Neurol. praxi 2016; 17(Suppl.4): 41-48
Pelvic fl oor dysfunctions: an interdisciplinary approach
- Klinika rehabilitace a tělovýchovného lékařství 2. LF UK a FN Motol, Praha
Pelvic fl oor dysfunctions occur in up to 80 % of patients with multiple sclerosis (MS). Symptomsinclude overactive bladder, urgency, urge urinary/fecal incontinence, pollakiuria, nocturia, andsexual dysfunction. Despite their common occurrence, pelvic fl oor dysfunctions are often a taboosubject for patients and are frequently overlooked by clinicians during assessment, particularly in theearly stages of the disease. Notwithstanding the development of modern investigative instrumentsin the clinical assessment process, the author believes that comprehensive assessment of pelvicfl oor dysfunction must include a range of manual examinations, including are patient’s perception,refl exes, and the PERFECT scheme. A thorough and inclusive assessment is essential for targetedtherapy that reduces symptoms and leads to improved quality of life for MS patients.
Keywords: multiple sclerosis, overactive bladder, incontinence, botulinum toxin, PERFECT scheme,
physiotherapy
Received: May 13, 2018; Accepted: May 13, 2018; Published: November 1, 2018 Show citation
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