Hipermobilidade articular em mulheres com incontinência urinária de esforço.

AUTOR(ES)
DATA DE PUBLICAÇÃO

2009

RESUMO

Urinary incontinence is a public health problem, producing serious economic, social and psychological problems, with a significant impact on womens health. The conjunctive tissue abnormalities specifically genetic type I and III collagen abnormalities are currently considered development factors that associate joint hypermobility and stress urinary incontinence. No studies were found in Brazil correlating stress urinary incontinence with joint hypermobility. The assessment of joint mobility and the identification of hypermobility in clinical practice is very important to the early diagnosis of a number of organic changes associated to this genetic characteristic, especially stress urinary incontinence, whose prevention should be carried out by the pelvic floor strengthening. Objectives: Assess the association between stress urinary incontinence and joint hypermobility and check the presence of musculoskeletal, gynecological and proctologic dysfunctions possibly associated to joint hypermobility in women with or without stress urinary incontinence. Methods: The sample was made up 42 women diagnosed with stress urinary incontinence (study group) and 42 without such a diagnosis or complaint of urinary loss (control group). All women responded to a closed questionnaire for the determination of musculoskeletal, gynecological and proctologic dysfunctions. The joint hypermobility characterization was obtained using the Beighton method and the Flex test. Results: Through the Beighton method were identified 14 (33.3%) women with hypermobility in the study group and four (9.5%) in the control group. The Wilcoxon test demonstrated a significant difference between groups (p-value=0.004). The Flex Index was 43.7 (sd=6.2) in the study group and 37.9 (sd=6.6) in the control group (p-value=0.0005). There were significant differences between groups regarding the presence of cystocele, rectocele, musculoskeletal afflictions and pain. Conclusion: Joint hypermobility is prominent among women with urinary incontinence, such as cystoceles, rectoceles, musculoskeletal afflictions and pain, revealing an association between stress urinary incontinence and joint hypermobility.

ASSUNTO(S)

incontinência urinária physiotherapy hipermobilidade articular joint hypermobility fisioterapia. collagen terapia fisica (especialidade) inestabilidad de la anticulación instabilidade articular incontinencia urinaria por estresse fisioterapia (especialidade) urinary incontinence, stress psysical therapy (specialty) urinary incontinence incontinencia urinaria de esfuerzo colágeno fisioterapia e terapia ocupacional

ACESSO AO ARTIGO

Documentos Relacionados