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

NCT ID: NCT05541965

Last Updated: 2025-08-01

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 15 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2020-05-01
• Study Completion Date: 2022-09-30

Brief Summary

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.

Detailed 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.

Conditions

Multiple Sclerosis; Reflexology; Urinary Incontinence

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: SUPPORTIVE_CARE
• Blinding Strategy: SINGLE

Study Groups

Median score distributions of the reflexology groups, ICIQ-SF, IQOL and ISI

Group Type: EXPERIMENTAL

Reflexology and kegel exercises

Intervention Type: OTHER

Reflexology is specific to a foot massage, and ıt can use different symptoms for patients.

Kegel exercise is specific an activities and ıt can used for urinary incontinence

Median score distributions of the kegel groups, ICIQ-SF, IQOL and ISI

Group Type: ACTIVE_COMPARATOR

Reflexology and kegel exercises

Intervention Type: OTHER

Reflexology is specific to a foot massage, and ıt can use different symptoms for patients.

Kegel exercise is specific an activities and ıt can used for urinary incontinence

Median score distributions of the control groups, ICIQ-SF, IQOL and ISI

Group Type: ACTIVE_COMPARATOR

Reflexology and kegel exercises

Intervention Type: OTHER

Reflexology is specific to a foot massage, and ıt can use different symptoms for patients.

Kegel exercise is specific an activities and ıt can used for urinary incontinence

Interventions

Reflexology and kegel exercises

Reflexology is specific to a foot massage, and ıt can use different symptoms for patients.

Kegel exercise is specific an activities and ıt can used for urinary incontinence

Intervention Type: OTHER

Eligibility Criteria

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

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 65 Years
• Eligible Sex: FEMALE
• Accepts Healthy Volunteers: No

Sponsors

Ondokuz Mayıs University

OTHER

Sponsor Role: lead

Responsible Party

Afitap Ozdelikara

Associate Proffesor

Responsibility Role: PRINCIPAL_INVESTIGATOR

Locations

Afitap ÖZDELİKARA

Samsun, , Turkey (Türkiye)

Countries

Turkey (Türkiye)

Other Identifiers

Reflexology55

Identifier Type: -

Identifier Source: org_study_id