Efeito de um programa de treinamento do músculo transverso abdominal nas queixas de disfunções dos músculos do assoalho pélvico de gestantes

Abstract

Pregnancy has an impact on the ability to contract the pelvic floor muscles (PFM) due to overload, which contributes to the appearance of complaints such as urinary incontinence, prolapse and sexual dysfunctions, demonstrating the need to strengthen these muscles during the gestational period. It is possible that the activation of MAPs during the contraction of other muscles promotes muscular changes. Therefore, the objective of this study was to evaluate the effects of training the transverse abdominal muscle (TrA) on complaints of pelvic floor dysfunction in pregnant women. A clinical trial was carried out with first-time pregnant women between 18 and 40 years old (CAAE nº 45573721.5.0000.5152). Participants underwent 12-week training consisting of specific exercises for the TrA muscle and global strengthening. Before and at the end of the intervention, pregnant women were assessed by applying the Portuguese version of the Pelvic Floor Bother Questionare (PFBQ). Data were analyzed using the Wilcoxon test with a significance level of 5%. A reduction in the average score of the questionnaires was observed, however, there was no statistically significant difference between the beginning and the end of the evaluated sample (p=1.0). It is concluded that training the transverse abdominal muscle for 12 weeks did not result in changes in complaints of floor dysfunction in pregnant women.