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Comparative analysis of pelvic floor muscle training and Pilates in managing urinary incontinence among postmenopausal women: a randomized controlled trial.
Gonzaga, Sabrina; de Oliveira, Raphael Gonçalves; Dutra, Letícia Lussi; Oliveira, Letícia Siqueira; de Oliveira, Laís Campos.
Afiliação
  • Gonzaga S; Health Science Center, Universidade Estadual do Norte do Paraná (UENP), Alameda Padre Magno, Jacarezinho, Paraná, 86400-000, Brazil. sa_gonzaga@hotmail.com.
  • de Oliveira RG; Health Science Center, Universidade Estadual do Norte do Paraná (UENP), Alameda Padre Magno, Jacarezinho, Paraná, 86400-000, Brazil.
  • Dutra LL; Health Science Center, Universidade Estadual do Norte do Paraná (UENP), Alameda Padre Magno, Jacarezinho, Paraná, 86400-000, Brazil.
  • Oliveira LS; Health Science Center, Universidade Estadual do Norte do Paraná (UENP), Alameda Padre Magno, Jacarezinho, Paraná, 86400-000, Brazil.
  • de Oliveira LC; Health Science Center, Universidade Estadual do Norte do Paraná (UENP), Alameda Padre Magno, Jacarezinho, Paraná, 86400-000, Brazil.
Int Urogynecol J ; 35(3): 561-569, 2024 Mar.
Article em En | MEDLINE | ID: mdl-38206341
ABSTRACT
INTRODUCTION AND

HYPOTHESIS:

This study is aimed at comparing the effectiveness of pelvic floor muscle training (PFMT) and Pilates on the improvement of urinary incontinence (UI), strength, and endurance of the pelvic floor muscles (PFMs), and the impact of UI on the quality of life in postmenopausal women.

METHODS:

Forty postmenopausal women were randomly divided in to two groups PFMT (n = 20) and Pilates (n = 20). The participants were followed for 12 weeks, three times a week on nonconsecutive days. UI was assessed using the pad test and the voiding diary, PFM strength and resistance using bidigital assessment and manometry, and the impact of UI on quality of life using the International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF), before and after the 3-month treatment.

RESULTS:

There was a significant intra-group improvement in both groups for the pad test, mean daily urinary loss, and ICIQ-SF. The strength was significantly improved only in the PFMT group, and the endurance in both groups. Peak strength manometry was significantly improved only in the Pilates group, and the mean strength manometry in both groups. There was also an improvement in both groups for peak endurance manometry and mean endurance manometry. In the inter-group comparison, there was a significant improvement only in muscle strength, which was positive for group.

CONCLUSIONS:

There was no difference between Pilates and PFMT for the management of women in post-menopause with stress urinary incontinence, provided that voluntary contraction of the PFMs is performed. However, further randomized clinical trials need to be carried out.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Incontinência Urinária / Incontinência Urinária por Estresse Tipo de estudo: Clinical_trials Aspecto: Patient_preference Limite: Female / Humans Idioma: En Revista: Int Urogynecol J Assunto da revista: GINECOLOGIA / UROLOGIA Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Brasil País de publicação: Reino Unido
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 / Incontinência Urinária por Estresse Tipo de estudo: Clinical_trials Aspecto: Patient_preference Limite: Female / Humans Idioma: En Revista: Int Urogynecol J Assunto da revista: GINECOLOGIA / UROLOGIA Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Brasil País de publicação: Reino Unido