Impacto de 24 sessões de pilates no tratamento da incontinência urinária de esforço em mulheres

Abstract

Introduction: The Pilates method provides indisputable benefits for the health of its practitioners. In addition to strengthening the muscles in general, improves flexibility and well-being. Despite all the benefits, its performance on the pelvic floor is debatable and its real effect on this musculature is not yet known and if it has any role in the treatment of pelvic floor disorders. Objective: To evaluate the effects of 24 sessions of the Pilates technique on the number and urinary losses, strength of MAP and the severity of incontinence in women with stress urinary incontinence (SUI). Method: Intervention study with single arm. Thirty-five women with SUI were included. There were two dropouts and 33 women completed the assessments at the beginning and at the end of 24 Pilates mat sessions. The daytime and nighttime urinary frequency, as well as the number of urinary losses were measured by the voiding diary. The strength of the pelvic floor muscles was assessed by vaginal palpation (Oxford scale) and manometry (Peritron manometer) and the severity of incontinence was assessed by the ICIQ-SF questionnaire. Results: There were no changes in the parameters of nocturnal urinary frequency and number of losses, there was no improvement in PFM strength, but there was a decrease in daytime urinary frequency and in the total score of the ICIQ-SF, which indicates a decrease in the severity of incontinence. Conclusion: The treatment with 24 sessions with the application of the Pilates method was not able to reduce the number of episodes of nocturnal urinary loss or improve the strength of the PFM, however, it mitigated the impact of incontinence on the woman's life.