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The Effect of Reflexology and Pelvic Floor Muscle Exercises (Kegel) on Urinary Incontinence in MS Patients

O

Ondokuz Mayıs University

Status

Completed

Conditions

Multiple Sclerosis
Reflexology
Urinary Incontinence

Treatments

Other: Reflexology and kegel exercises

Study type

Interventional

Funder types

Other

Identifiers

NCT05541965
Reflexology55

Details and patient eligibility

About

The research was carried out as experiment, control group, pretest-posttest model and single-blind. The population of the study consisted of MS patients who applied to OMU (Ondokuz Mayıs University) Neurology Service and Neurology Outpatient Clinic between March 2020 and February 2022. Fifteen patients who met the inclusion criteria were included in the study. Patients were divided into reflexology, pelvic floor muscle exercise and control groups. The control group was not intervened, only data collection tools were applied.

Full description

The research was carried out as experiment, control group, pretest-posttest model and single-blind. The population of the study consisted of MS patients who applied to OMU (Ondokuz Mayıs University) Neurology Service and Neurology Outpatient Clinic between March 2020 and February 2022. Fifteen patients who met the inclusion criteria were included in the study. Patients were divided into reflexology, pelvic floor muscle exercise and control groups. The control group was not intervened, only data collection tools were applied.

reflexology intervention The reflexology application was carried out in a separate and quiet room, on a stretcher/bed where the patient could lie down, by adjusting the temperature so that they would not feel cold/sweaty. First, the feet were cleaned with a warm, damp cotton towel. Odorless, room temperature baby oil was used to provide lubricity during the reflexology application. The reflexology protocol was started with the right foot. First of all, rotation, vibration, etc. are applied to the ankle and ankle areas. relaxation techniques were applied for 2 minutes. Afterwards, reflexology massage was applied to the spinal cord, brain, pituitary areas, kidney, ureter and bladder areas with appropriate techniques. The session was concluded with solar plexus compression and relaxation maneuvers. The same protocol was applied in the left foot. Immediately after each reflexology session, the patient was allowed to drink 1 glass (200 ml) of water to accelerate the excretion of toxic products. Reflexology session was completed in 40 minutes for both feet. Foot reflexology was applied to the reflexology group twice a week (40 minutes for both feet) for a total of 4 weeks.

Pelvic floor muscle exercise (Kegel) application In the Kegel exercise group, the patients were taught the Kegel exercise at the first interview, and it was provided to be done under the guidance of the researcher. Afterward, they were asked to apply at least three times a day for four weeks, and a reminder SMS was sent to the patients daily.

Enrollment

15 patients

Sex

Female

Ages

18 to 65 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Diagnosed with MS at least 6 months ago,
  • Having an EDSS of <5,

Exclusion criteria

  • To have wound on foots, varicose veins, etc. history of fractures causing loss of function, nail fungus,
  • pregnancy,
  • presence of acute infection
  • To using any diuretic or incontinence medication,
  • To have a curettage or pregnancy history in the last 6 months

Trial design

Primary purpose

Supportive Care

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Single Blind

15 participants in 3 patient groups

Median score distributions of the reflexology groups, ICIQ-SF, IQOL and ISI
Experimental group
Treatment:
Other: Reflexology and kegel exercises
Median score distributions of the kegel groups, ICIQ-SF, IQOL and ISI
Active Comparator group
Treatment:
Other: Reflexology and kegel exercises
Median score distributions of the control groups, ICIQ-SF, IQOL and ISI
Active Comparator group
Treatment:
Other: Reflexology and kegel exercises

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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