The effect of pelvic floor muscle training in urinary incontinent elderly women: a sistematic review

Abstract

Introduction The International Continence Society (ICS) determines that the pelvic floor muscles training (PFMT) is the first-choice treatment of urinary symptoms in women. Objective The aim of this study was to systematize randomized controlled clinical trials that address the effects of PFMT in the treatment of urinary symptoms in older women using objective outcome measures. Method Systematic review search was performed eletronic the following databases: Medline, Pubmed, Lilacs, PEDro and manual research conducted in the references of the studies. Were considered eligible women aged over 60 years who performed PFMT in isolation, without the involvement of another technique. The PFMT performed in clinic or at home, with or without the supervision of a therapist and with or without the use of biofeedback as an adjunct. Considered as outcome measures urodynamic studies, voiding diary that assesses daytime urinary frequency, nocturnal urinary frequency, urinary incontinence and exchange absorbent, and, finally, the absorbent test that quantifies loss urinary grams. The assessment of methodological quality of the studies was conducted by PEDro scale. Results Three studies were reviewed in full. Only one trial was rated high methodological quality. There was significant improvement in urinary symptoms after treatment proposed in the three selected studies. Conclusion Considering the studies available so far are weak the evidence for the use of PFMT in the treatment of urinary symptoms in elderly women.

<b>Cinesioterapia e eletroestimulação na incontinência urinária feminina/ Kinesiotherapy and electrostimulation in female urinary incontinence<b>

“…O teste do absorvente (pad test) trata-se de um método simples e objetivo, capaz de avaliar a perda de urina e monitorar os efeitos do tratamento (11) . Após a ingestão de 500 ml (líquido sem sódio) em 15 minutos, realizam-se exercícios que facilitam a perda de urina em incontinentes, como: caminhar, subir e descer escadas, levantar da posição sentada, tossir forte, correr, realizar agachamentos e lavar as mãos em água corrente (12) .…”

Rehabilitation of Stress Urinary Incontinence: A Review Article

“…Pharmacotherapy, surgery, and conservative interventions such as pelvic floor muscle training, lifestyle interventions, anti-incontinence devices, and absorbent products are some of the options [14,15]. Unfortunately, more than 50% of cases with incontinence were inadequately managed after diagnosis [16]. SUI is the most common urinary problems among other dysfunctions.…”

“…According to previous studies, WBVT increases muscle strength [19,20], induces muscle hypertrophy [11], improves proprioceptors [12], enlarges slow-and fasttwitch fibers, and promotes hormonal changes [10]. WBVT also improves muscle weakness, especially in patients with different chronic diseases [13][14][15][16][17][18]. Electrical Stimulation (ES) is also recommended for the treatment of patients with SUI [14][15][16][17]21].…”

“…WBVT also improves muscle weakness, especially in patients with different chronic diseases [13][14][15][16][17][18]. Electrical Stimulation (ES) is also recommended for the treatment of patients with SUI [14][15][16][17]21]. Acupuncture is another treatment for managing SUI with the advantage of its new version, electroacupuncture [22][23][24].…”

“…One systematic review was carried with the aim of assessment of PFMT efficacy on incontinency. Their results revealed the weak effects of PFMT in treating urinary incontinence in older women [25]. Another review article was carried to explain the preventive role of different physiotherapy treatments in patients with SUI.…”