Jundishapur Journal of Chronic Disease Care

Published by: Kowsar

Pelvic Floor Muscle Training Instruction to Control Urinary Incontinence and its Resulting Stress, Anxiety and Depression in Patients with Multiple Sclerosis

Forough Rafii 1 , Moosa Sajjadi 2 , Habib Shareinia 3 , * , Payam Sarraf 4 and Mahnaz Seyedalshohahadaee 5
Authors Information
1 Department of Center for Nursing Care Research, Medical Surgical, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, IR Iran
2 Department of Medical-Surgical Nursing, Faculty of Nursing & Midwifery, Social Development & Health Promotion Research Centre, Gonabad University of Medical Sciences, Gonabad, IR Iran
3 Department of Medical-Surgical Nursing, Faculty of Nursing & Midwifery, Social Development & Health Promotion Research Centre , Gonabad University of Medical Sciences, Gonabad, IR Iran
4 Department of Neurology, Iranian Center of Neurological Research, School of Medicine, Tehran University of Medical Sciences, Tehran, IR Iran
5 Department of Medical Surgical, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, IR Iran
Article information
  • Jundishapur Journal of Chronic Disease Care: January 2017, 6 (1); e37333
  • Published Online: October 1, 2016
  • Article Type: Research Article
  • Received: February 23, 2016
  • Revised: April 11, 2016
  • Accepted: April 23, 2016
  • DOI: 10.17795/jjcdc-37333

To Cite: Rafii F, Sajjadi M, Shareinia H, Sarraf P, Seyedalshohahadaee M. Pelvic Floor Muscle Training Instruction to Control Urinary Incontinence and its Resulting Stress, Anxiety and Depression in Patients with Multiple Sclerosis, Jundishapur J Chronic Dis Care. 2017 ; 6(1):e37333. doi: 10.17795/jjcdc-37333.

Copyright © 2016, Ahvaz Jundishapur University of Medical Sciences. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.
1. Background
2. Objectives
3. Methods
4. Results
5. Discussion
  • 1. Dorr J, Döring A, Paul F. Can we prevent or treat multiple sclerosis by individualised vitamin D supply? EPMA J. 2013; 4(1): 1-12[DOI]
  • 2. Fragoso YD, Adoni T, Almeida SMG, Alves-Leon SV, Arruda WO, Barbagelata-Aguero F. Multiple sclerosis in South America: month of birth in different latitudes does not seem to interfere with the prevalence or progression of the disease. Arquivos De Neuro-Psiquiatria. 2013; 71(9): 573-9[DOI]
  • 3. Khamseh F, Rahimian E, Ommi Z, Abolhasani E, Sharia't MV. Fatigue in multiple sclerosis: cross-sectional correlation with brain MRI findings. Neurol Iran. 2010; 9: 1-2
  • 4. Bastani F, Sobhani M, Bozorgnejad M, Shamsikhani S, Haghani H. Effect of acupressure on severity of pain in women with multiple sclerosis (MS). Complement Med J Nur Midwife. 2012; 2(1): 75-84
  • 5. McClurg D, Ashe R, Marshall K, Lowe‐Strong A. Comparison of pelvic floor muscle training, electromyography biofeedback, and neuromuscular electrical stimulation for bladder dysfunction in people with multiple sclerosis: a randomized pilot study. Neurourol Urodynamics. 2006; 25(4): 337-48[DOI]
  • 6. McClurg D, Ashe R, Lowe‐Strong A. Neuromuscular electrical stimulation and the treatment of lower urinary tract dysfunction in multiple sclerosis-a double blind, placebo controlled, randomised clinical trial. Neurourol Urodynamics. 2008; 27(3): 231-7[DOI]
  • 7. Brady C, DasGupta R, Dalton C, Wiseman O, Berkley K, Fowler C. An open-label pilot study of cannabis-based extracts for bladder dysfunction in advanced multiple sclerosis. Multiple Sclerosis. 2004; 10(4): 425-33[DOI]
  • 8. Ghasemi A, Pourmomeny AS, Chit maker B, Etemadifar M, Zahir N, Pvrzyzy SA, et al. A comparative study on the effects of therapeutic exercise using swissball versus EMG biofeedback in MS patients with urinary incontinence. J Res Rehabil Sci. 2011; 6(2)
  • 9. Isa MR, Moy FM, Abdul Razack A, Zainuddin ZM, Zainal NZ. Impact of applied progressive deep muscle relaxation training on the level of depression, anxiety and stress among prostate cancer patients: a quasi-experimental study. Asian Pacific J Cancer Prevent. 2013; 14(4): 2237-42[DOI]
  • 10. Liu XJ, Ye HX, Li WP, Dai R, Chen D, Jin M. Relationship between psychosocial factors and onset of multiple sclerosis. Eur Neurol. 2009; 62(3): 130-6[DOI][PubMed]
  • 11. Mitchell AJ, Benito-Leon J, Gonzalez JMM, Rivera-Navarro J. Quality of life and its assessment in multiple sclerosis: integrating physical and psychological components of wellbeing. Lancet Neurol. 2005; 4(9): 556-66[DOI]
  • 12. Fowler C, Panicker J, Drake M, Harris C, Harrison S, Kirby M. A UK consensus on the management of the bladder in multiple sclerosis. J Neurol, Neurosurg Psychiatr. 2009; 80(5): 470-7[DOI]
  • 13. de Seze M, Ruffion A, Denys P, Joseph PA, Perrouin-Verbe B. The neurogenic bladder in multiple sclerosis: review of the literature and proposal of management guidelines. Multiple Sclerosis. 2007; 13(7): 915-28[DOI]
  • 14. Crayton HJ, Rossman HS. Managing the symptoms of multiple sclerosis: a multimodal approach. Clin Ther. 2006; 28(4): 445-60[DOI][PubMed]
  • 15. Kalsi V, Fowler CJ. Therapy Insight: bladder dysfunction associated with multiple sclerosis. Nat Clin Pract Urol. 2005; 2(10): 492-501[DOI][PubMed]
  • 16. Kashanian M, Shah Ali S, Nazemi M, Baha Sadri S. Evaluation of the Effect of Kegel Exercise and Kegel Master Device on the Urinary Incontinence in Women of Reproductive Age and a Comparison between them. Razi J Med Sci. 2010; 17(77): 55-66
  • 17. Rogers RG. Clinical practice. Urinary stress incontinence in women. N Engl J Med. 2008; 358(10): 1029-36[DOI][PubMed]
  • 18. Ali Hasan Zadeh P, Fallahi Khoshkenab M, Norouzi Tabrizi K. Impacts of Journaling on Anxiety and stress in Multiple Sclerosis patients. Complement Med. 2012; 2(2): 59-70
  • 19. Sutherland G, Andersen MB, Morris T. Relaxation and health-related quality of life in multiple sclerosis: the example of autogenic training. J Behavior Med. 2005; 28(3): 249-56[DOI]
  • 20. MacLurg K, Reilly P, Hawkins S, Gray O, Evason E, Whittington D. A primary care-based needs assessment of people with multiple sclerosis. Br J Gen Pract. 2005; 55(514): 378-83[PubMed]
  • 21. Hartzell JD. Adult learning theory in medical education. Am J Med. 2007; 120(11): 11[DOI][PubMed]
  • 22. Abela J. Adult learning theories and medical education: A review. Malta Med J. 2009; 21(1): 11-8
  • 23. Lucio AC, Perissinoto MC, Natalin RA, Prudente A, Damasceno BP, D'ancona C. A comparative study of pelvic floor muscle training in women with multiple sclerosis: its impact on lower urinary tract symptoms and quality of life. Clinics (Sao Paulo). 2011; 66(9): 1563-8[DOI]
  • 24. Da Roza T, de Araujo MP, Viana R, Viana S, Jorge RN, Bo K. Pelvic floor muscle training to improve urinary incontinence in young, nulliparous sport students: a pilot study. Int Urogynecol J. 2012; 23(8): 1069-73[DOI]
  • 25. Krofta L, Feyereisl J, Velebil P, Otcenasek, M. , Kasilkova, E. , Krcmar, M. . TVT-S for surgical treatment of stress urinary incontinence: prospective trial, 1-year follow-up. Int Urogynecol J. 2010; 21(7): 779-85[DOI]
  • 26. Hajebrahimi S, Nourizadeh D, Hamedani R, Pezeshki MZ. Validity and reliability of the International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form and its correlation with urodynamic findings. Urol J. 2012; 9(4): 685-90[PubMed]
  • 27. Crawford JR, Henry JD. The Depression Anxiety Stress Scales (DASS): Normative data and latent structure in a large non‐clinical sample. British J Clin Psychol. 2003; 42(2): 111-31[DOI]
  • 28. Wong D, Dahm J, Ponsford J. Factor structure of the Depression Anxiety Stress Scales in individuals with traumatic brain injury. Brain Inj. 2013; 27(12): 1377-82[DOI][PubMed]
  • 29. Wood BM, Nicholas MK, Blyth F, Asghari A, Gibson S. The Utility of the Short Version of the Depression Anxiety Stress Scales (DASS‐21) in Elderly Patients with Persistent Pain: Does Age Make a Difference? Pain Med. 2010; 11(12): 1780-90[DOI]
  • 30. Ronk FR, Korman JR, Hooke GR, Page AC. Assessing clinical significance of treatment outcomes using the DASS-21. Psychological Assessment. 2013; 25(4): 1103[DOI]
  • 31. Fallahi Khoshknab M, Alihasanzadeh P, Norozi K. Impacts of emotional catharsis by writing on depression in multiple sclerosis patients. Iran J Psychiatr Nur. 2013; 1(2): 11-20
  • 32. Seyedrasouli E, Valizadeh S, Hajebrahimi S, Parvan K, Abedini K. The principle of evidence based nursing care in the senile women with urinary incontinence. Nur Midwife J. 2010; 5(17): 4-11
  • 33. Castro RA, Arruda RM, Zanetti MR, Santos PD, Sartori MG, Girao MJ. Single-blind, randomized, controlled trial of pelvic floor muscle training, electrical stimulation, vaginal cones, and no active treatment in the management of stress urinary incontinence. Clinics (Sao Paulo). 2008; 63(4): 465-72[PubMed]
  • 34. Innerkofler PC, Guenther V, Rehder P, Kopp M, Nguyen-Van-Tam DP, Giesinger JM. Improvement of quality of life, anxiety and depression after surgery in patients with stress urinary incontinence: results of a longitudinal short-term follow-up. Health Qual Life Outcomes. 2008; 6(72): 1477-7525[DOI]
Creative Commons License Except where otherwise noted, this work is licensed under Creative Commons Attribution Non Commercial 4.0 International License .

Search Relations:



Create Citiation Alert
via Google Reader

Readers' Comments