Multiple Sclerosis (MS), caused by lesions in the white matter of the central nervous system, is an autoimmune inflammatory demyelinating chronic disease. The disease may present with many findings from fatigue, spasticity, balance and gait disturbances to bladder-bowel dysfunction (Ferreira, A.P.S., et al., 2019). When the rehabilitation methods for incontinence were examined, pelvic floor muscle training, tibial nerve stimulation and sacral neuromodulation were frequently encountered (Rahnama'I, MS., 2020). Pelvic floor muscle training should create an effective result in MS patients, and the training should be done for a long time, such as 8-12 weeks. No study has been found examining the effects of manual therapy techniques and diaphragmatic breathing exercise in the acute phase in functional or neurogenic bladder-intestinal dysfunctions.
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Spasticity Assessment
Timeframe: Change from MAS scale at one week
Evaluation of Pelvic Floor Muscle Activity
Timeframe: Change from Muscle Activity scale at one week
International Consultation on Incontinence Questionnaire Short Form ICIQ-SF
Timeframe: Change from ICIQ-SF at one week
Constipation Quality of Life Scale: Constipation Quality of Life Scale (CIQS)
Timeframe: Change from CIQS at one week