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Published on: January 29, 2016
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The relationship between bladder functions, pelvic floor muscle strength, fall, and fatigue in multiple sclerosis
Halime Ceren Tezeren1, Ilke Keser2, Ilker Sen3
1Baskent University, Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Ankara, Turkey.
Multiple Sclerosis and Related Disorders
|October 1, 2023
Summary
Patients with Multiple Sclerosis (MS) and mild bladder issues experience less fatigue and fear of falling, alongside stronger pelvic floor muscles and better quality of life compared to those with moderate to severe bladder dysfunction.
Area of Science:
- Neurology
- Rehabilitation Medicine
- Urology
Background:
- Multiple Sclerosis (MS) significantly impacts neurological function, often leading to bladder dysfunction.
- Bladder issues in MS can affect fatigue, quality of life (QoL), and fall risk.
- Pelvic floor muscle (PFM) strength is a potential factor influencing these symptoms.
Purpose of the Study:
- To investigate the relationship between bladder function severity and PFM strength, fatigue, QoL, and fear of falling in patients with MS (PwMS).
Main Methods:
- PwMS were categorized into two groups based on Expanded Disability Status Scale (EDSS) bladder scores: mild (0-1) and moderate/severe (2-4).
- Evaluated PFM strength (EMG-Biofeedback), fear of fall (Fall Efficacy Scale - FES-I), fatigue (Fatigue Severity Scale - FSS), and QoL (Urogenital Distress Inventory - UDI-6, Incontinence Impact Questionnaire - IIQ-7).
Main Results:
- 46 female PwMS participated. Mildly affected patients (Group 1) showed significantly better outcomes than moderately/severely affected patients (Group 2).
- Group 1 had higher PFM strength (79.5 vs 41.7), lower FSS scores (38.7 vs 54), lower FES-I scores (16.9 vs 40.2), lower UDI-6 scores (4.24 vs 8.42), and lower IIQ-7 scores (3.64 vs 18.2).
- Statistically significant differences (p<0.05) confirmed less fatigue, reduced fall risk, greater PFM strength, and improved QoL in the mildly affected group.
Conclusions:
- Bladder function severity in MS is significantly associated with PFM strength, fall risk, fatigue levels, and overall QoL.
- Interventions targeting PFM strength may improve functional outcomes and QoL for PwMS with bladder dysfunction.
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