Effect of a training of pelvic muscles in group for women with urinary incontinence: a randomized clinical test
DOI:
https://doi.org/10.33233/fb.v23i5.5029Keywords:
pelvic floor disorders, physical therapy modalities, quality of life, sexual health, urinary incontinence, womenAbstract
Introduction: Urinary incontinence (UI) is a problem that is often underestimated, not receiving proper attention. Among the possibilities for conservative treatment of UI, supervised pelvic floor muscle training (PFMT) should be recommended as a first line of treatment for women. PFMT can be developed in groups, individually and at home. Objective: There are still few studies in the literature involving group PFMT with defined protocols that can be easily understood and reproduced by the patients. The aim of this study is to identify the effect of a group PFMT protocol compared to a PFMT protocol at home for women with UI. Methods: This experimental blinded randomized controlled trial followed CONSORT recommendations. The evaluation instruments were the PERFECT scale, ICIQ-SF and PISQ-12. The main outcome was improvement in pelvic floor muscle (PFM) function, and secondary outcomes were improvement in quality of life (QOL) and sexual function (SF). Results: With twelve weeks of treatment, the PFMT group protocol presented as a more effective form of treatment for UI, since it showed improvement in the Power and QV items. When observing the effect of the protocols, after twenty-four weeks, both were effective only when referring to the secondary outcomes, QOL and SF. Conclusion: It can be assumed that the group intervention, used in this specific sample, constitutes a feasible and viable physiotherapeutic intervention strategy, able to benefit many women with UI, besides being a tool that is easy for patients to understand and follow.
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