Effects of Spinal Stabilization Exercises in Women with MS

primary endpoint"Evaluation of Urinary Symptoms"

follow up"8 week"

subjects"eligibilityCriteria": "Inclusion Criteria:\n\n* Female participants aged between 18 and 65 years\n* Being diagnosed with Multiple Sclerosis by a specialist neurologist and having lower urinary system symptoms \\[Overactive Bladder-V8 scale score ≥ 9 and having at least two of the lower urinary system symptoms (urinary incontinence, nocturia, daytime urination frequency \\>8, storage symptoms such as sudden feeling of tightness, intermittent urination, slow urine flow and emptying symptoms such as incomplete emptying)\n* Being in the mild or moderate stage of the disease (Expanded Disability Status Scale (EDSS) score ˂ 6\n* No relapse experienced within the past month\n* Scoring 24 or above on the Mini-Mental State Examination (MMSE)\n* Being literate\n* Willingness to voluntarily participate in the study\n* Ability to perform voluntary pelvic floor muscle contractions\n* No changes in medical treatment within the past three months\n* Ability to understand and cooperate with the assessments and interventions involved in the study\n\nExclusion Criteria:\n\n* Diagnosis of one or more neurological disorders other than Multiple Sclerosis\n* Body mass index (BMI) ≥ 30\n* Diagnosis of overflow urinary incontinence\n* History of antimuscarinic medication use\n* Presence of advanced pelvic organ prolapse (stage ≥ 2)\n* Active urinary tract infection\n* History of cesarean section or vaginal delivery within the past 6 months\n* Diagnosis of any other neurological condition that may cause urinary incontinence\n* History of urological or gynecological surgery\n* History of malignancy\n* Currently pregnant or not sexually active (coitus negative)\n* Participation in exercise training or physical therapy for lower urinary tract symptoms within the past 6 months",

peer reviewed"isFdaRegulatedDrug": false

regulatory approval"isFdaRegulatedDevice": false

intervention"Spinal stabilization exercises focusing on the pelvic floor + Pelvic floor muscle exercises"

comparator"interventionModelDescription": "Participants will be randomly assigned to a control group that receives pelvic floor muscle exercises only or an experimental group that receives both pelvic floor muscle exercises and spinal stabilization exercise focused on the pelvic floor.",

findings"briefSummary": "The purpose of this study was to investigate the effects of spinal stabilization exercises focusing on the pelvic floor on core stability, urinary symptoms and pelvic floor muscle function in women with Multiple Sclerosis and lower urinary tract symptoms.

limitationsNo results are posted. Planned enrolment and endpoints are not findings.