Efeitos de seis semanas de treinamento dos músculos do assoalho pélvico na incontinência urinária de esforço em mulheres.

Abstract

OBJECTIVES: to evaluate the effect of six weeks of TMAP on muscle function and perception of quality of life and pelvic floor strength in incontinent women. METHODS: Clinical study with a single intervention, sample of 20 women. Inclusion criteria: to be literate, proven SUI by urodynamic study, ability to contract MAPs. Exclusion criteria: presence of degenerative diseases, decompensated hypertension, diabetes and the presence of musculoskeletal disorders. Participants were assessed before and after the intervention in relation to MAP function by vaginal palpation (Modified Oxford Scale), and by contraction pressure (manometry). The perception of quality of life related to urinary loss was evaluated through the International Consultation on Incontinence Questionnaire - Short Form (ICIQ-SF) and Pelvic Floor Disability Questionnaire (PFDI-20). The intervention consisted of 12 sessions divided into 6 weeks, with two weekly sessions, divided into 3 phases with progression in each phase of TMAP. RESULTS: Women included mean age of 50.8 ± 14.6 years, body mass index of 27.8 ± 4.6 kg / m², 5 (25%) women with vaginal deliveries, 9 (43%) women with cesarean deliveries, 4 (19%) women with vaginal deliveries and cesarean deliveries, and 3 (14%) women with no delivery. There was an improvement in the perception of quality of life related to pre and post-intervention urinary loss according to ICIQ-SF questionnaires 13.9 (± 4.1) for 10 (± 4.4), p <0.001 * and PFDI -20 in all domains. With regard to muscle function, there was an increase in both the Oxford scale, from 1.8 (± 0.6) to 2.8 (± 0.5), p = 0.001 and by manometry, from 25.8 (± 20) to 33.9 (± 16), p = 0.002. CONCLUSION: Based on the results found, six weeks (twelve sessions) of TMAP were sufficient to improve muscle function and perception of quality of life in incontinent women.