Acute Effect of Osteopathic Visceral Mobilization Techniques

University of Gaziantep

Status: Enrolling

Conditions: Osteopathic Manipulative Treatment; Pelvic Floor Disorders; Multiple Sclerosis; Visceral Mobilization; Urinary Incontinence

Treatments: Other: osteopathic manual therapy techniques; Other: breathing exercises

Study type: Interventional

Funder types: Other

Identifiers

NCT05981339

2022/477

Details and patient eligibility

About

Multiple Sclerosis (MS), caused by lesions in the white matter of the central nervous system, is an autoimmune inflammatory demyelinating chronic disease.

The disease may present with many findings from fatigue, spasticity, balance and gait disturbances to bladder-bowel dysfunction (Ferreira, A.P.S., et al., 2019). When the rehabilitation methods for incontinence were examined, pelvic floor muscle training, tibial nerve stimulation and sacral neuromodulation were frequently encountered (Rahnama'I, MS., 2020). Pelvic floor muscle training should create an effective result in MS patients, and the training should be done for a long time, such as 8-12 weeks. No study has been found examining the effects of manual therapy techniques and diaphragmatic breathing exercise in the acute phase in functional or neurogenic bladder-intestinal dysfunctions.

Full description

The study was planned as a randomized controlled trial. MS patients included in the study will be divided into two groups according to inclusion and exclusion criteria. Diaphragmatic breathing exercises and sacral relaxation, bladder mobilization, which are osteopathic manual therapy techniques, will be applied to the study group. On the other hand, only diaphragmatic breathing exercises will be applied to the control group.

Individuals will be treated in a single session. The acute effect of intervention will be examined by making a total of 3 evaluations, pre-intervention, post-intervention, and 1 week after the intervention.

Enrollment: 20 estimated patients

Sex: Female

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Diagnosis of Multiple Sclerosis
• The age of 18 years and the older
• Individuals with stable medical condition
• Having complaints of urinary dysfunction for at least 6 months,
• Mini Mental test score > 24 points
• EDDS less than 6.5 (0-6.5 points will be)
• Volunteering to participate in the study

Exclusion criteria

• Having cognitive problems
• Presence of pelvic organ prolapse or prostate
• Pregnancy
• Abdominal surgery history
• Presence of urinary system infection
• Continuing drug use for overactive bladder
• Having received pelvic floor muscle training
• Concomitant other neurological or kidney disease

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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20 participants in 2 patient groups

Control Group

Sham Comparator group

Description:

In the control group, diaphragmatic breathing exercises will be performed together with the physiotherapist. Osteopathic manual therapy techniques will be applied as sham. The physiotherapist will not touch the appropriate anatomical points while performing the loosening.

Treatment:

Other: breathing exercises

Study Group

Experimental group

Description:

In addition to breathing exercises, sacral release and bladder mobilization, which are osteopathic manual therapy techniques, will be applied to the patients in the study group.

Treatment:

Other: osteopathic manual therapy techniques

Other: breathing exercises