Pelvic Floor Muscle Training and Its Benefits for Multiple Sclerosis Patients Suffering From Urinary Incontinence and Sexual Dysfunction.

multiple sclerosis pelvic floor muscle training quality of life sexual function urinary incontinence

Journal

Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737

Informations de publication

Date de publication:
Oct 2023
Historique:
accepted: 15 10 2023
medline: 19 10 2023
pubmed: 19 10 2023
entrez: 19 10 2023
Statut: epublish

Résumé

Several reports have been published during the last decade studying the effect of pelvic floor muscle training (PFMT) in treating urinary incontinence and sexual dysfunction in multiple sclerosis (MS) patients. The aim of the current study is to bring up-to-date findings of earlier systematic reviews, taking into account data published up till June 2023. Databases such as PubMed, Scopus, and EBSCOhost were screened for randomized controlled studies, clinical trials, and systematic reviews. The keywords for the current review were MS, urinary incontinence, sexual function, and PFMT. The implementation of predetermined eligibility criteria permitted an appropriate and convenient study selection. English language publications alone were considered. After removing duplicates and screening the initially recovered articles, an initial search within the present review identified 19 studies. Finally, 10 randomized control trials and two systematic reviews were eligible for evaluation and included in the current review. The outcome measures were the severity of incontinence or overactive bladder, leakage episodes, sexual dysfunction, health-related quality of life, and adherence to PFMT. PFMT is a convenient and effective treatment tool that can significantly improve health-related quality of life and reduce the severity of urinary incontinence and overactive bladder symptoms in people with MS. The present review confirms the effectiveness of specific exercises on leakage episodes, pad usage, sexual dysfunction, compliance to treatment, and treatment satisfaction. Further research is needed to strengthen the reported results.

Identifiants

pubmed: 37854478
doi: 10.7759/cureus.47086
pmc: PMC10579838
doi:

Types de publication

Journal Article Review

Langues

eng

Pagination

e47086

Informations de copyright

Copyright © 2023, Sapouna et al.

Déclaration de conflit d'intérêts

The authors have declared that no competing interests exist.

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Auteurs

Vaia Sapouna (V)

Physical Therapy Department, Physical Medicine and Rehabilitation Centre Kentavros, Volos, GRC.
Physiotherapy Department, University of Thessaly, Lamia, GRC.

Sofia Thanopoulou (S)

Physical Therapy Department, Physical Medicine and Rehabilitation Centre Kentavros, Volos, GRC.

Dimitrios Papriakas (D)

Physical Therapy Department, Physical Medicine and Rehabilitation Centre Kentavros, Volos, GRC.

Styliani Papakosta (S)

Physical Medicine and Rehabilitation Department, Physical Medicine and Rehabilitation Centre Kentavros, Volos, GRC.

Maria Sakopoulou (M)

Neurology Department, Physical Medicine and Rehabilitation Centre Kentavros, Volos, GRC.

Dimitrios Zachariou (D)

Orthopedic Department, National and Kapodistrian University of Athens, KAT General Hospital, Athens, GRC.

Athanasios Zikopoulos (A)

Obstetrics and Gynecology Department, Royal Cornwall Hospital, Cornwall, GBR.

Aris Kaltsas (A)

Urology Department, University of Ioannina, Ioannina, GRC.

Nikolaos Vrachnis (N)

Obstetrics and Gynecology Department, National and Kapodistrian University of Athens, Attikon Hospital, Athens, GRC.

Dionysios Vrachnis (D)

Clinical Therapeutics Department, National and Kapodistrian University of Athens, Alexandra Hospital, Athens, GRC.

Nikolaos Sofikitis (N)

Urology Department, University of Ioannina, Ioannina, GRC.

Athanasios Zachariou (A)

Urology Department, University of Ioannina, Ioannina, GRC.

Classifications MeSH