Volume 27, Issue 87 (April 2014)                   IJN 2014, 27(87): 43-54 | Back to browse issues page

XML Persian Abstract Print

Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Rafii F, Shareinia H, Seyedalshohahadaee M, Sarraf P, Mahmoodi F. The effect of Pelvic Floor Muscle Exercise Training on Urinary Incontinence in Patients with Multiple Sclerosis. IJN 2014; 27 (87) :43-54
URL: http://ijn.iums.ac.ir/article-1-1758-en.html
1- Professor, Center for Nursing Care Research, Medical surgical Dept., School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran
2- Lecturer, Medical surgical Dept., School of Nursing and Midwifery, Gonabad University of Medical Sciences, Gonabad, Iran.*)Corresponding author .( Tel:+98 09153380020 Email:shareinia.msn@gmail.com
3- Faculty member, Medical surgical Dept., School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran
4- Assistant professor, Neurology Dept., Iranian Center of Neurological Research, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran
5- Master degree in medical-surgical nursing, Iran University of Medical Sciences, Tehran, Iran
Abstract:   (8061 Views)


  Background & Aim: Urinary incontinence affects various aspects of daily life of patients with Multiple Sclerosis (MS) and remains negative effects on their quality of life. The purpose of this study was to determine the effect of pelvic floor muscle training on urinary incontinence in patients with MS.

  Material & Methods: It was a quasi-experimental, before-after clinical trial. The sample consisted of 50 MS patients with urinary incontinence admitted to MS clinic of Imam Khomeini Hospital in Tehran who had been selected by convenience sampling method. The patients were taught how to perform pelvic floor muscle exercise and performed the exercises for three consecutive months. The patients completed ICIQ-UI SF questionnaire before the intervention and at the end of the third month. Data was analysed by descriptive statistics, paired t-test, Wilcoxon, McNemar and ANOVA using SPSS-PC (v.16).

  Results: A total of 45 patients continued to participate in the trial until the end of the third month. There were significant differences between the frequency of urinary leakage, urine leakage and incontinence impact on quality of life before and after training were (P <0. 001).

Conclusion: According to the findings, pelvic floor muscle training reduces urinary incontinence of patients with MS. Accordingly teaching pelvic floor muscle exercise as a non-pharmacologic, non-invasive and low cost intervention to control urinary incontinence is recommended for these patients.
Full-Text [PDF 1406 kb]   (4224 Downloads)    
Type of Study: Research | Subject: nursing
Received: 2014/01/18 | Accepted: 2014/04/7 | Published: 2014/04/7

1. Foroghipoor M, Mahdavi R, Sasannejad P, Alavi M, Yahyaei E. [Comparison of efficacy oxybutynin and detrositol of urinary disorders Eighty patients with multiple sclerosis]. Medical J Mashhad Univ Med Sci. 2008;51(99):7-12.
2. Giannini MJ, Bergmark B, Kreshover S, Elias E, Plummer C, O'Keefe E. Understanding suicide and disability through three major disabling conditions: Intellectual disability, spinal cord injury, and multiple sclerosis. Disabil Health J. 2010;3(2):74-8. [DOI:10.1016/j.dhjo.2009.09.001] [PMID]
3. Khamseh F, Rahimian E, Ommi Z, Abolhasani E, Shariat Panahi M. Fatigue in multiple sclerosis: cross-sectional correlation with brain MRI findings. Iran J Neurol. 2010;9(29):745-50.
4. Bastani F, Sobhani M, Bozorgnejad M, Shamsikhani S, Haghani H.[ Effect of acupressure on severity of pain in women with multiple sclerosis (MS)]. Complementary Medicine Journal of faculty of Nursing & Midwifery.2012;2(1):1-10.
5. Shamili F, Zare H, Oraki M. [The Predicting Quality of Life Based on Illness Perception in Multiple Sclerosis Patients.]. Urmia Medical Journal. 2013; 24(6):379-392 .
6. Hoving C, Visser A, Mullen PD, van den Borne B. A history of patient education by health professionals in Europe and North America: From authority to shared decision making education. Patient Educ Couns. 2010; 78(3):275-81. [DOI:10.1016/j.pec.2010.01.015] [PMID]
7. Tolouei M, Dehghan Nn, Faghihzadeh S, Sadoughiasl A. [The Nurses'motivating Factors in Relation to Patient Training.] Hayat. 2006; 12 (2):43-51.
8. Mao P, Reddy PH. Is multiple sclerosis a mitochondrial disease? Biochim Biophys Acta. 2010;1802(1):66-79. [DOI:10.1016/j.bbadis.2009.07.002] [PMID] [PMCID]
9. Dorr, J., Doring, A., Paul, F.. Can we prevent or treat multiple sclerosis by individualised vitamin D supply?. EPMA J. 2013;4(1):1-12. [DOI:10.1186/1878-5085-4-4] [PMID] [PMCID]
10. Comi G, Filippi M, Barkhof F, Durelli L, Edan G, Fernández O, et al. Effect of early interferon treatment on conversion to definite multiple sclerosis: a randomised study. The Lancet. 2001;357(9268):1576-82. [DOI:10.1016/S0140-6736(00)04725-5]
11. Sutherland G, Andersen MB, Morris T. Relaxation and health-related quality of life in multiple sclerosis: the example of autogenic training. J Behav Med. 2005;28(3):249-56. [DOI:10.1007/s10865-005-4661-2] [PMID]
12. MacLurg K, Reilly P, Hawkins S, Gray O, Evason E, Whittington D. A primary care-based needs assessment of people with multiple sclerosis. Br J Gen Pract. 2005;55(514):378-83. [PMID] [PMCID]
13. Higginson IJ, Hart S, Silber E, Burman R, Edmonds P. Symptom prevalence and severity in people severely affected by multiple sclerosis. J Palliat Care. 2005;22(3):158-65.
14. Lucio AC, Campos RM, Perissinotto MC, Miyaoka R, Damasceno BP, D'ancona CAL. Pelvic floor muscle training in the treatment of lower urinary tract dysfunction in women with multiple sclerosis. Neurourol Urodyn. 2010;29(8):1410-3. [DOI:10.1002/nau.20941] [PMID]
15. Fowler C, Panicker J, Drake M, Harris C, Harrison S, Kirby M, et al. A UK consensus on the management of the bladder in multiple sclerosis. J Neurol Neurosurg Psychiatry. 2009;80(5):470-7. [DOI:10.1136/jnnp.2008.159178]
16. Brady C, DasGupta R, Dalton C, Wiseman O, Berkley K, Fowler C. An open-label pilot study of cannabis-based extracts for bladder dysfunction in advanced multiple sclerosis. Multiple Sclerosis. 2004;10(4):425-33. [DOI:10.1191/1352458504ms1063oa] [PMID]
17. Mazdeh M, Jafari M. [Prevalence of Bladder and Sexual Dysfunctions in Patients with Multiple Sclerosis.]. JQUMS. 2009; 12(4):27-33.
18. Haslam C. Managing bladder symptoms in people with multiple sclerosis. Nurs Times. 2004;101(2):48-50, 2.
19. de Sèze M, Ruffion A, Denys P, Joseph P-A, Perrouin-Verbe B. The neurogenic bladder in multiple sclerosis: review of the literature and proposal of management guidelines. Multiple Sclerosis. 2007;13(7):915-28. [DOI:10.1177/1352458506075651] [PMID]
20. Crayton HJ, Rossman HS. Managing the symptoms of multiple sclerosis: a multimodal approach. Clinical Therapeutics. 2006;28(4):445-60. [DOI:10.1016/j.clinthera.2006.04.005] [PMID]
21. Kalsi V, Fowler CJ. Therapy Insight: bladder dysfunction associated with multiple sclerosis. Nat Clin Pract Urol. 2005;2(10):492-501. [DOI:10.1038/ncpuro0323] [PMID]
22. Lamyian M, Shagerd haddad M, Goshtasbi A, Masomi R.[ Comparison of surgical and medical therapy on quality of life in women with urinary incontinence]. Payesh. 2011;10(4):523-30.
23. Rogers RG. Urinary stress incontinence in women. N Engl J Med. 2008;358(10):1029-36. [DOI:10.1056/NEJMcp0707023] [PMID]
24. Kashanian M, Shah Ali S, Nazemi M, Baha Sadri S. [Evaluation of the Effect of Kegel Exercise and Kegel Master Device on the Urinary Incontinence in Women of Reproductive Age and a Comparison between them]. Razi Journal of Medical Sciences. 2010;17(77):55-66. http://www.irct.ir/fa
25. Lúcio AC, Perissinoto MC, Natalin RA, Prudente A, Damasceno BP, D'ancona CAL. A comparative study of pelvic floor muscle training in women with multiple sclerosis: its impact on lower urinary tract symptoms and quality of life. Clinics. 2011;66(9):1563-8. [DOI:10.1590/S1807-59322011000900010] [PMID] [PMCID]
26. Da Roza T, de Araujo MP, Viana R, Viana S, Jorge RN, Bø K, et al. Pelvic floor muscle training to improve urinary incontinence in young, nulliparous sport students: a pilot study. Int Urogynecol J. 2012;23(8):1069-73. [DOI:10.1007/s00192-012-1759-2] [PMID]
27. Krofta L, Feyereisl J, Velebil P, Otčenášek M, Kašíková E, Krčmář M. TVT-S for surgical treatment of stress urinary incontinence: prospective trial, 1-year follow-up. Int Urogynecol J. 2010;21(7):779-85. [DOI:10.1007/s00192-010-1128-y] [PMID]
28. Hajebrahimi S, Nourizadeh D, Hamedani R, Pezeshki MZ. [Validity and reliability of the International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form and its correlation with urodynamic findings.] Urol J. 2012;9(4):685-90. [PMID]
29. Ghasemi E, Poormomeni A, Chitsaz A, Etemadifar M, Poorazizi SH, Zahiri N, Alaei A, Esmaeili Z. [A comparative study on the effects of therapeutic exercise using swissball versus EMG biofeedback in MS patients with urinary incontinence]. Journal of Research in Rehabilitation Sciences. 2010; 6(2):1-10.
30. Seyed Rasoli E, Valizadeh S, Hajebrahimi S, Parvin K, Abedini k.[ The Principle of Evidence Based Nursing Care in The Senile Women With Urinary Incontinence]. Nursing and Midwifery Journal.2010;5(17):4-11.
31. McClurg D, Lowe-Strong A, Ashe R. The benefits of pelvic floor muscle training in people with multiple sclerosis and lower urinary tract dysfunction. Journal of the Association of Chartered Physiotherapists in Women's Health. 2008;103:21-8.
32. Castro RA, Arruda RM, Zanetti MR, Santos PD, Sartori MG, Girão MJ. Single-blind, randomized, controlled trial of pelvic floor muscle training, electrical stimulation, vaginal cones, and no active treatment in the management of stress urinary incontinence. Clinics. 2008;63(4):465-72. [DOI:10.1590/S1807-59322008000400009] [PMID] [PMCID]
33. DeLong J, Tighiouart H, Stoffel J. Urinary diversion/reconstruction for cases of catheter intolerant secondary progressive multiple sclerosis with refractory urinary symptoms. J Urol. 2011;185(6):2201-6. [DOI:10.1016/j.juro.2011.02.002] [PMID]
34. McClurg D, Ashe R, Marshall K, Lowe‐Strong A. Comparison of pelvic floor muscle training, electromyography biofeedback, and neuromuscular electrical stimulation for bladder dysfunction in people with multiple sclerosis: a randomized pilot study. Neurourol Urodyn. 2006;25(4):337-48 [DOI:10.1002/nau.20209] [PMID]

Add your comments about this article : Your username or Email:

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2015 All Rights Reserved | Iran Journal of Nursing

Designed & Developed by : Yektaweb