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IRCT20200101045970N5 IRCT 2021-10-27 Esfahan University of Medical Sciences The effect of stabilizing exercises on urinary incontinence in patients with MS The effect of dynamic neuromuscular stabilization exercises on stress and combined urinary incontinence in women with multiple sclerosis 2021-09-23 anticipated 30 Complete https://irct.ir/trial/57518 interventional Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: In this study, due to the small number of samples, in consultation with a statistician, it was decided to use the random blocking method. Blocking is usually used to balance the number of samples assigned to each of the groups studied. The statistician used the website https://www.sealedenvelope.com/simple-randomiser/v1/lists, considering that we had 2 groups, to design a suitable blocking table. Divides patients according to this table is unaware of the study, Blinding description: In this study, patients are unaware of the groups. In this study, exercise therapy is presented in both experimental and control groups, but they are different. In this study, patients try to come at different times and do not even contact each other so that they do not know the details of each other's exercises. Also, the person doing the assessments is unaware of the groups. N/A Multiple Sclerosis. Intervention 1: Intervention group: Receive dynamic neuromuscular stabilization exercises. These exercises are performed in different positions that are actually modeled on the positions of the growing baby. Exercises start with simple situations and gradually become more complex. In fact, the exercises start with the supine and then progress to the rolling, sitting, bear and squat-like postures. The workout lasts for 6 weeks. The patient goes to physiotherapy twice a week. Intervention 2: Control group: Receive Kegel exercises. This exercise involves the patient contracting the pelvic floor muscles under the supervision of a therapist. In each session, moderate and intense exercises are performed. Moderate-intensity exercises last between 6 and 10 seconds, and high-intensity exercises last between 1 and 3 seconds. The exercises start from the supine position and are gradually taught in different positions such as sitting and standing. The patient is treated twice a week for 6 weeks. No - There is not a plan to make this available Justification or reason for not sharing IPD is Because of confidentiality
public Ehsan Ghasemi
Hezar Jreeb
Isfahan Iran (Islamic Republic of) 81746-73461 +98 31 3669 3089 eghasemi@rehab.mui.ac.ir Esfahan University of Medical Sciences scientific Ehsan Ghasemi
Hezar Jreeb
Isfahan Iran (Islamic Republic of) 81746-73461 +98 31 3669 3089 eghasemi@rehab.mui.ac.ir Esfahan University of Medical Sciences Iran (Islamic Republic of) Women between the ages of 18 and 55. Diagnosis of multiple sclerosis relapsing-remitting whose disease condition has stabilized (in the last 4 months. No change in symptoms) According to the EDSS questionnaire, their disability should be less than or equal to 5.5. Women who have experienced stress incontinence at least once in the past month. 18 years 55 years Female Pregnancy Existence of any neurological disease (except multiple sclerosis) or kidney disease History of childbirth in the last 6 months History of gastrointestinal surgery and abdominal surgery in less than 6 months Infection of the lower urinary tract Recurrence of the disease during the project Existence of musculoskeletal pain such as back pain Taking the drug for urinary incontinence (in case of discontinuation of the drug can be included in the study with the opinion of a doctor) Being a virgin G35 Multiple sclerosis Rehabilitation Rehabilitation Intervention group: Receive dynamic neuromuscular stabilization exercises. These exercises are performed in different positions that are actually modeled on the positions of the growing baby. Exercises start with simple situations and gradually become more complex. In fact, the exercises start with the supine and then progress to the rolling, sitting, bear and squat-like postures. The workout lasts for 6 weeks. The patient goes to physiotherapy twice a week. Control group: Receive Kegel exercises. This exercise involves the patient contracting the pelvic floor muscles under the supervision of a therapist. In each session, moderate and intense exercises are performed. Moderate-intensity exercises last between 6 and 10 seconds, and high-intensity exercises last between 1 and 3 seconds. The exercises start from the supine position and are gradually taught in different positions such as sitting and standing. The patient is treated twice a week for 6 weeks. Pelvic floor muscle strength. Timepoint: Before treatment, after 3 weeks from the beginning of the sessions, after the end of the sessions and 2 months after the end of the last treatment session. Method of measurement: The modified Oxford Scale, a 6-point scale, is used to assess pelvic floor muscle strength. The rate of urinary incontinence. Timepoint: Before treatment, after 3 weeks from the beginning of the sessions, after the end of the sessions and 2 months after the end of the last treatment sessio. Method of measurement: The severity index of urinary incontinence in women is used to assess the rate of urinary incontinence. Quality of Life. Timepoint: Before treatment, after 3 weeks from the beginning of the sessions, after the end of the sessions and 2 months after the end of the last treatment session. Method of measurement: The LUTS-QOL questionnaire is used to assess the effect of urinary incontinence on the quality of life of these people. Esfahan University of Medical Sciences Approved 2021-10-01 Faculty of Nursing, Management and Rehabilitation - Isfahan University of Medical Sciences (Research Hezar Jirib Isfahan Isfehan Iran (Islamic Republic of)