Avaliar os efeitos da drenagem linfática na prevenção e diminuição do edemade membros inferiores em gestantes no segundo e terceiro trimestre gestacional.Trata-se de uma série de caso. A população foi composta por 10 gestantes no segundoe terceiro trimestre gestacional. A drenagem linfática foi realizada com a paciente emdecúbito dorsal, a 45 graus. Foi iniciada com a estimulação na região cervical por 15minutos, em seguida estímulos nos linfonodos inguinais de ambos os membros inferiores,poplíteo e maleolar. Cada membro inferior foi drenado durante 20 minutos.Houve redução do edema nos membros inferiores das gestantes em média de doiscentímetros logo após a primeira sessão (efeito agudo) e após a última sessão (efeitotardio) com redução de até cinco centímetros. Houve diferença significativa tanto noefeito agudo quanto no efeito tardio em relação à dor e a fadiga nos membros inferiores.Todas as gestantes ficaram satisfeitas e recomendariam o tratamento. A técnica dedrenagem linfática manual se mostrou eficiente na prevenção e diminuição do edema,dor e fadiga nos membros inferiores em fase aguda e no efeito tardio. Todas as gestantesficaram satisfeitas com a drenagem linfática e recomendariam o tratamento.

Introduction: Physiotherapy in women's health emerged with the aim of promoting and maintaining physical and emotional health from the beginning to the end of pregnancy, through preventive measures against possible injuries that may occur during pregnancy, childbirth and the postpartum. Access to knowledge about obstetric physiotherapy among pregnant women is increasing, which may contribute to a search for trained professionals. Objective: To analyze the perception of pregnant women about obstetric physiotherapy. Methods: This is a qualitative study carried out at the Materno Infantil Center, in Capanema, Parana state (PR), using a semistructured interview. Content analysis used the Bardin method to categorize the thematic axes. Results: Seven pregnant women aged between 18-24 years (57%), 23-32 weeks of gestation (42%), multiparous (71%), with secondary education (42%) and income between 1-3 monthly minimum wages (86 %) were included in the study. It was found that participants’ perception of physiotherapy was inaccurate, because none of the women had accessed this treatment. The women stated that physiotherapists reduce labor pain, but they have no knowledge of how these professionals work in the postpartum. Conclusion: It is concluded that it is necessary to increase information on the contribution of physiotherapists during prenatal care, delivery and postpartum.

Background The present study aims to analyse if dysmenorrhea is associated with activity limitations and participation restrictions in experencied by adult women. Methods This is a cross-sectional study carried out with adult women recruited from primary health services in Brazil between 2016 and 2017. Dysmenorrhea was measured via a self-report and the activity limitation and participation restrictions was assessed by the World Health Disability Assessment Schedule (WHODAS2.0). Pain and level of physical activity were assessed, respectively, by the numerical pain rating scale and International Physical Activity Questionnaire (IPAQ), short version. Associations between groups, dysmenorrhea and without dysmenorrhea (WD), were analysed by the median difference, Mann Whitney test, effect size measures and 95 % confidence interval. Statistical significance was p <0.05. Results The prevalence of dysmenorrhea was 54 %. The pain lasted an average of three days or more (66 %). The average pain intensity, in the crisis period, was 6.1 ± 2.6, women who presented severe pain complaints were associated with considerable difficulties in their domains of mobility (p = 0.003; 2 = 0.115), participation (p = 0.030; 2 = 0.063) and total score (p = 0.012; 2 = 0.086), with a moderate effect size for all variables. Conclusions Severe dysmenorrhea was associated with higher scores of disabilities assessed by the WHODAS 2.0, especially in mobility, and participation domains.

Resumo Introdução: A fisioterapia em saúde da mulher é uma área que surgiu com o objetivo de promover e manter a saúde física e emocional do início ao final da gestação, exercendo um trabalho preventivo para os possíveis agravos que venham a ocorrer durante a gestação, parto e puerpério. O acesso ao conhecimento das gestantes sobre a atuação do fisioterapeuta na área de obstetrícia vem aumentando a cada dia e isso pode contribuir para uma procura por profissionais capacitados. Objetivo: Analisar a percepção das gestantes sobre a atuação da fisioterapia em obstetrícia. Métodos: Trata-se de um estudo com abordagem qualitativa, realizado no centro Materno Infantil, em Capanema, PR, configurado na forma de entrevista semiestruturada. Utilizou-se análise do conteúdo por meio do método de Bardin para categorizar os eixos temáticos. Resultados: Foram incluídas sete gestantes com idade entre 18 e 24 anos (57%), 23-32 semanas de gestação (42%), multigestas (71%), com ensino médio (42%) e renda de 1 a 3 salários mínimos (86%). Verificou-se que o contato com a fisioterapia é somente imaginável, porque nenhuma das participantes do estudo acessou esse desdobramento das políticas de saúde da mulher gestante. As gestantes afirmaram que o profissional de fisioterapia atua promovendo a diminuição da dor durante o trabalho de parto, porém não possuem conhecimento sobre como o fisioterapeuta atua no puerpério. Conclusão: Conclui-se que é necessário ampliar a informação sobre a atuação do fisioterapeuta durante o pré-natal, parto e pós-parto.

No abstract

This study aimed to evaluate the evidence in the literature on the efficacy of pelvic floor muscle training on the sexual function (SF) of men after prostatectomy by an overview of systematic reviews (SR) of randomized clinical trials. The search for studies was conducted in five databases without any language restriction: EMBASE, PUBMED, Science Direct, PEDro, and Cochrane Library. The main results were extracted from the SR by two reviewers, and meta-analysis was performed from the primary studies for the outcomes SF scores and erectile dysfunction. 4 reviews were included in the qualitative synthesis, which involved 8 clinical trials and 891 participants. The reviews had moderate to good methodological quality, but a high overlap of clinical studies was founded. Meta-analysis showed that pelvic floor muscle training improves sexual function scores not in 3 months (p=0.51) but in 6 months (p=0.02) and it did not show efficacy on erectile dysfunction after three (p=0.58) and 12 months (p=0.32). Studies with moderate to good methodological quality demonstrate that pelvic floor muscle training only improve sexual function score in 6 months, but not had efficacy in erectile dysfunction in men after prostatectomy.

No abstract