Given the structural relationship of the CORE as a whole, in this study we propose an intervention based on the global motor control of all the structures that make up the CORE to assess its effectiveness on urinary incontinence, sexual dysfunction and balance, as well as its relationship with respiratory function. According to our hypothesis, a global intervention could also be taken into account during conventional treatment in the future, helping to prevent genitourinary dysfunctions derived from alterations in motor control.
Main objective: To establish the effect of core motor control training on pelvic floor functionality in patients with multiple sclerosis. Specific objective: To assess the effect of core motor control training on urinary incontinence. * To assess the effect of core motor control training on urinary incontinence in patients with multiple sclerosis. * To assess the effect of core motor control training on quality of life in patients with multiple sclerosis. * To assess the effect of core motor control training on sexual dysfunction in patients with multiple sclerosis. * To assess the effect of core motor control training on balance in patients with multiple sclerosis. * To test the relationship between respiratory functionality and pelvic floor dysfunctions in patients with multiple sclerosis.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
32
The exercises performed during the intervention aim to improve the functionality of MS patients and to assess how this can improve pelvic floor health, quality of life, sexual health and urinary incontinence. A specific exercise programme has been designed and will be carried out by physiotherapists specialised in neurological physiotherapy for this purpose. The ultimate aim of the research is to be able to benefit other MS patients from our findings and to propose specific interventions in these areas. However, it is possible that no direct benefit will be obtained after the intervention. At the end of the research you will be informed, if you wish, about the main results and general conclusions of the study. The study does not pose any risk to your health as it is a non-invasive study and no harmful or deleterious action is incurred for the additional collection of the necessary records.
Cecilia Estrada Barranco
Madrid, Spain
RECRUITINGDifference in the percentage of initial and final maximum activity of the pelvic floor muscles.
EMG
Time frame: 8 weeks
- Differences between the initial and final thickness of the oblique abdominis and transverse oblique muscles by ultrasound.
US
Time frame: 8 weeks
- Differences in the assessment of health-related quality of life before and after the intervention measured with the I-QOL questionnaire.
IQOL
Time frame: 8 weeks
- Differences in the assessment of female UI before and after intervention using the I-CIQ questionnaire
I-CIQ
Time frame: 8 weeks
- Difference in the percentage of initial and final maximum activity of the paravertebral musculature activity.
EMG
Time frame: 8 weeks
- Differences between initial and final amplitude of initial and final diaphragmatic excursion by ultrasound.
US
Time frame: 8 weeks
- Difference between initial and final FVC/- Differences between the initial and final peak expired volume (FEV1)
spirometry
Time frame: 8 weeks
differences between peak expiratory pressure (PEM) and minimum initial and end inspiratory pressure (MIP).
PIM/PEM
Time frame: 8 weeks
balance
trunk control test and Berg Balance test
Time frame: 8 weeks
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