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O estudo avaliou o efeito dos exercícios perineais (EP) associados ou não à eletroterapia em mulheres com incontinência urinária de esforço (IUE) quanto à contração dos músculos do assoalho pélvico (MAP). Estudo longitudinal, do tipo experimental. Amostra composta por 71 mulheres com diagnóstico clínico de IUE divididas em três grupos: eletroterapia associada a exercícios (GEE, n=24), exercícios exclusivamente (GE, n=25) e controle (GC, n=22). Nos grupos experimentais foram realizadas 12 sessões com duração de 20 minutos cada e frequência de 2 vezes por semana. Mensurou-se a contração dos MAP por meio da avaliação funcional do assoalho pélvico (AFA) e perineômetro (PERI) pré e pós-intervenção. Os resultados apontam melhora da contração dos MAP para os grupos GEE e GE em relação ao GC conforme as médias de AFA (fibras I e II) e PERI (fibras I): AFA F I (∆%=11,99; p<0,001) e AFA F II (∆%=11,60; p<0,001) para o GEE; e para o GE AFA F I (∆%=4,75; p=0,021), AFA F II (∆%=2,93; p=0,002), PERI F I (∆%=29,94; p=0,012). Os exercícios foram eficazes na melhora da contração dos MAP em mulheres com IUE, sem diferença entre o grupo de eletroterapia mais exercícios em relação ao grupo de exercícios.

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| Introduction:According to the International Continence Society (ICS), the Urinary Incontinence of Effort (UIE) is the most common cause of involuntary loss of urine, which has as a risk factor the practice of physical and sports activity in women. Objective: To verify the prevalence of UIE in women with regular practice of physical activity in academies. Methodology: A cross-sectional study, carried out in two private academies in the city of Belém do Pará, in women practicing regular physical activity, aged between 25 and 55 years; women with cognitive impairment, diabetes mellitus, and neurological problems were excluded. A standard questionnaire and the Protection, Amount, Frequency, Adjustment and Body image (PRAFAB) were applied. The variables were analyzed by Fisher's Exact and Mann-Whitney tests (p <0.05). CAAE 61681416.4.0000.5173. Results: The sample consisted of 56 women, of whom 7 (12%) reported recent loss of urine. The incontinent women were bodybuilders (100%) and the majority (71%) associated this practice with aerobic exercises. The occurrences were reported on average 5 times per week (85%) and during the exercises (57%). There was no statistical difference in the comparison of the variables between continents and incontinent women (p> 0.05). Conclusion: The prevalence of UI in women who performed aerobic exercises and bodybuilding in gymnasiums was low (12%), with moderate to severe severity and no association with age, modality, practical time, shift and exercise frequency.

It was modified and improved anatomic features of the pelvic floor of women from GE through perineal exercises, which will positively influence the CV of these women.