Acute Effect of Osteopathic Visceral Mobilization Techniques on Adductor Spasticity, Incontinence and Constipation in Multiple Sclerosis Patients

Status unknownNot a drug-phase studyMS (type not specified)NCT05981339

We could not find results for this trial

What it found

No results found

We found no results in the registry or in papers.

What was tested

Treatment tested

  • osteopathic manual therapy techniques

Given to everyone in the trial

  • breathing exercises

What it measured

Main measures

  • Spasticity Assessment

    Change from MAS scale at one week

    Spasticity
  • Evaluation of Pelvic Floor Muscle Activity

    Change from Muscle Activity scale at one week

  • International Consultation on Incontinence Questionnaire Short Form ICIQ-SF

    Change from ICIQ-SF at one week

    Bladder, bowel and sexual functionQuality of life (reported by participants)
  • Constipation Quality of Life Scale: Constipation Quality of Life Scale (CIQS)

    Change from CIQS at one week

    Bladder, bowel and sexual functionMood and sleepQuality of life (reported by participants)

Who could take part

MS (type not specified) · 18 and over

Show the full criteria

Inclusion criteria

* Diagnosis of Multiple Sclerosis * The age of 18 years and the older * Individuals with stable medical condition * Having complaints of urinary dysfunction for at least 6 months, * Mini Mental test score > 24 points * EDDS less than 6.5 (0-6.5 points will be) * Volunteering to participate in the study

Exclusion criteria

* Having cognitive problems * Presence of pelvic organ prolapse or prostate * Pregnancy * Abdominal surgery history * Presence of urinary system infection * Continuing drug use for overactive bladder * Having received pelvic floor muscle training * Concomitant other neurological or kidney disease

As registered. Criteria can change, so ask the trial team or your neurologist.

About this trial

In the sponsor's words

Multiple Sclerosis (MS), caused by lesions in the white matter of the central nervous system, is an autoimmune inflammatory demyelinating chronic disease. The disease may present with many findings from fatigue, spasticity, balance and gait disturbances to bladder-bowel dysfunction (Ferreira, A.P.S., et al., 2019). When the rehabilitation methods for incontinence were examined, pelvic floor muscle training, tibial nerve stimulation and sacral neuromodulation were frequently encountered (Rahnama'I, MS., 2020). Pelvic floor muscle training should create an effective result in MS patients, and the training should be done for a long time, such as 8-12 weeks. No study has been found examining the effects of manual therapy techniques and diaphragmatic breathing exercise in the acute phase in functional or neurogenic bladder-intestinal dysfunctions.

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History

    1. Started

      Aug 2023

    2. Main results due

      Sept 2023

    3. Finished

      Sept 2023

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