Pelvic floor training in patients with multiple sclerosis: a meta-analysis
DOI:
https://doi.org/10.34024/rnc.2023.v31.14702Keywords:
Multiple Sclerosis, Training, Pelvic Floor, Systematic Review, Meta-AnalysisAbstract
Objective. To investigate, through a systematic review of the literature with meta-analysis, the effects of pelvic floor muscle training (PFMT) associated with other therapeutic modalities when compared to isolated PFMT, on pelvic floor muscle strength (PFM) and quality of life of patients with multiple sclerosis (MS). Method. Searches were carried out in PubMed, Lilacs, SciELO and PEDro databases. The searches were carried out independently, and the methodological quality of the studies was assessed using the PEDro scale. Results. Three studies were included, totaling 84 individuals. In general, combined training was superior in improving PFM strength (MD 0.50; 95%CI 0.25 to 0.76; I2=0%; p<0.0001; random effects model) and quality of life (SMD 0.58; 95%CI 0.11 to 1.05; I2=6%; p<0.016; random effects model), when compared to PFM training alone. Conclusions. The results of the present study showed that PFMT associated with other therapeutic modalities is superior, when compared to PFMT alone, in improving PFM strength and quality of life in women with MS classified as mild to moderate.
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Copyright (c) 2023 Ana Flávia Reis, Marina Borges Lírio da Silva, Rayra de Oliveira Gonçalves, Patrick Roberto Avelino, Kênia Kiefer Parreiras de Menezes
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Accepted 2023-04-05
Published 2023-04-10
