The effects of training by virtual reality or gym ball on pelvic floor muscle strength in postmenopausal women: a randomized controlled trial

Martinho, Natália; Silva, Valéria R.; Marques, Joseane; Carvalho, Leonardo César; Iunes, Denise Hollanda; Botelho, Simone

doi:10.1590/bjpt-rbf.2014.0148

Cited by 27 publications

(51 citation statements)

References 31 publications

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“…Pelvic floor muscle contraction training depends on understanding the exercise commands given and awareness of the location of these muscles. In addition, training must include acceptance, motivation and inclusion of longterm contraction exercises (12,17) . The PFM training programs should be based on awareness and learning programs as well as home exercises because treatment can be faster and have better results when the patient adhere to and understand the purpose of the treatment, making the patients more secure and confident to perform tasks from day to day (18) .…”

Section: Discussionmentioning

confidence: 99%

Comparison of techniques used for functional evaluation of pelvic floor muscles

Costa¹,

Spirydes²,

Sousa³

2017

RBPS

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Este artigo publicado em acesso aberto (Open Access) sob a licença Creative Commons, que permite uso, distribuição e reprodução em qualquer meio, sem restrições, desde que o trabalho seja corretamente citado. COMPARISON OF TECHNIQUES USED FOR FUNCTIONAL EVALUATION OF PELVIC FLOOR MUSCLES ABSTRACTObjective: To identify and discuss techniques for evaluation of pelvic fl oor muscles (PFM) focusing on the most used and accessible techniques in health care. Methods: This is a quantitative exploratory and descriptive applied research. Data were collected from March to June 2016 at a higher education institution in the city of João Pessoa, Paraíba, Brazil. Initially, 31 healthy young women were submitted to pelvic fl oor evaluation using the following methods: PERFECT, vaginal cones, and perineometry using Perine and Peritron. The participants then performed exercises to strengthen PFM. The variables measured by the different methods were also recorded 30 and 60 days after the start of the program. ANOVA was used for repeated measures and Spearman's correlation test was used for the evaluation instruments with signifi cance set at 5%. Results: The functional evaluation using all the methods was adequate in the PFM evaluation. In the digital palpation (PERFECT), the endurance response (E) was positively correlated to Perina (rho=0.688) and vaginal cones (rho=0.571), and muscle strength (P) was positively correlated to the Peritron technique (rho=0.506). Conclusion: There are several ways to evaluate PFM function and all of them provide sensory feedback to the patient. Given the low costs of digital palpation, the introduction of this technique into women's health services is likely to improve women's quality of life. Descriptors

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Section: Discussionmentioning

confidence: 99%

Comparison of techniques used for functional evaluation of pelvic floor muscles

Costa¹,

Spirydes²,

Sousa³

2017

RBPS

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“…PTK'nin güçlenmesiyle üretral kapanma basıncı artar, urgency hissi durdurulur ve pelvik organların desteklenmesi sağlanmış olur. 24 Her hasta için detaylı bir değerlendirme yapıldıktan sonra uygun egzersiz reçetesi ile PTKE'ye başlanır. Egzersiz programı düzenli olarak 6-8 hafta devam etmelidir.…”

Section: Pelvi̇k Taban Di̇sfonksi̇yonuunclassified

“…53 Daha çok nörolojik rehabilitasyon, ortopedik rehabilitasyon, ağrı rehabilitasyonunda kullanılan SG, son birkaç yıldır ürojinekolojik rehabilitasyon alanında da kullanılmaya başlanmıştır. 24,57,58 Yang ve ark.nın Parkinsonlu hastalarla yaptıkları çalışmada, geleneksel yöntemiyle denge eğitimi ve SG ile denge eğitimi karşılaştırılmış olup; her iki yöntemin de denge ve yürüme fonksiyonunu geliştirdiği, ayrıca ev tipi SG uygulamasının evden çıkamayan hastalar için ev programında alternatif olabileceği söylenmektedir. 57 Subakut veya kronik non-spesifik bel ağrısı olan hastalarla yapılan bir başka çalışma ise SG uygulamasının entegre edildiği fizyoterapi programının ağrıyı ve kinezyofobiyi azalttığını, fonksiyonu arttırdığını ortaya koymuştur.…”

Section: Sanal Gerçekli̇k İle Eği̇ti̇munclassified

“…58 Ürojinekolojik rehabilitasyon alanında yapılan sanal gerçeklik çalışmaları sınırlı sayıda olsa da üriner inkontinans semptomlarının azaltılması ve menopoz sonrası PTK kuvvetinin artırılmasında başarılı bir yöntem olduğu bildirilmiştir. 7,24,59 Ayrıca, hasta eğitimi sırasında kompleks bir yapıda olan pelvik taban ve pelvis anatomisinin hasta tarafından anlaşılması 2 boyutlu yöntemlerle zor olmaktadır. SG uygulaması ile pelvik yapıların normal durumu ve hastanın hangi kas grubunu kontrol etmesi gerektiği daha iyi anlaşılmaktadır.…”

Section: Sanal Gerçekli̇k İle Eği̇ti̇munclassified

“…59 Menopoz sonrası üriner inkontinansı olan kadınlarda egzersiz topu veya SG uygulamasının entegre edildiği tedavi yaklaşımlarının PTK kuvvetini arttırdığı, SG uygulamasının kas enduransının arttırılmasında daha etkili olduğu vurgulanmıştır. 24 Elliott ve ark., SG'nin, pelvik taban rehabilitasyonunda uygulanabilir bir tedavi yöntemi olduğunu belirtmişlerdir. Ayrıca, hastanın tedaviye bağlılığı ve tedavi sonrası hasta tatmin oranını da yüksek bulmuşlardır.…”

Section: Sanal Gerçekli̇k İle Eği̇ti̇munclassified

See 2 more Smart Citations

Pelvic Floor Muscle Training and Virtual Reality

Yeşilyurt¹,

Özengın²,

Bakar³

2019

Turkiye Klinikleri J Health Sci

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Game therapy a new approach to treat women facing mixed urinary incontinence: A study protocol

Oliveira

Bezerra

Ângelo

et al. 2020

Neurourology and Urodynamics

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Aims To describe a pelvic floor muscle training (PFMT) isolated and associated with game therapy (PFMT + GT) for women facing mixed urinary incontinence (MUI) during climacteric period. Methods To standardize a randomized controlled clinical trial intervention, a protocol was created, in an attempt to decrease women's symptomatology generated by MUI, through pelvic floor and abdomino‐loin‐pelvic muscles strength, and endurance. This study protocol will be composed of 32 volunteers, divided into two groups of 16. They will perform PFMT isolated or PFMT + GT, twice a week during 8 weeks. Interventions will last 40 minutes and will be divided into warming (5 minutes), training (30 minutes), and 5 minutes will be composed of resting time between exercises (1 minute each). Isolated PFMT sessions will be performed through four modalities of exercises: diaphragmatic, bridge, abdominal (plank), and pelvic mobility. PFMT + GT training will be carried out by using Wii Fit Plus games, such as Lotus Focus, Penguin Slide, Basic Step, and Hula Hoop from Wii equipment. Assessments will occur before, after, and 1 month after interventions. Vaginal manometry, 1‐hour Pad Test, International Consultation on Incontinence Questionnaire—Short Form (ICIQ‐SF), and Patient Global Intervention (PGI) will be used to evaluate the sample. Conclusions It is expected greater increase on pelvic floor muscle (PFM) strength, endurance, vaginal pressure for PFMT + GG. Moreover, it is supposed that PFMT + GT volunteers present better treatment adherence due to games motivational inclusion.

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The effects of training by virtual reality or gym ball on pelvic floor muscle strength in postmenopausal women: a randomized controlled trial

Cited by 27 publications

References 31 publications

Comparison of techniques used for functional evaluation of pelvic floor muscles

Comparison of techniques used for functional evaluation of pelvic floor muscles

Pelvic Floor Muscle Training and Virtual Reality

Game therapy a new approach to treat women facing mixed urinary incontinence: A study protocol

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