The Effect of Pelvic Floor Muscle Exercises Therapy on the Fatigue and Quality of Life in Multiple Sclerosis Women With Urinary Disorders

Background and Objectives: More than 50% of multiple sclerosis (MS) patients suffer from urinary disorders. Exercise therapy is one of the first lines of treatment for urinary disorders in people with MS. This study evaluated the effectiveness of pelvic floor muscle exercise at home on quality of life (QoL) and fatigue in MS women with urinary disorders. Methods: A randomized, double-blinded, controlled trial was conducted. Thirty women with relapsing and remitting urinary incontinence participated for eight weeks (daily) in this study. The participants were randomly divided into intervention (n=15) and control groups (n=15). The participants of the intervention group received common medicines and specific exercises for the pelvic floor. The control group used only conventional drugs during the study. Results: The results showed significant differences in all variables related to fatigue and QoL in the intervention group (P0.05). However, in the intervention group, significant differences were found in the total score of the QoL and the three subgroups (bothered, worry, and restricted) (P