Effects of Training of Pelvic Floor Muscles (MAP) on Stress Urinary Incontinence
- Conditions
- Stress Urinary Incontinence
- Interventions
- Procedure: Training of pelvic floor musclesProcedure: Hipopressive abdominal gymnastics
- Registration Number
- NCT03203798
- Lead Sponsor
- Federal University of Uberlandia
- Brief Summary
In the current scientific literature, it is clear that SUI can cause several social, hygienic and personal relationship problems. It has also been proven that this condition affects many more menopausal women than menacme, and this is believed to be due to the hypoestrogenism characteristic of this phase.
On the other hand, weakness of the pelvic floor muscles (PFM) is also related to the genesis of SUI. The role of these muscles would be to keep the bladder neck elevated (above the pubic symphysis) during increases in abdominal pressure, and its weakness would lead to excessive lowering of the bladder neck at these times, leading to SUI due to bladder neck hypermobility.
The conservative treatment of this condition, therefore, encompasses the strengthening of PFMs, which would avoid excessive descent of the bladder neck during increases in abdominal pressure, thereby reducing urinary loss.
In the current literature there are studies proving the effectiveness of pelvic floor muscle training; however, in relation to the literature on abdominal hipopressive gymnastics, it is observed that the scientific evidence is still poor, however, the technique is still Widely spread through extension courses offered throughout Latin America, France and Spain; With regard to the comparison of these methods with respect to their clinical efficacy and the quality of life and patient satisfaction, there are no consistent studies, and this fact motivated us to carry out this study.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- UNKNOWN
- Sex
- Female
- Target Recruitment
- 42
- Women with IUE and with a modified Oxford scale of at least 1.
- Presence of neuromuscular diseases
- Uncontrolled diabetes
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Training of pelvic floor muscles Training of pelvic floor muscles - Hipopressive abdominal gymnastics Hipopressive abdominal gymnastics -
- Primary Outcome Measures
Name Time Method Check for modification on modified oxford scale two months Bidigital palpation will be performed in the vagina and requested the maximum voluntary contraction of the pelvic floor muscles.
Check for modification on Perineometry two months A silicone probe will be introduced into the vaginal cavity, and then it will be inflated to 100 cm / H2O, and reset. After this will be requested the maximum voluntary contraction maintained for 5 seconds, with interval of 1 minute to rest and after it will be repeated twice.
- Secondary Outcome Measures
Name Time Method Pelvic Floor Distress Inventory (PFDI-20) two months A self-administered questionnaire composed of 20 questions applied to assess the impact of each domain on the life of the research participant.
International Consultation on Incontinence Questionnaire Short Form two months Self-administered questionnaire to evaluate the impact of incontinence on the life of the research participant.
Pelvic Floor Impact Questionnaire (PFIQ-7) Floor Impact Questionnaire (PFIQ-7) two months A self-administered questionnaire that presents seven questions to evaluate the impact of each subsession on the participant's quality of life.
Void diary two months Diary delivered to the participant to note for seven days the urinary frequency daytime, night, amount of loss and exchange of absorbents if you use.
Trial Locations
- Locations (1)
Luciene Aparecida José Vaz
🇧🇷Uberlândia, Minas Gerais, Brazil