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A Controlled Clinical Trial On The Effects Of Exercise On Lower Urinary Tract Symptoms In Women With Multiple Sclerosis

Ferreira, Ana Paula Silva, PhD; de Souza Pegorare, Ana Beatriz Gomes, PhD; Junior, Ari Miotto, PhD; Salgado, Pedro Rippel, Spec; Medola, Fausto Orsi, PhD; Christofoletti, Gustavo, PhD

American Journal of Physical Medicine & Rehabilitation: March 29, 2019 - Volume Publish Ahead of Print - Issue - p
doi: 10.1097/PHM.0000000000001189
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OBJECTIVE To investigate the effects of two pelvic floor exercise programs on lower urinary tract symptoms and quality of life in participants with multiple sclerosis.

DESIGN Prospective, single blind, clinical trial.

SETTINGS A community rehabilitation program within a large metropolitan health service.

PARTICIPANTS Thirty women in moderate stage of multiple sclerosis, referred for outpatient rehabilitation.

INTERVENTIONS In a period of six months, participants underwent a pelvic floor exercise program, associated or not with vaginal electrotherapy.

MAIN OUTCOMES Overactive bladder, perineal contraction and quality of life.

RESULTS The findings showed benefits of both programs on overactive bladder and quality of life. Participants undergoing exercise plus electrotherapy presented greater improvement on contraction of the perineal musculature and quality of life.

CONCLUSION Six months of exercise provided benefits on lower urinary tract symptoms and quality of life in women with multiple sclerosis. Electrical stimulation potentiated the improvement on perineal musculature and quality of life. This trial was registered prospectively with the Clinical Trials Register, ID: BR-287q65 (http://www.ensaiosclinicos.gov.br/rg/RBR-287q65/).

From the Faculty of Medicine, Universidade Federal de Mato Grosso do Sul, Brazil (APSF, GC); Institute of Health, Universidade Federal de Mato Grosso do Sul, Brazil (ABP, GC); UroVida Medical Outpatient Clinic, Brazil (AM); Multiple Sclerosis Outpatient Center, Hospital Universitário Maria Aparecida Pedrossian, Universidade Federal de Mato Grosso do Sul, Brazil (PRS); and Department of Design, Universidade Estadual Paulista, Brazil (FOM).

No funding was received

All correspondence should be addressed to: Gustavo Christofoletti, PhD, Instituto de Saúde (INISA), Programa de Pós-graduação em Ciências do Movimento, Universidade Federal de Mato Grosso do Sul, Av. Universitária, s/n, Caixa Postal 549, Campo Grande, MS, Brazil. Email: g.christofoletti@ufms.br.

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