scholarly journals Effects of the Pilates method isolated and associated with manual therapy in women with urinary incontinence

2020 ◽  
Vol 18 ◽  
pp. 1-6
Author(s):  
Stephany Gordon ◽  
Daniele Bastos Ruivo ◽  
Luciana Gonzalez Auad Viscardi ◽  
Adriana Sarmento de Oliveira
Keyword(s):  
Urinary Incontinence ◽  
Manual Therapy ◽  
Public Health Issue ◽  
Abdominal Pressure ◽  
Treatment Protocols ◽  
Bladder Pain ◽  
King’S Health Questionnaire ◽  
Pilates Method ◽  
Pfm Strength ◽  
Urine Loss

Background: Urinary incontinence (UI) is clinically defined by the International Continence Society as involuntary urine loss. Currently, UI isconsidered a public health issue worldwide, considering that the prevalence in women is quite high, requiring attention from healthprofessionals. Objective: To evaluate the effects of the Pilates method associated with Manual Therapy in women with UI. Methods: It wasperformed a randomized, controlled, longitudinal clinical trial with a quantitative approach of the data. 14 female participants were evaluated,aged 20 to 55 years and who had presented episodes of urinary loss in the last months. The following evaluations were carried out: anamnesis,evaluation of urogynecological history, application of the King’s Health Questionnaire and PERFECT test. After all the evaluations, half of thevolunteers received treatment for urinary incontinence through a physical therapy approach that includes the Pilates method associated withManual Therapies (GPT), and the other half received treatment using only the Pilates method (GP). Results: Both groups showed increasedPFM strength, being GPT (p = 0.04) and GP (p = 0.00); increased resistance, being GPT (p = 0.02) and GP (p = 0.01); and the contraction offibers, being GPT (p = 0.04) and GP (p = 0.02). In the GPT there was a decrease in the severity measures (p = 0.01); disappearance ofnocturia (p = 0.04); decreased symptoms of SUI (p = 0.02); and bladder pain (p = 0.04). In the GP, there was a significant improvement in theperception of health (p = 0.00); decreased UI impact on the participant's life (p = 0.02); the influence of UI on emotions (p = 0.00); symptomsof overactive bladder (p = 0.01); and the SUI (p = 0.00). Conclusion: Both treatment protocols decrease episodes of leakage of urine whenthere is an increase in intra-abdominal pressure, increase the PFM strength, endurance and number of fast contractions, and the quality oflife of women with UI. However, only the group that received only the Pilates protocol showed an increase in repetitions of slow contraction.

scholarly journals Female urinary incontinence: quality of life comparison on reproductive age and postmenopausal period

2016 ◽  
Vol 29 (1) ◽  
pp. 71-78 ◽  
Author(s):  
Mariana Tirolli Rett ◽  
Érica Brito Wardini ◽  
Josimari Melo de Santana ◽  
Andreza Carvalho Rabelo Mendonça ◽  
Aline Teixeira Alves ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Urinary Incontinence ◽  
General Health ◽  
Health Perception ◽  
General Health Perception ◽  
Reproductive Age ◽  
Bladder Pain ◽  
Postmenopausal Period ◽  
King’S Health Questionnaire

Abstract Introduction: urinary incontinence (UI) is defined as any involuntary leakage of urine and their symptoms can affect women's quality of life (QoL). Objectives: to compare incontinent women's QoLin reproductive age (G1) with those in post menopausal period(G2). Material and methods: a descriptive and retrospective study involved 86 women with UI complaints. Clinical, sociodemographic, obstetrical and gynecological antecedents were collected. Pelvic floor evaluation was conducted by digital palpation and QoL was evaluated by King's Health Questionnaire (KHQ). Mann-Whitney and t Student test were used to compare QoL domains. Results: 36 women in reproductive age (G1) 42.9 (± 7,4) years and 50 women in postmenopausal period (G2) 61,6 (± 9,3) years were assessed. The G2 showed significantly more nocturia (p = 0,0057), urge incontinence (p = 0,0061) and enuresis (0,0021) symptoms, whereas in G1 bladder pain and voiding difficulties were more significant. KHQ domains showed statistical differences in: general health perception (G1 26,4 ± 16,8 versus G2 38,0 ± 16.2; p = 0,0019) and emotions (G1 15,1 ± 31,3 versus G2 38,9 ± 37,5; p = 0,0051). Conclusion: UI affects negatively QoLin women. Women on postmenopausal period showed higher impact on the QoLdomains related to general health perception and emotions.

Pelvic Floor Muscle Training in Female Athletes: A Randomized Controlled Pilot Study

2020 ◽  
Vol 41 (04) ◽  
pp. 264-270 ◽  
Author(s):  
Telma Filipa Pires ◽  
Patricia Maria Pires ◽  
Maria Helena Moreira ◽  
Ronaldo Eugênio Calçadas Dias Gabriel ◽  
Paulo Vicente João ◽  
...  
Keyword(s):  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Pelvic Floor ◽  
Pelvic Floor Muscle Training ◽  
Pelvic Floor Muscle ◽  
Control Group ◽  
Muscle Training ◽  
King’S Health Questionnaire ◽  
Urine Loss ◽  
Experimental Group

AbstractThe aim of this study was to investigate the effects of pelvic floor muscles training in elite female volleyball athletes and whether it is an effective therapy for stress urinary incontinence. Fourteen athletes, both continent and incontinent, between 18 and 30 years of age, were randomly assigned to an experimental group or a control group. The experimental group received a protocol for pelvic floor muscle training for 4 months. This consisted of three phases: awareness/stabilization, strength training and power. The control group was not subject to any intervention during the same period. Measures were collected at the initial and final phase for both groups. Maximum voluntary contractions were evaluated with a perineometer, involuntary urine loss with a Pad test and quality of life with the King’s Health Questionnaire. Baseline sociodemographic and anthropometric characteristics were not significantly different. Comparing the two groups, the experimental group improved maximum voluntary pelvic contractions (p<0.001) and reduced urine loss (p=0.025), indicating the existence of significant differences between groups in the variation from the initial and final phases. The percentage of urine loss decreased in the experimental group, from 71.4–42.9%, suggesting that the protocol intervention for 16 weeks may help athletes with stress urinary incontinence.

scholarly journals Chronic Hepatitis C: An Overview of Evidence on Epidemiology and Management from a Brazilian Perspective

2015 ◽  
Vol 2015 ◽  
pp. 1-10 ◽  
Author(s):  
Rodolfo Castro ◽  
Hugo Perazzo ◽  
Beatriz Grinsztejn ◽  
Valdilea G. Veloso ◽  
Chris Hyde
Keyword(s):  
Public Health ◽  
Chronic Hepatitis ◽  
Hepatitis C ◽  
Chronic Hepatitis C ◽  
Public Health Issue ◽  
Advanced Fibrosis ◽  
Noninvasive Methods ◽  
Treatment Protocols ◽  
Major Public Health Issue ◽  
Effectiveness Analysis

Chronic hepatitis C remains one of the main causes of chronic liver disease worldwide and presents a variable natural history ranging from minimal changes to advanced fibrosis and cirrhosis and its complications, such as development of hepatocellular carcinoma. Approximately, 1.45 million people are estimated to be infected by HCV in Brazil representing a major public health issue. The aim of this paper was to review the epidemiology and management of chronic hepatitis C from a Brazilian perspective. The management of chronic hepatitis C has been challenged by the use of noninvasive methods to stage liver fibrosis as an alternative to liver biopsy and the high cost of new interferon-free antiviral treatments. Moreover, the need of cost-effectiveness analysis in hepatitis C and the recent changes in treatment protocols were discussed.

Urinary Incontinence and Overactive Bladder Syndrome

2018 ◽  
Author(s):  
Kristie A. Greene ◽  
Lennox Hoyte
Keyword(s):  
Urinary Incontinence ◽  
Overactive Bladder ◽  
Stress Incontinence ◽  
Urge Incontinence ◽  
Valsalva Maneuver ◽  
Abdominal Pressure ◽  
Sudden Increase ◽  
Overactive Bladder Syndrome ◽  
Urinary Frequency ◽  
Mixed Incontinence

Urinary incontinence falls into two broad categories: stress incontinence and urge incontinence. Stress urinary incontinence occurs when urethral closure pressure cannot increase sufficiently to compensate for a sudden increase in intra-abdominal pressure, as from a cough or Valsalva maneuver. Urge urinary incontinence occurs when an unintended bladder contraction creates an insuppressible urge to void, leading to urinary leakage. When women have signs and/or symptoms of both stress and urge incontinence, it is referred to as mixed urinary incontinence. Overactive bladder syndrome is defined by the Standardization Subcommittee of the International Continence Society (ICS) as urinary urgency, with or without urge incontinence and usually with frequency and nocturia. Nocturia, which is often associated with urinary frequency, is defined as a need to urinate that awakens the person during the night. This chapter discusses the epidemiology and physiology of urinary incontinence and overactive bladder syndrome in women, as well as diagnosis and treatment. Tables list foods and beverages that may cause urinary frequency and urgency; features of urge incontinence, stress incontinence, and mixed incontinence; American Urologic Association (AUA) guidelines regarding level of evidence and indications for adult urodynamics; and currently available antimuscarinic drugs and their dosages, selectivity, efficacy, and side effects. Figures depict the journal of someone with mixed incontinence, a typical urodynamics suite, a urodynamic study of someone with detrusor overactivity, incontinence pessaries, and transobturator and retropubic slings. This review contains 5 figures, 5 tables, and 44 references.

scholarly journals Injectable Bulking Agent to Treat Postprostatectomy Urinary Incontinence: A Safety and Effectiveness Pilot Study

2018 ◽  
Vol 2018 ◽  
pp. 1-6
Author(s):  
Janneke I. M. van Uhm ◽  
Marloes Vermeer ◽  
Henk W. Elzevier ◽  
Joop W. Noordzij ◽  
Evert L. Koldewijn ◽  
...  
Keyword(s):  
Urinary Incontinence ◽  
Pilot Study ◽  
Radical Prostatectomy ◽  
Treatment Option ◽  
Short Form ◽  
Treatment Success ◽  
Bulking Agent ◽  
International Consultation ◽  
Weight Test ◽  
Urine Loss

Objectives. To evaluate the safety and effectiveness of the injectable bulking agent Opsys® (Promedon, Cordoba, Argentina) for treating minimal postprostatectomy stress urinary incontinence (SUI). Patients and Methods. Single-centre, pilot study on ten male patients with SUI, < 30 g urine loss/ 24 h, more than 1 year after radical prostatectomy. Patients were treated by endoscopic transurethral injections of bulking agent in the presphincteric zone of the urethral submucosa. The results were evaluated using a pad weight test to quantify the differences in urine loss at 1, 3, and 6 months after intervention. Subsequently, the results of treatment were also evaluated by International Consultation on Incontinence Questionnaire Short Form (ICIQ-SF), Incontinence Impact Questionnaire (IIQ-7), Urogenital Distress Inventory Short Form (UDI-6-SF), and the Patient Global Impression of Improvement (PGI-I) at 1, 3, and 6 months after intervention. Results. The primary outcome was the absolute result of the 24-hour pad weight test after treatment. Treatment success was defined as <3 g urine loss/24 h, improvement as ≥50% decrease in urine loss/ 24h, failure as <50% decrease in urine loss/24 h, or worsening of urine loss. Success was demonstrated in one, improvement in one, and failure in eight patients one month after treatment. One patient improved and 9 failed 3 and 6 months after treatment. The median 24-hour pad weight test was higher at all three moments of follow-up (1, 3, and 6 months after treatment). The median 24-hour pad weight test was before treatment 17.3g (6.4-20.9) and 1, 3, and 6 months after treatment, respectively, 40.3g (5.9-130.6) p= 0.038, 38.3g (18.3-202.1) p= 0.014, 55.0g (16.5-314.6) p= 0.028. The ICIQ-SF was significantly higher at 3 and 6 months, respectively 15.0 (12.0-18.5) p= 0.007 and 16.0 (12.5-17.5) p=0.012 versus 10.0 (9.0-12.0) before injection. No significant differences were found between IIQ-7, UDI-6-SF, and PGI-I before and after injection. Complications occurred in four patients: two patients reported spontaneously resolved haematuria and two patients reported urinary frequency. All complications were classified as Clavien–Dindo 1. Conclusion. Injection therapy with Opsys® bulking agent is not an effective treatment option for male SUI after radical prostatectomy. It is not a safe treatment option, due to worsening urine loss after treatment.

scholarly journals Physical therapy treatment in incontinent women provided by a Public Health Service

2011 ◽  
Vol 24 (2) ◽  
pp. 327-335 ◽  
Author(s):  
Daniela D'Attilio Toledo ◽  
Anny Caroline Dedicação ◽  
Maria Elisabete Salina Saldanha ◽  
Miriam Haddad ◽  
Patricia Driusso
Keyword(s):  
Urinary Incontinence ◽  
Physical Therapy ◽  
Medical Treatment ◽  
Chi Square ◽  
Treatment Protocols ◽  
Significance Level ◽  
Chi Square Test ◽  
Physical Therapy Treatment ◽  
Therapy Treatment

INTRODUCTION: Urinary incontinence affects more than 50 million people worldwide, it has a great impact on quality of life by affecting social, domestic, occupational and sex life, regardless of age. Objective: The objective of this study was to analyze the effectiveness of physical therapy treatment in women attending the Urogynecology service of Hospital and Maternity Leonor Mendes de Barros. METHOD: We retrospectively assessed 65 records of patients with diagnosis of urinary incontinence treated between November 2005 and November 2006. In order to have their data analyzed, patients were divided into two groups; group MF, which underwent medical treatment and physiotherapy, and group M, which had only medical treatment. In order to compare both groups' quantitative data, the analysis was performed in Statistica® software using Mann Whitney's non-parametric test. The analysis of association between the quantitative variables was performed through the Chi-Square test at 5% (p > 0.05) significance level. RESULTS: We observed that 60.6% of patients who underwent physical therapy treatment and medical treatment had the urinary incontinence symptoms decreased or completely cured, while 80% of women belonging to the medical treatmen only-group underwent surgery. CONCLUSION: Thus, we conclude that physical therapy is essential in treatment protocols of urinary incontinence outpatient clinics and to prevent surgery.

scholarly journals Cinesioterapia e eletroestimulação na incontinência urinária feminina/ Kinesiotherapy and electrostimulation in female urinary incontinence

2017 ◽  
Vol 16 (3) ◽  
Author(s):  
Cristine Brandenburg ◽  
Lia Machado Fiuza Fialho ◽  
Miriam Viviane Baron ◽  
Aline Barbosa Texeira Martins
Keyword(s):  
Urinary Incontinence ◽  
Female Urinary Incontinence ◽  
Health Questionnaire ◽  
King’S Health Questionnaire

A incontinência urinária é definida como qualquer perda urinária involuntária e constitui um problema social e higiênico. O objetivo do estudo foi analisar a eficácia de tratamento fisioterapêutico na reeducação da musculatura do assoalho pélvico de mulheres com incontinência urinária por meio da cinesioterapia versus eletroestimulação. Trata-se de estudo quase experimental realizado na clínica FisioUNISC entre outubro de 2007 e maio de 2008. O estudo avaliou a força de contração da musculatura perineal em 36 mulheres por intermédio do perineômetro digital, do teste do absorvente e do questionário de qualidade de vida - King’s Health Questionnaire (KHQ). A terapêutica foi constituída de dois grupos distintos: o primeiro realizava a cinesioterapia; o segundo, a eletroestimulação. Cada grupo concretizou 20 sessões de tratamento, realizado três vezes por semana. Mediante o teste do absorvente, constatou-se a redução na perda de urina e o consecutivo progresso da força de contração vaginal nos dois grupos investigados, com a cinesioterapia exprimindo melhor resultado. O KHQ evidenciou resultados similares, com melhora na pontuação para os dois grupos, destacando maior pontuação no grupo da cinesioterapia. Os resultados mostraram melhora do quadro de incontinência urinária com os dois tratamentos, contudo a cinesioterapia se mostrou a opção mais efetiva.

scholarly journals Transobturator tension-free “inside-to-out” suburethral sling procedure for the treatment of stress urinary incontinence

2012 ◽  
Vol 140 (1-2) ◽  
pp. 47-50
Author(s):  
Darko Laketic ◽  
Andrej Veljkovic ◽  
Vesna Laketic
Keyword(s):  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Health Centre ◽  
Suburethral Sling ◽  
Abdominal Pressure ◽  
Sudden Increase ◽  
Voiding Function ◽  
Sling Procedure ◽  
Tension Free ◽  
Significant Difference

Introduction. Stress urinary incontinence is an involuntary leakage of urine on a sudden increase of intra-abdominal pressure by physical activity, exercise, coughing, sneezing or laughing. Objective. To assess symptoms, functional and anatomical status of voiding function, complications and short term success of a novel procedure, tension-free vaginal tape obturator technique (TVT-O) in the treatment of stress urinary incontinence. Methods. A prospective study was performed on 40 female patients who underwent the TVT-O suburethral sling at the Urology Department of the Health Centre in Prokuplje and Urology Hospital in Nis between May 2009 and February 2010. The mean patients? age was 58 years (range 34-84 years). Preoperative evaluation included a detailed history and gynaecologic examination including urodynamic testing and voiding studies.UDI-6 and UIQ-7 score testing was performed before, and six months after surgery. All patients who demonstrated stress urinary incontinence with a Q-tip test-angle during maximal straining were included into the study. Postoperatively, outcomes evaluation included voiding function, anatomical parameters, complications, as well as subjective success rates. Results. In 30 patients surgery was performed under spinal and in ten under general anaesthesia. The average intraoperative blood loss during the TVT-O was minimal (<50 ml). There were no vascular, bladder, bowel, and neurological injuries. Thirty-eight patients (95%) were discharged voiding satisfactorily. There was a statistically significant difference in symptoms between UDI-6 and UIQ-7 before and after surgery. Conclusion. Initial experience with TVT-O suburethral sling is promising. The TVT-O differs from retropubic procedures by resulting in lower postoperative morbidity, intraoperative and postoperative complications.

scholarly journals The Role of Urodynamic Investigations in Management of Stress Urinary Incontinence

2015 ◽  
Vol 61 (4) ◽  
pp. 298-302
Author(s):  
Veronica Maria Ghirca ◽  
D Porav-Hodade ◽  
C Chibelean ◽  
S Voidazan ◽  
M Vartolomei ◽  
...  
Keyword(s):  
Urinary Incontinence ◽  
Surgical Treatment ◽  
Stress Urinary Incontinence ◽  
Abdominal Pressure ◽  
Detrusor Contraction ◽  
Pressure Flow ◽  
Detrusor Contractility ◽  
Urodynamic Investigations ◽  
Pressure Flow Study ◽  
Flow Study

AbstractObjective: The aim of this study is to establish the importance of urodynamic investigations in women diagnosed with stress urinary incontinence (SUI) who have indication of surgical treatment.Methods: We performed a retrospective study over a period of 3 years (January 2012-December 2014) in Clinic of Urology from Tirgu Mures. The inclusion criteria were: female patients diagnosed with SUI having indication of surgical treatment and the existence of urodynamic investigations (uroflowmetry and pressure-flow study). We evaluated 118 patients with SUI. From this patients, 24 cases (20.3%) accomplished the criteria from above.Results: We included in this study 24 patients aged 64.25+/−8.25 (standard deviation). Pressure-flow study revealed an impaired detrusor contraction in 13 cases. Statistical anaysis pouved a relation between existence of post void residual urine (PVR) and underactive detrusor (UD) (p=0.01). There is no correlation between maximum flow rate (Qmax) and UD, r=0.18 (CI= −0.2-0.5), p=0.3 and between normal value of Qmax and normal detrusor pressure (Pdet), r= 0,28(CI=−0.6-0.8), p=0.58. Also there is no relation between a low Qmax and UD, p=0,5. There is a statistical relation between increased abdominal pressure (Pabd) and UD, p=0.02.Conclusions: Uroflowmetry has the role to guide us concerning the micturition process Pressure-flow study is indicated in management of SUI, in selected cases, in patients with voiding symptomatology, the suspicion of a detrusor contractility dysfunction, abnormal uroflowmetry results, existence of PVR, in prediction of the surgical treatment outcome or if we think that the findings can change the choice of treatment.

Sign in / Sign up

Export Citation Format

Share Document