Knowledge and Performance of Pelvic Muscle Exercises in Women

Moen, Michael D.; Noone, Michael B.; Vassallo, Brett J.; Lopata, Randee; Nash, Matthew; Sum, Beth; Schy, Susan

doi:10.1097/01.spv.0000263643.80110.40

Cited by 17 publications

(13 citation statements)

References 13 publications

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“…In addition to the benefit achieved with the technique, helping the patient reach the restroom without urinary loss, the perineal exercise was the only modality of treatment performed in groups, promoting not only the improvement of the PFM function, but also socialization, mutual support, motivation and intensive instructions provided by the physical therapist, contributing to the patients' high percentage of satisfaction (91%) with the exercises 47,[61][62][63][64] .…”

Section: Discussionmentioning

confidence: 99%

Comparação entre oxibutinina, eletroestimulação do nervo tibial posterior e exercícios perineais no tratamento da síndrome da bexiga hiperativa

et al. 2019

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RESUMO Objetivou-se avaliar a eficácia dos exercícios perineais, da eletroestimulação transcutânea do nervo tibial posterior (ETNTP) e da oxibutinina em mulheres com síndrome da bexiga hiperativa, que é a segunda causa mais comum de incontinência urinária, com sintomas urinários extremamente incômodos que prejudicam a qualidade de vida. Foram randomizadas 65 mulheres, das quais 57 completaram o tratamento. Formaram-se três grupos: o de exercícios perineais, ETNTP e o grupo controle, que utilizou oxibutinina. Os exercícios foram realizados em grupo, nas posições em pé, supino e sentado, duas vezes por semana, com duração de 30 minutos cada sessão, totalizando 12 sessões. Na ETNTP utilizou-se eletrodo transcutâneo posicionado em maléolo medial e outro 10cm acima, com frequência de 10Hz e largura de pulso de 200 microssegundos, por 30 minutos, duas vezes por semana, totalizando 12 sessões. Na medicação as pacientes receberam oxibutinina de 10mg/dia de liberação imediata divididos e duas doses de 5mg/dia, durante 12 semanas consecutivas. Antes e depois dos tratamentos, as pacientes passaram por uma avaliação composta pela análise do diário miccional, avaliação funcional do assoalho pélvico e aplicação de questionário de qualidade de vida OAB-V8. Houve redução da incontinência de urgência em 50%, 70,5% e 41% nos grupos de exercício, ETNTP e oxibutinina, respectivamente, com significância estatística somente da eletroestimulação. As três modalidades de tratamento foram eficazes na melhora da qualidade de vida para a terapêutica em curto prazo, estatisticamente semelhantes entre si.

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Section: Discussionmentioning

confidence: 99%

Comparação entre oxibutinina, eletroestimulação do nervo tibial posterior e exercícios perineais no tratamento da síndrome da bexiga hiperativa

et al. 2019

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“…In addition, the practice of exercises to strengthen the pelvic floor muscles is a low-cost strategy to prevent and manage such problems. Vaginal palpation of the PF musculature, in addition to providing a functional assessment, is the first choice for teaching a woman to perform an adequate contraction, in which there is an absence of valsalva maneuver and little recruitment of the accessory musculature (gluteus, abdominals and medial thigh musculature) [4,5]. This assessment, combined with instruction from a professional physiotherapist, may help to improve women's body awareness [6].…”

Section: Introductionmentioning

confidence: 99%

Teaching Pelvic Floor Muscle Exercises to Women in a Primary Care Setting: Participants’ Adherence and Acceptance

Sacomori¹,

Cardoso²

2012

J Yoga Phys Therapy

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Background: To investigate the acceptance and adherence to an intervention that included teaching Pelvic Floor (PF) muscle exercises to women who underwent the routine examination for cervical cancer prevention. Methods: This prospective study occurred in a primary care setting. Thirty-eight women who received a functional assessment of the PF musculature and behavioural guidance were interviewed by telephone two months later. The intervention consisted of one single section of teaching adequate contraction and PF exercises. Questionnaires were employed that addressed urinary losses, level of physical activity, sexual function (Female Sexual Function Index-FSFI) and open questions for adherence and acceptance. Pelvic floor muscle were evaluated immediately after the routine examination for cervical cancer prevention with vaginal palpation and ranked with Ortiz scale. Descriptive statistics and the Mann Whitney U test were used for p < 05. Results: Twenty-four women (63.1%) adhered to the recommended exercises. The reports of the participants demonstrated that they accepted the intervention and showed a positive impact on diverse aspects: knowledge, sex life, encouragement to practice physical exercise and PF exercises, and improvement in urinary loss symptoms. The FSFI mean score was 21.87 (sd = 8.74; median = 23.1). Aspects such as age, schooling, and level of physical activity, body mass index, sexual function, and urinary loss symptoms did not affect adherence. Conclusion: Preventive actions such as the one described here constitute a way of facilitating access to healthcare among the population with the lowest financial means. This suggests that such interventions should be encouraged in primary health care settings.

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“…In contrast, 55.3% of pregnant women in England received some instruction about pelvic floor exercise 22 ; in the United States, most of the asymptomatic and non-pregnant women had already heard about this exercise, but had not been instructed on how to perform it 23 . Another study reported that only 10% of pregnant/postpartum women who received instructions on the correct contraction of these muscles were instructed during the pelvic exam 24 .…”

Section: Pfm Strengthmentioning

confidence: 99%

“…When asymptomatic women were instructed on how to perform this exercise, 68% were capable of performing an appropriate PFM contraction for up to 3 seconds 23 , and a high percentage (15.2%) of the women was not able to voluntarily contract the PFMs 20 . More than 30% of the women were not able to perform an appropriate PFM contraction during the first assessment 2 .…”

Section: Pfm Strengthmentioning

confidence: 99%