Effects of Telerehabilitation-Based Pelvic Floor Muscle Training in People With Multiple Sclerosis
Condition: Multiple Sclerosis; Urinary Incontinence
MeSH terms: Multiple Sclerosis; Urinary Incontinence; Enuresis; Sclerosis
Study type: Interventional

Summary: 
      The effectiveness of pelvic floor muscle training on urinary incontinence and sexual function
      has been known for many years. However, the evaluation of its effectiveness in people with
      Multiple Sclerosis (MS) has recently begun and the level of evidence is limited. In addition,
      the applicability of pelvic floor muscle training based on telerehabilitation in the presence
      of a physiotherapist has not been investigated before.

      The aims of this study;

        1. The main aim of this study is to evaluate the feasibility and acceptability of
           telerehabilitation-based pelvic floor muscle training under the guidance of a
           physiotherapist, which will be applied for the first time.

        2. Another aim is to compare this method with the effects of not receiving treatment other
           than usual treatment or receiving home-based pelvic floor muscle training on urinary
           incontinence, sexual dysfunction and psychosocial outcomes.

      The participants will randomly be allocated into three groups: (1) Telerehabilitation-based
      pelvic floor muscle training, (2) Home-based pelvic floor muscle training, and (3) Control
      group Telerehabilitation-based pelvic floor muscle training group will individually receive
      telerehabilitation-based pelvic floor muscle training under the guidance of a physiotherapist
      2 sessions per week for 8 weeks. Participants will do their exercises themselves 2 times on
      the days where sessions are held with a physiotherapist. Participants will continue to
      exercise 3 times a day in the remaining days. The home-based pelvic floor muscle training
      group will do their individual exercises 3 times a day for 8 weeks. The control group will
      receive no specific training
    

Detailed description: 
      Both intervention groups will follow the same pelvic floor muscle training protocol for 8
      weeks, but the home-based group will follow the exercise protocol individually while the
      telerehabilitation-based group will follow the telerehabilitation-based under the guidance of
      the physiotherapist.

      Exercises will be applied 3 times a day according to the specified protocol. An information
      leaflet will be distributed to the home exercise group. The telerehabilitation-based group
      will receive telerehabilitation-based pelvic floor muscle training under the guidance of a
      physiotherapist individually for 2 sessions a week, the patient will do the exercises twice a
      day in the days of the sessions with the physiotherapist, and the remaining days will
      continue to do it 3 times a day like a home exercise group. The control group will not
      receive treatment other than their routine treatment, and the patients will be informed that
      they will be treated if they wish at the end of the study.

      The progression in Pelvic Floor Muscle Training will be achieved by increasing the exercise
      volume and diversifying the positions. The assessments will be applied at baseline, 4, 8, and
      12 weeks.
    

Intervention name(s): Telerehabilitation-based pelvic floor muscle training; Home-based pelvic floor muscle training
Intervention type(s): Behavioral; Behavioral
Intervention description(s): Telerehabilitation-based pelvic floor muscle training group will individually receive telerehabilitation-based pelvic floor muscle training under the guidance of a physiotherapist 2 sessions per week for 8 weeks. Participants will do their exercises themselves 2 times on the days where sessions are held with a physiotherapist. Participants will continue to exercise 3 times a day in the remaining days.
Both intervention groups will follow the same pelvic floor muscle training protocol for 8 weeks.; The home-based pelvic floor muscle training group will do their individual exercises 3 times a day for 8 weeks.
Both intervention groups will follow the same pelvic floor muscle training protocol for 8 weeks.
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Single (Outcomes Assessor)
Primary purpose: Treatment
Keywords: Multiple Sclerosis; Urinary Incontinence; Pelvic Floor Muscle Training; Sexual Function