The benefits of pelvic floor muscle training in people with multiple sclerosis and lower urinary tract dysfunction

Author(s): D. McClurg, A. Lowe-Strong & R. G. Ashe - Pages: 21–28

Abstract

The aim of this study was to determine whether pelvic floor muscle (PFM) training (PFMT) improves lower urinary tract function in people with multiple sclerosis (MS). Thirty-seven subjects (11 males and 26 females) with a definite diagnosis of MS were recruited from neurological outpatient departments and MS charities throughout Northern Ireland. The participants received individualized PFMT combined with electromyography (EMG) biofeedback for 9 weeks. These individuals served as the control group in a double-blind randomized controlled trial (RCT) of the effects of neuromuscular electrical stimulation on bladder dysfunction in people with MS. The outcome measures included: digital and EMG biofeedback assessment of the PFMs; the number of leakage episodes (bladder diary); the amount of leakage (pad test); uroflowmetry; the International Prostate Symptom Score; and a Visual Analogue Scale relating to the problems associated with the symptoms. The results of the RCT demonstrated that improvement in the strength and endurance of these muscles was possible, and a significant reduction in symptoms was evident. A 9-week PFMT programme improved the function of the PFMs, reduced the symptoms associated with lower urinary tract dysfunction and increased quality of life in people with MS.

Keywords: lower urinary tract dysfunction, multiple sclerosis, pelvic floor muscle training.