Efeitos de um protocolo de fortalecimento da musculatura do assoalho pélvico em grupo para mulheres com perda urinária

AUTOR(ES)

Grasiéla Nascimento Correia

DATA DE PUBLICAÇÃO

2010

RESUMO

The purpose of this study was to evaluate the effects of a kinesiotherapy protocol in a group-based for strengthen the pelvic floor muscles (KGSPF) for the pelvic floor muscle (PFM) function and pressure level, quality of life (QOL) and isometric and isokinetic hip adductors peak torque (PT) among women with urinary incontinence (UI) that was not sedentary. Fifteen women (mean age 60,20 8,16) were enrolled in this study. They were evaluated, at beginning and after 12 weeks, by a clinical evaluation; one hour pad test; three-day voiding diary; a QOL with King Health Questionnaire (KHQ); PFM function (digital and perioneometer) and isometric and isokinetic hip adductors PT. The KGSPF protocol consisted of 12 sessions of one hour, once a week. The KGSPF protocol included exercises to strengthen PFM, information and guidance for UI. The data were analyzed by non-parametric Wilcoxon test and Spearman coefficient correlation. The significance level was 5%. After 12 weeks, the group presented a significant improvement of QOL and PFM function and pressure. It was presented a significant decrease for isometric hip adductors PT, one hour pad test (p=0,03), urgency episodes (p=0,04), and UI (p=0,02). It was found moderate negative correlation between age and the isokinetic hip adductors PT for dominant side (r= -0,53; p=0,04) and non-dominant side (r= -0,57; p=0,03); between the PFM contraction pressure and isokinetic hip adductors PT for dominant side (r= -0,62; p=0,03) and nondominant side (r= -0,64;p= 0,02); and between contraction force of PFM fast fibers and isometric hip adductors PT for dominant side (r= 0,60; p=0,03) and non-dominant side (r=-0,59; p=0,04). In conclusion, the KGSPF protocol was effective to decrease UI and isometric hip adductors PT, and to improve QOL.

ASSUNTO(S)

reabilitação torque assoalho pélvico pelvic floor fisioterapia terapia de grupo group therapy saúde da mulher fisioterapia e terapia ocupacional physiotherapy incontinência urinária urinary incontinence pelvic floor muscle training

Documentos Relacionados

• Análise dos recursos para reabilitação da musculatura do assoalho pélvico em mulheres com prolapso e incontinência urinária
• Influencia da intervencao fisioterapeutica ambulatorial sobre a musculatura do assoalho pelvico em mulheres com incontinencia urinaria
• Efeitos a curto e longo prazo do fortalecimento da musculatura do assoalho pélvico com uso de cones vaginais para mulheres no período pós-menopausal com incontinência urinária de esforço: estudo randomizado controlado
• Influência de um protocolo de exercícios do método Pilates na contratilidade da musculatura do assoalho pélvico de idosas não institucionalizadas
• Impacto do treinamento dos músculos do assoalho pélvico na qualidade de vida em mulheres com incontinência urinária