The Effect of Pelvic Floor Muscle Exercises Therapy on the Fatigue and Quality of Life in Multiple Sclerosis Women With Urinary Disorders
Authors:   Department of Physiotherapy, Iranian Center of Excellence in Physiotherapy, Rehabilitation Research Center, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran., Ghafari Zahra , Noorizadeh Dehkordi Shohreh ,   Department of Physiotherapy, Iranian Center of Excellence in Physiotherapy, Rehabilitation Research Center, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran., Nikjooy Afsaneh ,   Department of Physiotherapy, Iranian Center of Excellence in Physiotherapy, Rehabilitation Research Center, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran., Mousavi Khatir Seyedeh Roghayeh ,   Department of Physical Therapy, Faculty of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran., Moghaddasi Mehdi ,   Department of Neurology, Skull Base Research Center, Five Senses Health Research Institute, Hazrat-E Rasool General Hospital, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
Published: July 2023

Background and Objectives: More than 50% of multiple sclerosis (MS) patients suffer from urinary disorders. Exercise therapy is one of the first lines of treatment for urinary disorders in people with MS. This study evaluated the effectiveness of pelvic floor muscle exercise at home on quality of life (QoL) and fatigue in MS women with urinary disorders. Methods: A randomized, double-blinded, controlled trial was conducted. Thirty women with relapsing and remitting urinary incontinence participated for eight weeks (daily) in this study. The participants were randomly divided into intervention (n=15) and control groups (n=15). The participants of the intervention group received common medicines and specific exercises for the pelvic floor. The control group used only conventional drugs during the study. Results: The results showed significant differences in all variables related to fatigue and QoL in the intervention group (P<0.05). But no significant difference was found in any of the variables related to fatigue and QoL in the control group (P>0.05). However, in the intervention group, significant differences were found in the total score of the QoL and the three subgroups (bothered, worry, and restricted) (P<0.05). In addition, the results showed a significant difference in the cognitive, physical, and psycho-social subgroups in the fatigue questionnaire (P<0.05). The fatigue scores and QoL in the intervention group compared to the control group showed a significant difference (P<0.05). Conclusion: It seems that pelvic floor exercises at home reduce fatigue and improve QoL in women with MS with urinary incontinence. Although the total score of fatigue between the two groups was not significant, the results in the intervention group showed significant results and it seems that by controlling the intervening factors, a significant difference can be observed in the total score of fatigue between the two groups. Therefore, we demonstrated that pelvic floor muscle exercises in women suffering from urinary incontinence improve urinary incontinence and reduce fatigue, and improve the QoL.