Have you started doing pelvic floor exercises? More evidence they work. #ClinicSpeak #MSResearch #MSBlog
"The study below reinforces the message; pelvic floor exercises whether done actively or passively with electrical stimulation work. Amazingly they improved quality-of-life, symptoms of an overactive bladder, perineal contraction strength and anxiety and depression. If you want to start doing pelvic floor exercises you can use one the following self-help guides (guide 1, guide 2, guide 3, guide 4 for men) or you can ask your neurologist or nurse specialist to refer you."
"The following are the headline survey results you so kindly completed for me for the debate I did on this topic earlier this year. They confirm that this is an area that needs attention."
Epub: Ferreira et al. Impact of a Pelvic Floor Training Program Among Women with Multiple Sclerosis: A Controlled Clinical Trial. Am J Phys Med Rehabil. 2015 Apr 16.
OBJECTIVE: The objective of this study was to investigate the effects of two programs for strengthening the pelvic floor on the urinary incontinence of patients with multiple sclerosis (MS).
DESIGN: This is a prospective study of the clinical trial type, monitored for 6 mos, in which 24 women in the moderate stage of MS participated in a program of exercises for strengthening the pelvic floor-associated (experimental group) or not (control group) with electrotherapy. The variables analyzed were as follows: quality-of-life, overactivity of the bladder, perineal contraction, and level of anxiety and depression. The statistical procedures involved multivariate analyses of repeated measurements, with a significance of 5%.
RESULTS: Initial homogeneity being observed in the anthropometric and clinical variables, both protocols resulted in improvements in quality-of-life (P = 0.001), overactive bladder (P = 0.001), perineal contraction (P = 0.004), and level of anxiety (P = 0.001) and depression (P = 0.001), in relation to the initial comparison. The association of electrotherapy with strengthening exercises increased the improvement of the patients regarding overactive bladder (P = 0.039) and perineal contraction (P = 0.001), in comparison with the control group.
CONCLUSIONS: The results reinforce the benefit of exercises for strengthening the musculature of the pelvic floor in women with overactive bladder in MS and demonstrate a potential of the action when associated with electrotherapy.