scholarly journals Do Physical Therapy Interventions Improve Urinary Incontinence and Quality of Life in patient with Multiple Sclerosis: A systematic Literature Review

2019 ◽  
Vol 4 (2) ◽  

Background: Multiple sclerosis (MS) presents with many symptoms, including urinary incontinence (UI) that physical therapy can play very important role, which is widely prevent, but the physical therapy management for UI in MS population lacks consensus. We analyzed the current evidence for effectiveness of physical therapy to decrease UI and improve quality of life (QOL) in population with MS. Purpose: To systematically review the literature and present the best available evidence for the efficacy and effectiveness of physical therapy intervention in treating the urinary incontinence for MS population and improve QOL. Data Source: Pub Med, Cochrane library, BMJ Group, BioMed Central, Wiley online library, Cumulative Index to Nursing and Allied Health Literature, and PEDro. Study Selection: 5 randomized, control trials (RCTs) and one clinical trial published in English from 2006- May 2019. Data Extraction: Any study concentrated on surgical or pharmaceutical treatment interventions, focused on bowel incontinence or were not within the physical therapy scope of practice. Data Synthesis: The study focuses on physical therapy intervention for MS patients with UI and randomized control study. Limitation of the Study: The reviewed study is limited to 6 randomized control trials. Conclusion: There is significant evidence that physical therapy interventions in MS patients with urinary incontinence are very effective and had significant change in reducing UI and increasing QOL.

2015 ◽  
Vol 17 (4) ◽  
pp. 172-180 ◽  
Author(s):  
Valerie Block ◽  
Monica Rivera ◽  
Marsha Melnick ◽  
Diane D. Allen

Background: Multiple sclerosis (MS) presents with many debilitating symptoms, including urinary incontinence (UI), that physical therapy (PT) may address; UI is widely prevalent, but PT management of symptoms lacks consensus. A meta-analysis of long-term nonsurgical and nonpharmaceutical treatment options may supply this deficiency. We analyzed the current evidence for effectiveness of PT to decrease UI and improve quality of life (QOL) in people with MS. Methods: An electronic search conducted through November 26, 2013, included the following search terms: incontinence, bladder dysfunction, urinary incontinence, multiple sclerosis, MS, physical therapy, physiotherapy, therapy, and rehabilitation. Criteria for inclusion were as follows: MS diagnosis, intervention involved PT for UI or bladder dysfunction, outcomes assessed QOL or UI, and at least a 4 of 10 on the Physiotherapy Evidence Database scale or a 2b level of evidence. Outcomes were combined across studies, and effect sizes are depicted in forest plots. Results: Six studies met the inclusion criteria. Between-group analysis revealed statistically significant differences in incontinence episodes and QOL, but did not reach significance for functional control mechanisms (eg, electromyography data on strength of contraction, relaxation, and endurance). Incontinence leakage episodes and QOL participation improved within groups. Conclusions: Meta-analysis indicates support for PT for minimizing incontinence compared with pretreatment and affecting incontinence and QOL more than control in people with MS. Protocols were heterogeneous regarding duration and type of PT intervention and were applied in different types of MS. Further research may reveal the most effective combination and variety of PT interventions for people with MS.


2012 ◽  
Vol 2 ◽  
pp. 69-73
Author(s):  
Asghar Khan ◽  

The purpose of the study was to determine the effectiveness of combined physical therapy Intervention in the treatment of whiplash-associated disorders. A case was selected from an outpatient clinic for a 31-year-old male with whiplash injuries due to an auto accident. The outcome measures were pain (0-10 pain scale), disability (disability index) and quality of life including social life activities


2016 ◽  
Vol 23 (7) ◽  
pp. 1228-1234 ◽  
Author(s):  
C. Zecca ◽  
G. C. Riccitelli ◽  
G. Disanto ◽  
A. Singh ◽  
G. A. Digesu ◽  
...  

2014 ◽  
Vol 22 (02) ◽  
pp. 308-314 ◽  
Author(s):  
Arthur Flávio de Siqueira Barros ◽  
Sergimário Guilherme dos Santos ◽  
Gleidson Franciel Ribeiro de Medeiros ◽  
Luciana Protásio de Melo

Sign in / Sign up

Export Citation Format

Share Document