Impacto de doze semanas de treinamento dos músculos do assoalho pélvico nos sintomas do prolapso de órgãos pélvicos

Abstract

Introduction: Pelvic organ prolapse (POP) is associated with the displacement of the pelvic organs from their normal anatomical positions, resulting in uncomfortable symptoms that may include sensations of heaviness and vaginal bulging (Ingeborg). TMAP consists of physical interventions to improve the function and structural support of organs, including strength, resistance and coordination through specific training. Objective: To verify the effects of twelve weeks of PFMT on the symptoms of pelvic organ prolapse. Method: Clinical study. Prolapse symptoms were assessed using the Prolapse Quality Of Life (PQOL) instrument, as well as the function and strength of the pelvic floor through palpation and the Oxford strength scale. The intervention was carried out in 24 sessions divided into 12 weeks of TMAP, respecting its basic principles of load progression, sets and repetitions. Results: PFM training provided improvements in three domains presented in the P-QOL, namely: Impact of Prolapse (p=0.004), Physical Limitations (p<0.001) and Severity Measures (p<0.001). On the Oxford pelvic floor muscle strength scale, the average before the intervention was 0.68 and after 0.91, showing p<0001. However, there was no significant difference in the domains: General Health Perception, Role Limitations, Social Limitations, Personal Relationships, Emotions, and Sleep. Conclusion: At 12 weeks, TMAP improved prolapse symptoms, especially symptoms related to the sensation of heaviness or ball in the vagina.