الفهرس | Only 14 pages are availabe for public view |
Abstract Background: Bladder dysfun»ction is a common clinical presentation in patients with multiple sclerosis (MS). Objectives: To study the effect of the Transcranial magnetic therapy versus Bio feedback training on bladder dysfunction in patients with MS Subjects and Methods: Thirty multiple sclerosis patients from both sexes had participated in this study. They were assigned randomly into two equal groups; (GA,GB). Patients in the group (A) had received EMG bio feedback training while patients in the group (B) had received transcranial magnetic therapy. Urodynamic measurement was used to assess the parameters of bladder dysfunction ; Detrusor pressure at maximum flow rate, Bladder volume at the first desire to void, Maximum cystometric capacity, Detrusor pressure, Maximum flow rate. The assessment was done two times; before and after six weeks training period (end of treatment) for all the groups. Results: There was a statistical significant increase in all he measuring parameters of the urodynamic within the groups (GA and GB ) except at the maximum cystometric capacity in GB where no significant increase occurred. Also there was no significant difference between both groups at all the parameters. Conclusion:Transcranial magnetic stimulation as well as EMG biofeed back training had a similar and beneficial effect on improving the bladder function in patients with multiple sclerosis |