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[Physiotherapy and neurogenic lower urinary tract dysfunction in multiple sclerosis patients: a randomized controlled
L Gaspard1, B Tombal2, R-J Opsomer2
1Université catholique de Louvain, Institute of NeuroScience, 10, avenue Hippocrate, 1200 Bruxelles, Belgique; Service de médecine physique et réadaptation, université catholique de Louvain, cliniques universitaires Saint-Luc, 10, avenue Hippocrate, 1200 Bruxelles, Belgique.
Summary
Both pelvic floor muscle training and transcutaneous posterior tibial nerve stimulation effectively improved urgency symptoms in multiple sclerosis patients. These treatments offered similar benefits for managing overactive bladder and improving quality of life.
Area of Science:
- Neurology
- Urology
- Rehabilitation Medicine
Context:
- Multiple sclerosis (MS) frequently causes lower urinary tract symptoms, impacting quality of life.
- Urinary urgency and overactive bladder are common debilitating symptoms in MS patients with mild disability.
Purpose:
- To compare the efficacy of pelvic floor muscle training (PFMT) with transcutaneous posterior tibial nerve stimulation (TTNS) for managing urinary urgency in MS patients.
- To evaluate the impact of PFMT and TTNS on quality of life and overactive bladder symptoms.
Summary:
- This randomized controlled trial included 31 MS patients with lower urinary tract symptoms.
- Both PFMT and TTNS groups showed significant improvements in quality of life, overactive bladder scores, and urgency episodes.
- No significant differences were observed between the PFMT and TTNS groups in the primary or secondary outcomes.
Impact:
- Pelvic floor muscle training and transcutaneous posterior tibial nerve stimulation are equally effective conservative treatment options for urinary urgency in MS.
- These findings support the use of non-invasive therapies to improve bladder control and quality of life in MS patients.
