scholarly journals Pelvic floor muscle function differs between supine and standing positions in women with stress urinary incontinence: an experimental crossover study

Author(s):  
Márcia Maria Gimenez ◽  
Fátima Faní Fitz ◽  
Letícia de Azevedo Ferreira ◽  
Maria Augusta Tezelli Bortolini ◽  
Patrícia Virgínia Silva Lordêlo ◽  
...  
2014 ◽  
Vol 21 (1) ◽  
pp. 74-80 ◽  
Author(s):  
Chandra da Silveira Langoni ◽  
Mara Regina Knorst ◽  
Gisele Agustini Lovatel ◽  
Valesca de Oliveira Leite ◽  
Thais de Lima Resende

The purpose of this cross-sectional study was to assess the prevalence of self-reported urinary loss in elderly women living in the city of Porto Alegre (Rio Grande do Sul, Brazil), as well as to determine the relation between urinary incontinence (UI) and pelvic floor muscle function (PFMF). It included 270 elderly women (aged from 60 to 92 years) from a population sample, who reported the presence (n=155; 69.1±7.8 years) or absence (n=115; 67.7±7.9 years) of urine loss. Those who reported UI were asked about how long they had been experiencing urinary leakage, the amount of urine lost (drops, jets or complete micturition) and situations in which they lost urine. Out of the total number of individuals, 178 agreed to undergo the assessment of PFMF by means of a perineometry and a bidigital test. The prevalence of elderly women who reported UI (57.4%) was significantly higher, and the most common isolated situation of urine loss was being unable to get to the toilet in time (26.1%), and this occurred mainly in drops (52.3%). The UI lasted for a median of three years. The elderly women with UI had significantly lower PFMF than those without it, regardless of the type of measurement used (perineometry or bidigital test). Therefore, we conclude that, in this sample, UI had a high prevalence and was associated with decreased PFMF. Bearing these findings in mind and taking into account the data available in the literature about the impact of UI on health and quality of life, as well as the low cost of its assessment and treatment, we suggest that the management and care of this dysfunction should be carried out at the Primary Health Care level.


2018 ◽  
Vol 98 (10) ◽  
pp. 876-890 ◽  
Author(s):  
Fernanda Saltiel ◽  
Ana Paula G Miranda-Gazzola ◽  
Rayane O Vitória ◽  
Elyonara M Figueiredo

Physiotherapy ◽  
2020 ◽  
Vol 109 ◽  
pp. 85-93 ◽  
Author(s):  
Gabriella Ferreira Vieira ◽  
Fernanda Saltiel ◽  
Ana Paula Gonçalves Miranda-Gazzola ◽  
Renata Noce Kirkwood ◽  
Elyonara Mello Figueiredo

2020 ◽  
Author(s):  
Magdalena Muryelle Silva Brilhante ◽  
Maria Thereza Albuquerque Barbosa Cabral Micussi ◽  
Diego de Sousa Dantas ◽  
Ana Isabele Andrade Neves ◽  
Camila Vasconcelos de Arruda Oliveira ◽  
...  

Abstract IntroductionTo assess whether obesity has a greater impact than overweight on urinary incontinence severity, pelvic floor muscle function, and quality of life in women with urinary incontinence. MethodsA pilot cross-sectional study using a convenience sample. Twenty-six volunteers were evaluated and divided into: Overweight Group (n=11) with BMI (body mass index) between 25.0-29.9kg/m²; Obesity Group (n=15) BMI≥30.0kg/m². The volunteers performed the urogynecological evaluation, Incontinence Severity Index (ISI), the King’s Health Questionnaire (KHQ), 1-hour pad test and evaluation of pelvic floor muscle function. Statistical analysis: Shapiro–Wilk test and the Mann-Whitney test for intergroup analysis. The significance level: p≤0.05. ResultsThe average age was 61.09(12.51) in the Overweight Group and 55.93(9.03) years in the Obesity Group. The Overweight Group presented better fast fiber contraction (p=0.03) of the pelvic floor muscle. There were no differences in the ISI and quality of life between the groups. ConclusionsThere was no difference in the impact caused by being overweight or obese in relation to urinary incontinence severity, pelvic floor muscle function and quality of life, except for fast fiber contraction in which Overweight Group showed better results.


Sign in / Sign up

Export Citation Format

Share Document