Efeitos do treinamento da musculatura do assoalho pélvico com uso de aplicativo de dispositivo móvel em gestantes: ensaio clínico randomizado

Abstract

Introduction: Pregnant women have a high prevalence of stress urinary incontinence, especially in the last gestational trimester, which is capable of affecting the quality of life of this population. Pelvic floor muscle training (PFMT) is the gold standard for the prevention and treatment of this dysfunction. The success of the PFMT is influenced by the women access to the exercises. Thus, mobile applications can be good alternatives to increase the success of the intervention in pregnant women. Objective: The aim of this study was to verify the effects of PFMT guided by mobile phone application and supervised by teleservice on urinary complaint in primiparous. Methods: This randomized controlled trial participated in 81 primiparous, gestational age between 16th and 24th weeks, randomly divided into two groups: Supervision + App Group (n= 41) composed of pregnant women who participated in a PFMT program under the supervision of a physiotherapist on a videoconference platform twice a week and other days received guidance of the exercises through the application and the App Group (n=40) composed of primiparous women who participated in a PFMT program guided by a mobile application. Before, after 6 and 12 weeks of intervention, the pregnant women were evaluated using the International Consultation on Incontinence Questionnaire (ICIQ - Short Form). Results: When analyzing the values of the total score of the ICIQSF question before, after 6 and 12 weeks of intervention, there was a significant difference only in the App group, with higher values after 6 (p=0.001) and 12 weeks (p=0.017) when compared to the pre-intervention values. There were no differences between groups in the pre, post 6 and 12-week intervention values. Conclusions: It was concluded that the training of PFM for 12 weeks with the use of a mobile device application had a similar result to teleservice supervised training on urinary loss in pregnant women.