Effects of behavioural therapy versus interferential current on bladder dysfunction in multiple sclerosis patients; a...

Area of Science:

• Neurology
• Urology
• Rehabilitation Medicine

Background:

• Bladder dysfunction is a common and debilitating symptom in patients with multiple sclerosis (MS).
• Secondary progressive multiple sclerosis (SPMS) often presents with significant lower urinary tract symptoms.
• Effective management strategies are crucial for improving the quality of life in MS patients.

Purpose of the Study:

• To evaluate the efficacy of behavioral therapy (biofeedback) compared to interferential current in managing bladder dysfunction in SPMS patients.
• To assess the impact of these interventions on urodynamic parameters such as detrusor pressure and maximum flow rate.

Main Methods:

• A randomized study involving 50 SPMS patients with bladder dysfunction.
• Participants were divided into two groups: Group A (behavioral therapy/biofeedback) and Group B (interferential current).
• Urodynamic assessments were performed before and after an eight-week intervention period.

Main Results:

• Both groups demonstrated significant improvements in detrusor pressure and maximum flow rate post-intervention.
• No statistically significant difference was found between the two treatment methods.
• Clinical observation suggested a slightly greater improvement in the behavioral therapy group.

Conclusions:

• Behavioral therapy (biofeedback) and interferential current are effective in managing bladder dysfunction in SPMS.
• While both methods show positive outcomes, behavioral therapy may offer more pronounced benefits based on close observation.