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Pelvic floor muscle training protocol for stress urinary incontinence in women: A systematic review.
Oliveira, Marlene; Ferreira, Margarida; Azevedo, Maria João; Firmino-Machado, João; Santos, Paula Clara.
Afiliação
  • Oliveira M; Physiotherapist, Camélia Hotel Sénior & Homes, Guimarães, Portugal.
  • Ferreira M; Visiting Professor, Physiotherapy Department, CESPU - Instituto Politécnico de Saúde do Norte, Vale do Sousa e Vale do Ave, Portugal.
  • Azevedo MJ; MD, Assistant Physiatrist, Hospital Senhora da Oliveira, Guimarães, Portugal.
  • Firmino-Machado J; MD, Department of Public Health, Porto, Portugal.
  • Santos PC; Lecturer, Department of Physiotherapy, Escola Superior de Tecnologia e Saúde do Porto, Instituto Politécnico do Porto, Porto, Portugal.
Rev Assoc Med Bras (1992) ; 63(7): 642-650, 2017 Jul.
Article em En | MEDLINE | ID: mdl-28977091
INTRODUCTION: Strengthening exercises for pelvic floor muscles (SEPFM) are considered the first approach in the treatment of stress urinary incontinence (SUI). Nevertheless, there is no evidence about training parameters. OBJECTIVE: To identify the protocol and/or most effective training parameters in the treatment of female SUI. METHOD: A literature research was conducted in the PubMed, Cochrane Library, PEDro, Web of Science and Lilacs databases, with publishing dates ranging from January 1992 to March 2014. The articles included consisted of English-speaking experimental studies in which SEPFM were compared with placebo treatment (usual or untreated). The sample had a diagnosis of SUI and their age ranged between 18 and 65 years. The assessment of methodological quality was performed based on the PEDro scale. RESULTS: Seven high methodological quality articles were included in this review. The sample consisted of 331 women, mean age 44.4±5.51 years, average duration of urinary loss of 64±5.66 months and severity of SUI ranging from mild to severe. SEPFM programs included different training parameters concerning the PFM. Some studies have applied abdominal training and adjuvant techniques. Urine leakage cure rates varied from 28.6 to 80%, while the strength increase of PFM varied from 15.6 to 161.7%. CONCLUSION: The most effective training protocol consists of SEPFM by digital palpation combined with biofeedback monitoring and vaginal cones, including 12 week training parameters, and ten repetitions per series in different positions compared with SEPFM alone or a lack of treatment.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Incontinência Urinária por Estresse / Diafragma da Pelve / Terapia por Exercício / Contração Muscular Tipo de estudo: Clinical_trials / Guideline / Systematic_reviews Limite: Adult / Aged / Female / Humans / Middle aged Idioma: En Revista: Rev Assoc Med Bras (1992) Ano de publicação: 2017 Tipo de documento: Article País de afiliação: Portugal País de publicação: Brasil
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Incontinência Urinária por Estresse / Diafragma da Pelve / Terapia por Exercício / Contração Muscular Tipo de estudo: Clinical_trials / Guideline / Systematic_reviews Limite: Adult / Aged / Female / Humans / Middle aged Idioma: En Revista: Rev Assoc Med Bras (1992) Ano de publicação: 2017 Tipo de documento: Article País de afiliação: Portugal País de publicação: Brasil