The aim of this study was to investigate if detrusor overactivity (DO) can be influenced by a pelvic floor muscle (PFM) contraction in multiple sclerosis-associated overactive bladder (MS) and idiopathic overactive bladder (OAB) volunteers and compare urodynamic findings between the two groups.
Eighteen women with MS and seventeen women with OAB responded the OAB-V8 questionnaire and performed urodynamic study (UDS) with electromyography of PFM to confirm the presence of a 15-seconds PFM contraction during a DO, when present. Variables were: OAB-V8 questionnaire, maximum cystometric capacity, volume at first DO, maximum DO amplitude and percentage of DO pressure reduction.
All participants had a reduction in DO pressure when PFM contraction was requested. MS group showed significant higher DO amplitude than OAB group (p=0.02). OAB group had their DO pressure reduced in a greater extent when compared to MS group (p=0.01). ConclusionThe results suggest that PFM contraction is able to reduce DO pressure in MS and OAB population.
American journal of physical medicine & rehabilitation. 2018 Oct 18 [Epub ahead of print]
Adélia Correia Lúcio, Christiane Boaventura Lourenço, Benito Pereira Damasceno, Maria Helena Baena de Moraes Lopes, Carlos Arturo Levi D'ancona
Academic degree: Ph.D. Author's affiliation: HUMAP - UFMS. Campo Grande - MS, Brazil. Institutional affiliation where the research was conducted: University of Campinas - UNICAMP. Campinas, SP - Brasil. Academic degree: Ph.D. Author's affiliation: Escola Superior de Ciência da Santa Casa de Misericórdia de Vitória - EMESCAM. Vitória-ES, Brazil. Title: PhD. Author's affiliation: University of Campinas - UNICAMP. Campinas - SP, Brazil. Title: PhD. Author's affiliation: University of Campinas - UNICAMP. Campinas - SP, Brazil. Title: PhD. Author's affiliation: University of Campinas - UNICAMP. Campinas - SP, Brazil.