Investigating the combined effect of pelvic floor muscle exercise and mindfulness on sexual function in women with multiple sclerosis: a randomized controlled trial

Objective: To evaluate the combined effect of pelvic floor muscle exercise and mindfulness on sexual function in women with multiple sclerosis. Design: It was a three-arm parallel randomized clinical trial study. Setting: Outpatient clinic. Subjects: Patients with multiple sclerosis. Interventions: Participants in the intervention groups completed an eight-week program consisting of pelvic floor muscle exercise, mindfulness, and pelvic floor muscle exercise along with mindfulness. Main measures: The main measure was the Female Sexual Function Index. Results: In total, 70 patients completed the study. The results showed that the total mean scores of the participants’ sexual function in pelvic floor muscle exercise group before interventions (i.e. baseline), 8 weeks after the baseline, and 12 weeks after the baseline were 18.8 ± 6.3, 23.7 ± 5.1, and 22.3 ± 4.7, respectively, while total mean scores obtained for the sexual function of mindfulness group were 19.5 ± 6.4, 26.9 ± 4.8, and 25.6 ± 4.5, respectively. Moreover, mean scores obtained for pelvic floor muscle exercise along with mindfulness were 19.6 ± 5.9, 25.3 ± 5.4, and 25 ± 4.8, respectively. There was no significant difference in their effects on sexual function ( P > 0.05). Conclusion: Mindfulness and pelvic floor muscle exercise do not have any significant impact upon sexual dysfunction of people with multiple sclerosis.

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Comments on “Pelvic floor muscle exercise may improve female sexual function”

Medical Hypotheses ◽

10.1016/j.mehy.2009.02.008 ◽

2009 ◽

Vol 73 (1) ◽

pp. 120

Author(s):

Stany W. Lobo ◽

Ritesh G. Menezes ◽

Tanuj Kanchan ◽

K. PradyumnaMajumdar ◽

Prakash Baral ◽

...

Keyword(s):

Sexual Function ◽

Pelvic Floor ◽

Pelvic Floor Muscle ◽

Female Sexual Function ◽

Muscle Exercise ◽

Pelvic Floor Muscle Exercise

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The Effect of Pelvic Floor Muscle Exercise on Female Sexual Function During Pregnancy and Postpartum: A Systematic Review

Sexual Medicine Reviews ◽

10.1016/j.sxmr.2018.08.002 ◽

2019 ◽

Vol 7 (1) ◽

pp. 13-28 ◽

Cited By ~ 7

Author(s):

Sahar Sadat Sobhgol ◽

Holly Priddis ◽

Caroline A. Smith ◽

Hannah Grace Dahlen

Keyword(s):

Systematic Review ◽

Sexual Function ◽

Pelvic Floor ◽

Pelvic Floor Muscle ◽

Female Sexual Function ◽

Muscle Exercise ◽

Pelvic Floor Muscle Exercise ◽

Pregnancy And Postpartum

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The effect of Pelvic Floor Muscle Exercise Training on Urinary Incontinence in Patients with Multiple Sclerosis

Iran Journal of Nursing ◽

10.29252/ijn.27.87.43 ◽

2014 ◽

Vol 27 (87) ◽

pp. 43-54

Author(s):

F Rafii ◽

H Shareinia ◽

M Seyedalshohahadaee ◽

P Sarraf ◽

F Mahmoodi ◽

...

Keyword(s):

Multiple Sclerosis ◽

Urinary Incontinence ◽

Exercise Training ◽

Pelvic Floor ◽

Pelvic Floor Muscle ◽

Muscle Exercise ◽

Pelvic Floor Muscle Exercise

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A Comparison of a Short Versus Long Postal Questionnaire on Childbirth-related Incontinence: a Randomised Controlled Trial to Evaluate Response Rates.

10.21203/rs.3.rs-89366/v1 ◽

2020 ◽

Author(s):

Sara S Webb ◽

E Jones ◽

J Bishop ◽

C MacArthur

Keyword(s):

Urinary Incontinence ◽

Randomised Controlled Trial ◽

Pelvic Floor ◽

Pelvic Floor Muscle ◽

Controlled Trial ◽

Postal Questionnaire ◽

Muscle Exercise ◽

Short Questionnaire ◽

Pelvic Floor Muscle Exercise ◽

Randomised Controlled

Abstract BackgroundA future cluster randomised controlled trial (cRCT) to test an intervention to prevent postpartum urinary incontinence will use a postal questionnaire from women to obtain outcomes. This is part of a programme of work that has the overall aim of reducing the proportion of women with urinary incontinence after birth. One part of the programme was a methodology trial to compare a longer questionnaire, which includes all outcomes, with a shorter questionnaire, which includes only the most important outcomes, in order to maximise women’s response to these sensitive questions. MethodsA multicentre, stratified by community midwife team, with balanced randomisation [1:1] controlled, parallel group trial was undertaken including women under the care of 15 community midwife teams in three West Midlands NHS trusts who had given birth 10-12 weeks previously. Women under 16 years and women without a live baby on hospital discharge were excluded. Eligible women under the care of each midwife team were individually randomised in a 1:1 ratio to receive either a long or short questionnaire. Both questionnaires included questions on urinary and bowel incontinence and about advice and information on pelvic floor muscle exercise (PFME) and their PFME practice. The long questionnaire included additional questions about women’s confidence in undertaking pelvic floor muscle exercise (PFME) and their general health. For women randomised to the short questionnaire, the additional questions were only sent to women who returned the first questionnaire. The primary outcome of this trial was the response rate for completion of the urinary incontinence (UI) questions. Secondary outcomes were urinary incontinence (using ICIQ-UI SF), bowel incontinence (using RFIS), women’s performance of PFME and their confidence in this (using PFMSES) and their general health (using SF12).Results777 women were sent a questionnaire and 241 (31%) returned a completed questionnaire. There was no difference in the completion rate of the UI questions according to questionnaire length: 30.5% (119/387) of the women in the long questionnaire arm answered the UI questions compared with 31.5% (123/390) of those in the short questionnaire arm. ConclusionsThis study has used high quality trial methods and shown that response rates to the postpartum UI questions were comparable from either a longer or shorter questionnaire. Trial RegistrationISRCTN Registry: ISRCTN99859966. Date registered: 10/09/2018: http://www.isrctn.com/ISRCTN99859966

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