The effect of pelvic floor exercise program on incontinence and sexual dysfunction in multiple sclerosis patients
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Dosyalar
Tarih
2021
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Springer Science and Business Media B.V.
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Purpose: Multiple sclerosis (MS) is a chronic neuroinflammatory disease of the central nervous system that involves different neurological areas. In addition to lower urinary tract symptoms (LUTS), sexual dysfunction (SD), and psychopathological effects, MS sometimes seriously impairs the quality of life (QoL). We hypothesize that the pelvic floor exercise program (PFEP) could improve bladder, sexual function, depression, and QoL in MS patients. Methods: Patients diagnosed with MS completed the Incontinence Questionnaire Short Form (ICIQ-SF), the Beck Depression Inventory (BDI), the Multiple Sclerosis Quality of Life-54 (MSQoL-54) questionnaire, and either the Female Sexual Function Index (FSFI) or the Sexual Health Inventory for Men (SHIM). Maximum bladder volumes (MBV) and post-voiding residual (PVR) volumes were measured using ultrasonography. The patients who regularly completed the PFEP for 12 weeks were asked to fill out the questionnaires again, and their MBV and PVR were remeasured. Results: Seventy-two patients with relapsing–remitting multiple sclerosis (RRMS) were included in the study. Forty-two (58.3%) RRMS patients reached the end of the study. The patients’ post-PFEP average MBV statistically increased (p = 0.01). In contrast, no statistically significant difference was found in the PVR (p = 0.2). After exercise, the FSFI values in women increased (p = 0.02), and ICIQ-SF and BDI values in all the RRMS patients statistically decreased (p = 0.004, p = 0.01, respectively), but there was no improvement in the MSQoL-54 score (p > 0.05). Conclusion: PFEP, which causes a reduction in LUTS by enhancing the MBV of RRMS patients, can be seen as an investment in the future in terms of reducing depression in MS patients and preventing or delaying SD in women. © 2021, The Author(s), under exclusive licence to Springer Nature B.V. part of Springer Nature.
Açıklama
Anahtar Kelimeler
Depression, Lower urinary tract symptoms, MSQoL-54, Multiple sclerosis, Pelvic floor exercise program, Sexual function, adult, aged, Article, Beck Depression Inventory, bladder capacity, depression, echography, female, Female Sexual Function Index, human, Incontinence Questionnaire Short Form, major clinical study, male, multiple sclerosis, Multiple Sclerosis Quality of Life-54, pelvic floor muscle training, postvoid residual urine volume, questionnaire, scoring system, sexual dysfunction, sexual function, Sexual Health Inventory for Men score, therapy effect, urine incontinence, complication, kinesiotherapy, middle aged, multiple sclerosis, pelvis floor, quality of life, sexual dysfunction, urine incontinence, Adult, Aged, Exercise Therapy, Female, Humans, Male, Middle Aged, Multiple Sclerosis, Pelvic Floor, Quality of Life, Sexual Dysfunction, Physiological, Urinary Incontinence
Kaynak
International Urology and Nephrology
WoS Q Değeri
Q3
Scopus Q Değeri
Q2
Cilt
53
Sayı
6
