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A Controlled Clinical Trial on the Effects of Exercise on Lower Urinary Tract Symptoms in Women With Multiple
Ana Paula Silva Ferreira1, Ana Beatriz Gomes de Souza Pegorare, Ari Miotto Junior
1From the Faculty of Medicine, Universidade Federal de Mato Grosso do Sul, Campo Grande, Mato Grosso do Sul, Brazil (APSF, GC); Institute of Health, Universidade Federal de Mato Grosso do Sul, Campo Grande, Mato Grosso do Sul, Brazil (ABGdSP, GC); UroVida Medical Outpatient Clinic, Campo Grande, Mato Grosso do Sul, Brazil (AMJ); Multiple Sclerosis Outpatient Center, Hospital Universitário Maria Aparecida Pedrossian, Universidade Federal de Mato Grosso do Sul, Campo Grande, Mato Grosso do Sul, Brazil (PRS); and Department of Design, Universidade Estadual Paulista, São Paulo, Brazil (FOM).
Objective:
The aim of the study was to investigate the effects of two pelvic floor exercise programs on lower urinary tract symptoms and quality of life in participants with multiple sclerosis.
Design:
This is a prospective, single-blind, clinical trial.
Settings:
The study used a community rehabilitation program within a large metropolitan health service.
Participants:
Thirty women in moderate stage of multiple sclerosis were referred for outpatient rehabilitation.
Interventions:
In a period of 6 mos, participants underwent a pelvic floor exercise program, associated or not with vaginal electrotherapy.
Main Outcomes:
The main outcomes are overactive bladder, perineal contraction, and quality of life.
Results:
The findings showed benefits of both programs on overactive bladder and quality of life. Participants undergoing exercise plus electrotherapy presented greater improvement on contraction of the perineal musculature and quality of life.
Conclusions:
Six months of exercise provided benefits on lower urinary tract symptoms and quality of life in women with multiple sclerosis. Electrical stimulation potentiated the improvement on perineal musculature and quality of life. This trial was registered prospectively with the Clinical Trials Register, ID: BR-287q65 (http://www.ensaiosclinicos.gov.br/rg/RBR-287q65/).
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