Effects of Spinal Stabilization on the Pelvic Floor in Women With Multiple Sclerosis

Inclusion Criteria: * Female participants aged between 18 and 65 years * Being diagnosed with Multiple Sclerosis by a specialist neurologist and having lower urinary system symptoms \[Overactive Bladder-V8 scale score ≥ 9 and having at least two of the lower urinary system symptoms (urinary incontinence, nocturia, daytime urination frequency \>8, storage symptoms such as sudden feeling of tightness, intermittent urination, slow urine flow and emptying symptoms such as incomplete emptying) * Being in the mild or moderate stage of the disease (Expanded Disability Status Scale (EDSS) score ˂ 6 * No relapse experienced within the past month * Scoring 24 or above on the Mini-Mental State Examination (MMSE) * Being literate * Willingness to voluntarily participate in the study * Ability to perform voluntary pelvic floor muscle contractions * No changes in medical treatment within the past three months * Ability to understand and cooperate with the assessments and interventions involved in the study Exclusion Criteria: * Diagnosis of one or more neurological disorders other than Multiple Sclerosis * Body mass index (BMI) ≥ 30 * Diagnosis of overflow urinary incontinence * History of antimuscarinic medication use * Presence of advanced pelvic organ prolapse (stage ≥ 2) * Active urinary tract infection * History of cesarean section or vaginal delivery within the past 6 months * Diagnosis of any other neurological condition that may cause urinary incontinence * History of urological…