Pelvic floor muscle training in the treatment of lower urinary tract dysfunction in women with multiple sclerosis

2010 ◽  
Vol 29 (8) ◽  
pp. 1410-1413 ◽  
Author(s):  
Adélia Correia Lúcio ◽  
Renata Martins Campos ◽  
Maria Carolina Perissinotto ◽  
Ricardo Miyaoka ◽  
Benito Pereira Damasceno ◽  
...  
Clinics ◽  
2011 ◽  
Vol 66 (9) ◽  
pp. 1563-1568 ◽  
Author(s):  
Adélia Correia Lúcio ◽  
Maria Carolina Perissinoto ◽  
Ricardo Aydar Natalin ◽  
Alessandro Prudente ◽  
Benito Pereira Damasceno ◽  
...  

1996 ◽  
Vol 63 (4) ◽  
pp. 436-440
Author(s):  
D.B. Vodušek

Neural control of lower urinary tract function can in principle sustain two basic activities - urine storage and emptying. It can be conceptualised to consist of control elements for determining: the thresholds for detrusor and sphincter activation; the gain adjustments for their function; the filter and switch mechanisms to control flow of information. Lower urinary tract dysfunction can be due to a dysfunctioning neural control even if there is no overt neurological disease. Electrical stimulation can be applied not only to substitute for lost neural control, but also for achieving a clinically relevant improvement of the dysfunctional lower urinary tract. Depolarisation of motor and sensory fibres in sacral roots leads to pelvic floor contraction and inhibition of the (active) detrusor, and it is considered that longer periods of such stimulation lead to pelvic floor muscle hypertrophy, changes in motor unit metabolism and other changes. It is postulated that there are perhaps even more important effects on the central nervous system which can be conceptualised as modifications of the dysfunctional neural control (i.e. “neuromodulation”).


2020 ◽  
Vol 92 (2) ◽  
Author(s):  
Aybuke Ersin ◽  
Sule B. Demirbas ◽  
Fatih Tarhan

Aim: The aim of this non-controlled trial was to investigate the effects of a homebased pelvic floor muscle training (PFMT) and bladder training (BT) in urinary incontinence (UI) among women. Patients and methods: The study included 25 individuals who were diagnosed with UI. PFMT which strengthens pelvic floor muscles was described to patients in litotomy position with using digital palpation method. PFMT was given as homebased exercise program for six weeks, 7 days a week and ten times a day. BT was planned according to the symptoms of the patients. Assessments were done at the beginning and at the end of the six weeks exercise program. The outcome measures were UI severity measured by pad test and QoL measured by King’s Health Questionnaire. The secondary outcome measure was lower urinary tract symptoms and sexual health measured by Bristol Female Lower Urinary Tract Symptoms Index. Results: Pre- and post-treatment assessments done with pad test showed that there was a statistically significant decrease in the severity of UI (p = 0.002). The difference between preand post-treatment QoL scores (p = 0.001) and lower tract symptom scores were also statistically significant (p = 0.000). Conclusions: When PFMT and BT were given together there was a decrease in the symptoms and increases the QoL.


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