Efeito do treinamento dos músculos do assoalho pélvico orientado por aplicativo de celular para o tratamento de mulheres com incontinência urinária

Abstract

INTRODUCTION: It is known that supervised pelvic floor muscle training (TMAP) is recognized as the first-line treatment for stress urinary incontinence (SUI) in women. However, adherence to face-to-face PMT exercises is difficult and since access to applications grows every day, the use of technology can become an ally in the treatment of SUI. OBJECTIVES: Therefore, the objective of this study was to verify the effects of TMAP guided by a cell phone application for the treatment of SUI in women. METHODS: This is an exploratory clinical study. Women who had symptoms of stress and/or mixed urinary incontinence were included. Participants were instructed to perform a training protocol described in the mobile application for 30 minutes a day, and frequency of three to four times a week. The volunteers were followed for a total of 12 weeks of the protocol. Before and after the intervention, the King's Health Questionnaire was applied. RESULTS: A statistically significant difference was observed before and after the intervention in the domains of general health perception (p=0.003), limitations in activities of daily living (p=0.044), physical limitations (p=0.040), social limitations (p= 0.016), emotions (p= 0.025), as well as for measures of severity (p= 0.002), with lower values, indicative of reduced impact of UI after treatment. In the domains impact of urinary incontinence, personal relationships and sleep and disposition, the findings were not significant. CONCLUSION: Based on the results found in the present study, it appears that the application can be used as an aid in the treatment of urinary incontinence, however, further studies using the same technology are needed.