The effect of stabilizing exercises on urinary incontinence in patients with MS

INTERVENTION: Intervention 1: Intervention group: Receive dynamic neuromuscular stabilization exercises. These exercises are performed in different positions that are actually modeled on the positions of the growing baby. Exercises start with simple situations and gradually become more complex. In fact, the exercises start with the supine and then progress to the rolling, sitting, bear and squat‐like postures. The workout lasts for 6 weeks. The patient goes to physiotherapy twice a week. Intervention 2: Control group: Receive Kegel exercises. This exercise involves the patient contracting the pelvic floor muscles under the supervision of a therapist. In each session, moderate and intense exercises are performed. Moderate‐intensity exercises last between 6 and 10 seconds, and high‐intensity exercises last between 1 and 3 seconds. The exercises start from the supine position and are gradually taught in different positions such as sitting and standing. The patient is treated twice a week for 6 weeks. CONDITION: Multiple Sclerosis. ; Multiple sclerosis PRIMARY OUTCOME: Pelvic floor muscle strength. Timepoint: Before treatment, after 3 weeks from the beginning of the sessions, after the end of the sessions and 2 months after the end of the last treatment session. Method of measurement: The modified Oxford Scale, a 6‐point scale, is used to assess pelvic floor muscle strength. The rate of urinary incontinence. Timepoint: Before treatment, after 3 weeks from the beginning of the sessions, after the end of the sessions and 2 months after the end of the last treatment sessio. Method of measurement: The severity index of urinary incontinence in women is used to assess the rate of urinary incontinence. SECONDARY OUTCOME: Quality of Life. Timepoint: Before treatment, after 3 weeks from the beginning of the sessions, after the end of the sessions and 2 months after the end of the last treatment session. Method of measurement: The LUTS‐QOL questionnaire is used to assess the effect of urinary incontinence on the quality of life of these people. INCLUSION CRITERIA: Women between the ages of 18 and 55. Diagnosis of multiple sclerosis relapsing‐remitting whose disease condition has stabilized (in the last 4 months. No change in symptoms) According to the EDSS questionnaire, their disability should be less than or equal to 5.5. Women who have experienced stress incontinence at least once in the past month.