Método Pilates associado à contração voluntária dos músculos do assoalho pélvico para tratamento de incontinência urinária de esforço em mulheres

Abstract

OBJECTIVE: To evaluate and compare pelvic floor muscle strength in women with stress urinary incontinence (SUI) pre and post-intervention using Pilates combined with voluntary contraction of pelvic floor muscles (PFM). METHODS: A prospective cross-sectional study composed by a group of 12 women with SUI. All women were evaluated through a perineometry in order to test pressure of contraction from the PFM pre and post intervention. The Wilcoxon test was applied for statistical analysis to compare the two samples. RESULTS: There has been an increase in PFM strength after intervention. This improvement can be perceived when observing the variables of peak pressure (pre 23.3 ± 12.3 and post 28.3 ± 10.7), endurance pressure (pre 4.4 ± 1.4 and post 4.1 ± 1.0) and medium pressure (pre 16.3 ± 10.2 and post 17.6 ± 7.5). CONCLUSION: The Pilates method combined with voluntary contraction of PFM is able to strengthen these muscles in women with SUI.