ask the trial team or your neurologist.
About this trial
In the sponsor's words
The effectiveness of pelvic floor muscle training on urinary incontinence and sexual function has been known for many years. However, the evaluation of its effectiveness in people with Multiple Sclerosis (MS) has recently begun and the level of evidence is limited. In addition, the applicability of pelvic floor muscle training based on telerehabilitation in the presence of a physiotherapist has not been investigated before. The aims of this study; 1. The main aim of this study is to evaluate the feasibility and acceptability of telerehabilitation-based pelvic floor muscle training under the guidance of a physiotherapist, which will be applied for the first time. 2. Another aim is to compare this method with the effects of not receiving treatment other than usual treatment or receiving home-based pelvic floor muscle training on urinary incontinence, sexual dysfunction and psychosocial outcomes. The participants will randomly be allocated into three groups: (1) Telerehabilitation-based pelvic floor muscle training, (2) Home-based pelvic floor muscle training, and (3) Control group Telerehabilitation-based pelvic floor muscle training group will individually receive telerehabilitation-based pelvic floor muscle training under the guidance of a physiotherapist 2 sessions per week for 8 weeks. Participants will do their exercises themselves 2 times on the days where sessions are held with a physiotherapist. Participants will continue to exercise 3 times a day in the remaining days. The home-based pelvic floor muscle training group will do their individual exercises 3 times a day for 8 weeks. The control group will receive no specific training
Papers
Loading reviews and guidelines…
History
Started
Feb 2021
Main results due
Nov 2021
Finished
Nov 2021