Multiple Sclerosis, Urinary Incontinence (UI)
Conditions
Keywords
multiple sclerosis, urinary incontinence, Electromyography, Fatigue, Physical Activity
Brief summary
This study aims to investigate the relationship between urinary incontinence severity and surface electromyography (EMG) findings in women with multiple sclerosis. It will also examine the association of urinary incontinence with disability, quality of life, physical activity, and fatigue.
Detailed description
This study investigates the relationship between urinary incontinence (UI) severity and pelvic floor muscle activity in women with multiple sclerosis (MS). UI is common in MS and negatively affects quality of life, physical activity, and social participation. The study also explores how UI severity is associated with disability, fatigue, and overall quality of life. Participants' demographic and clinical information, including age, disease duration, MS type, and disability level (measured by the Expanded Disability Status Scale, EDSS), will be recorded. Standardized questionnaires will assess urinary symptoms, their impact on daily life, physical activity, and fatigue. Pelvic floor muscle activity will be evaluated using surface electromyography (EMG) with biofeedback, conducted by trained physiotherapists. The study will be conducted at the Pelvic Floor Health Center and is planned as a cross-sectional study. All assessments, including questionnaires and EMG measurements, are expected to take approximately 45 minutes per participant. Findings from this study aim to improve understanding of UI in women with MS and guide future interventions.
Interventions
None listed
Sponsors
Prof. Dr. Cemil Tascıoglu Education and Research Hospital Organization
Study design
Observational model
OTHER
Time perspective
CROSS_SECTIONAL
Eligibility
Sex/Gender
FEMALE
Age
30 Years to 50 Years
Healthy volunteers
No
Inclusion criteria
Diagnosis of multiple sclerosis (MS) according to the 2017 revised McDonald criteria. Female patients aged 30-50 years (age range with higher prevalence of urinary incontinence in MS). Experiencing urinary incontinence (UI) symptoms according to the International Continence Society (ICS) definition. EDSS (Expanded Disability Status Scale) score below 6.5. Patients with no communication difficulties. -
Exclusion criteria
MS patients who do not provide consent to participate in the study. MS patients who have had a medication change within the last 6 months. Pregnant MS patients. History of vaginal or cesarean delivery within the last 6 months. Pelvic organ prolapse. Urinary tract infection \-
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pelvic floor muscle activity with surface EMG | baseline | Evaluated using biofeedback-assisted surface EMG. Metrics recorded include mean EMG activity during contraction and rest phases, standard deviation of EMG activity, peak and minimum EMG values, contraction onset, and relaxation times |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF) | baseline | Assesses severity and impact of urinary incontinence |
| Incontinence Impact Questionnaire (IIQ-7) | baseline | Evaluates the effect of urinary incontinence on quality of life |
| International Physical Activity Questionnaire (IPAQ) | baseline | Assesses participants' physical activity levels |
| Fatigue Severity Scale (FSS) | baseline | Measures severity of fatigue experienced by participants |
Countries
Turkey (Türkiye)
Contacts
CONTACTBüşra Aydın Erkılıç, MSc
Outcome results
None listed