Bladder Complaints in Parkinson's Disease Effectiveness of Pelvic Floor Muscle Exercises and Electrical Stimulation

Summary

The goal of this clinical trial is to compare the effect of pelvic physical therapy with different types of electrical stimulation(ES) for bladder complaints in people with Parkinson's disease. The main question it aims to answer is: What is the effect of pelvic physical therapy with ES for bladder complaints in people with Parkinson's disease. Secondary question: What is the most effective type of ES on bladder complaints in people with Parkinson's disease. Participants will be randomized into three groups. Two different kinds of ES and a sham group. Participants will receive eight session of pelvic physical therapy. Pelvic physical therapy consists of e.g. bladder training, pelvic floor muscle exercises and biofeedback.

Eligibility

Inclusion Criteria:

* Parkinson's disease
* ≥ 18 years of age
* Self-reported LUTS
* Stable Parkinson's medication for at least three months
* Able and willing to independently read and fill in questionnaires in the Dutch language, sufficient understanding of Dutch language
* Able to independently visit a pelvic physical therapy practice

Exclusion Criteria:

* Patients with other neurological diseases
* Surgery in the pelvic region in the last year
* Cancer or cancer treatment in the pelvic region
* Pregnancy
* Current urinary tract infection
* Pure stress urinary incontinence without urgency, frequency, nocturia
* Botox, PTNS or pelvic physical therapy in the last year
* Sacral neuromodulator
* Pacemaker and Implantable cardioverter defibrillator (ICD)
* Deep Brain stimulation (DBS)

Conditions3

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