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Pelvic floor dysfunction negatively impacts general functional performance in patients with multiple sclerosis
Author(s) -
AguilarZafra Sandra,
Corral Tamara,
VidalQuevedo Celia,
RodríguezDurán Paula,
LópezdeUraldeVillanueva Ibai
Publication year - 2020
Publication title -
neurourology and urodynamics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.918
H-Index - 90
eISSN - 1520-6777
pISSN - 0733-2467
DOI - 10.1002/nau.24314
Subject(s) - pelvic floor , medicine , gait , urinary incontinence , quality of life (healthcare) , fecal incontinence , gait disturbance , pelvic floor dysfunction , physical medicine and rehabilitation , physical therapy , functional independence measure , multiple sclerosis , activities of daily living , functional constipation , constipation , urology , surgery , nursing , psychiatry
Background There is a lack of evidence to assess whether gait functionality can be affected by the condition of the pelvic floor musculature in patients with multiple sclerosis (MS). Objective To evaluate the relationship between pelvic floor functionality and general functional performance, and also their relationship depending on dependence degree in MS patients. Participants Forty‐three MS patients performed the study. The pelvic floor musculature and its functionality were evaluated by urinary incontinence (UI), fecal incontinence, and constipation. General functional performance was evaluated by the Barthel index, the Health Status Questionnaire Short Form‐12 (SF‐12), and the Timed Up and Go (TUG) test. Results UI was moderately related to general functional performance (SF‐12 Physical: R = −0.413; Barthel index: R = −0.501; TUG: R = 0.482). The comparative analysis showed differences between UI and gait functionality ( P = .008), with poorer results in the TUG in patients with moderate/severe dependence ( P < .001). Conclusion UI appears to have a negative impact on the performance of daily living activities, walking, and the physical dimension of quality of life in patients with MS. In addition, patients with moderate or severe dependence showed higher UI and gait disturbance compared with those with mild dependence or independence.