Please use this identifier to cite or link to this item: http://repositorio.unicamp.br/jspui/handle/REPOSIP/327205
Type: Artigo
Title: Pelvic Floor Muscle Training With And Without Electrical Stimulation In The Treatment Of Lower Urinary Tract Symptoms In Women With Multiple Sclerosis
Author: Lucio
Adelia; Levi D'ancona
Carlos Arturo; Perissinotto
Maria Carolina; McLean
Linda; Damasceno
Benito Pereira; Baena de Moraes Lopes
Maria Helena
Abstract: The aim of this study was to evaluate the effect of intravaginal neuromuscular electrical stimulation (NMES) and transcutaneous tibial nerve stimulation (TTNS) on lower urinary tract symptoms (LUTS) and health-related quality of life in women undergoing pelvic floor muscle (PFM) training (PFMT) with multiple sclerosis (MS) and to compare the efficacy of these 2 approaches. DESIGN: Randomized controlled trial. METHODS: Thirty women with MS and LUTS were randomly allocated to 1 of 3 groups and received treatment for 12 weeks. Ten women in group 1 received PFMT with electromyographic (EMG) biofeedback and sham NMES. Ten women in group 2 underwent PFMT with EMG biofeedback and intravaginal NMES, and 10 subjects in group 3 received PFMT with EMG biofeedback and TTNS. Multiple assessments, performed before and after treatment, included a 24-hour pad test, 3-day bladder diary, assessment of PFM function (strength and muscle tone), urodynamic studies, and validated questionnaires including Overactive Bladder Questionnaire (OAB-V8), International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF), and Qualiveen instrument. RESULTS: All groups showed reductions in pad weight, frequency of urgency and urge urinary incontinence episodes, improvement in all domains of the PFM assessment, and lower scores on the OAB-V8 and ICIQ-SF questionnaires following treatment. Subjects in group 2 achieved significantly greater improvement in PFM tone, flexibility, ability to relax PFMs, and OAB-V8 scores when compared to subjects in groups 1 and 3. CONCLUSION: Results suggest that PFMT alone or in combination with intravaginal NMES or TTNS is effective in the treatment of LUTS in patients with MS. The combination of PFMT and NMES offers some advantage in the reduction of PFM tone and symptoms of overactive bladder.
Subject: Intravaginal Electrical Stimulation
Lower Urinary Tract Symptoms
Multiple Sclerosis
Neurogenic Bladder
Neuromuscular Modulation
Overactive Bladder
Pelvic Floor Muscle Training
Quality Of Life
Tibial Nerve Stimulation
Urge Urinary Incontinence
Women
Editor: Lippincott Williams & Wilkins
Philadelphia
Rights: fechado
Identifier DOI: 10.1097/WON.0000000000000223
Address: https://insights.ovid.com/pubmed?pmid=27014935
Date Issue: 2016
Appears in Collections:Unicamp - Artigos e Outros Documentos

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