A strong correlation was found between perineometric and electromyographic findings of pelvic floor muscle function.
Introdução: a gestação e o parto podem prejudicar a função dos músculos do assoalho pélvico (MAP) e influenciar na função sexual após o parto Objetivo: avaliar a função sexual em primíparas pós-parto vaginal e em nuligestas. Materiais e Métodos: estudo transversal descritivo, aprovado pelo Comitê de Ética em Pesquisa da UEPB (CAAE44775015.1.0000.5175) realizado com 36 mulheres, faixa etária de 18 a 35 anos, sendo primíparas pós-parto vaginal com episiotomia (n=12), sem episiotomia (n=12) e mulheres nuligestas (n=12). Foram verificadas características biológicas, sociodemográficas e avaliada a função sexual através do Female Sexual Function Index (FSFI). As primíparas responderam ao questionário três meses após o parto e o mesmo questionário foi respondido pelas nuligestas. Resultados: as mulheres com episiotomia, sem episiotomia e nuligestas apresentaram média de 21,41±4,56; 20,16±4,60 e 26,3±4,16 anos de idade, média de 14,66±2,42; 14,81±2,44 e 18,83±1,80 anos estudados, e frequência de dispareunia de 66,66% (n=8); 50%(n=6) e 0%(n=0), respectivamente. Em relação à função sexual, ao comparar os três grupos da pesquisa, foi encontrado um menor escore de desejo nas primíparas com episiotomia e o grupo sem episiotomia apresentou menos excitação, menos lubrificação, menos orgasmos e uma pior satisfação sexual, quando comparado aos outros grupos. Quanto a variável dor as primíparas com episiotomia apresentaram os piores escores. Conclusão: no grupo de primíparas com episiotomia, foi encontrada maior frequência de dispareunia, índices mais baixos de desejo e as primíparas sem episiotomia apresentaram menos excitação, menos lubrificação, menos orgasmos e uma pior satisfação sexual.
ResumoO processo natural de envelhecimento desencadeia no indivíduo uma série de alterações fisiológi-cas. As manifestações dos distúrbios do equilíbrio corporal é uma das principais alterações desse processo e pode levá-los à redução de sua autonomia social, pela predisposição a quedas. O objetivo do presente estudo foi verificar a atuação da realidade virtual no treinamento do equilíbrio em idosos mediante a utilização de jogos virtuais como forma de tratamento para esses pacientes. Trata-se de uma revisão de literatura através da consulta aos bancos de dados PubMed/MEDLINE; Lilacs/SciE-LO; Cochrane, utilizando como descritores, correspondentes em português e inglês, os seguintes termos: "balance" and "virtual reality" and "older" or "elderly" or "aging". Foram encontrados na literatura pesquisada poucos estudos abordando essa temática, porém, os estudos intervencionistas realizados com a população idosa oferecem resultados favoráveis à melhoria do equilíbrio de pacientes idosos mediante o treinamento com realidade virtual. Entretanto, ainda existe uma lacuna na literatura relacionada à qualidade das pesquisas publicadas, já que são poucos os ensaios clínicos randomizados e as revisões sistemáticas de literatura, havendo a necessidade de mais pesquisas na área com a finalidade de aumentar o rigor científico e contribuir para a disseminação do conhecimento nessa temática.Palavras-chave: Equilíbrio Postural; Envelhecimento; Terapia de exposição à realidade virtual.
INTRODUCTION: To analyze muscle fatigue in elderly women using two non-invasive methods, surface electromyography and laser-Doppler flowmetry. METHODS:The sample consisted of 60 sedentary elderly women of 65 to 85 years of age, all enrolled at the Open University for the Elderly (UAMA). The women in the intervention group (n530) participated in a strength-training program, while the women in the control group (n530) did not. The intervention group performed a strength-training program involving two sessions a week for sixteen weeks. The muscle fatigue evaluation was conducted through electromyographic fatigue threshold (EMGFT), also using the simultaneous evaluation of the results of electromyographic activity and 30-second chair stand test (CST) and flowmetric assessment of microvascular reactivity by laser-Doppler flowmeter. RESULTS:Muscle performance was improved in the intervention group, with a significant increase in muscle strength when the 30-second CST baseline values were compared with those registered following the intervention (9.6361.90 repetitions/30 seconds versus 15.1663.23 repetitions/30 seconds, respectively; P,.001). In addition, there was a statistically significant reduction in peripheral muscle fatigue according to the fatigue index, an improvement in neuromotor efficacy and an increase in EMGFT. The microvascular reactivity data obtained showed significant gains in the hyperemic area in the intervention group compared to the control group.CONCLUSION/IMPLICATIONS: The EMGFT protocol used to analyze the variables from the electromyographic signal and the PORH protocol used to evaluate microcirculation by laser-Doppler flowmetry can be applied to study muscle fatigue in the elderly.
INTRODUCTION: Dyspareunia is defined as persistent or recurrent genital pain that occurs just prior to, during or after sexual intercourse, causing intense suffering or interpersonal conflict. Evaluating sexual function and strength of the pelvic floor muscles represents an important element when assessing dysfunctions such as dyspareunia. METHODS: A cross-sectional study involving 50 sexually active women of 18-35 years of age, 25 with dyspareunia and 25 without dyspareunia. Questionnaires were used to obtain the eligible women’s biological, sociodemographic and urogynecological characteristics. The Female Sexual Function Index was used to evaluate sexual function. Clinical evaluation of the pelvic floor was conducted to verify the presence of perineal contraction, with dynamometry being performed immediately afterwards. The Shapiro-Wilk and Mann-Whitney tests were used in the statistical analysis, together with Spearman’s rank correlation coefficient. Significance was established as 5%. RESULTS: Dynamometric measurements of superficial (p=0.01) and deep muscle strength (p=0.04) during pelvic floor muscle contraction were also lower in the dyspareunia group. A fair positive correlation (r=0.382; p=0.03) between the pain during sexual intercourse domain and dynamometric measurements of superficial muscle strength. CONCLUSION: A reduction was found in the dynamometric measurements of pelvic floor muscle strength in women with dyspareunia compared to those without dyspareunia and a correlation was found between pain and dynamometric measurements of superficial muscle strength.
biparietal diameter, and femur length were correlated with fetal weight. The objective of this study was to evaluate the correlation between routine fetal ultrasound measurements and neonatal BMI.METHODS: Retrospective analysis of 2011-2012 term deliveries with term intrauterine fetal ultrasound parameters: abdominal circumference, biparietal diameter, head circumference, and fetal length. The neonatal was calculated with the formula kg/m 2 by using weight at birth and length measured in the neonatal nursery. We used Pearson's correlation coefficient for measuring the correlation between neonatal BMI and fetal ultrasound measurements. RESULTS:The study population consisted of 796 patients. The average neonatal BMI was 13.0 kg/m 2 (range 9.6-17.7 kg/m 2 ; Figure 1). There was a moderate correlation between abdominal circumference measurements and neonatal BMI (Pearson's 0.6281; R 2 0.3945; P,.001) and a fair correlation between head circumference (Pearson's 0.4294; R 2 0.1844; P,.001) and biparietal diameter (Pearson's 0.4267; R 2 0.1821; P,.001) and neonatal BMI. These correlations were consistent for male and female newborns with correlations most similar across sexes for abdominal circumference. CONCLUSION:The newborn BMI is a window into potential childbirth complications and the future health of the infant, child, and adult. Our study documents that sonographic fetal anthropometric measures (abdominal circumference, biparietal diameter, head circumference, fetal length) can accurately predict the neonatal BMI.Financial Disclosure:
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