Clinical functional evaluation of female's pelvic floor: integrative review

Fernandes, Ana Carolina Nociti Lopes; Reis, Bianca Manzan; Patrizzi, Lislei Jorge; Meirelles, Maria Cristina Cortez Carneiro

doi:10.1590/1980-5918.031.ao24

Cited by 8 publications

(7 citation statements)

References 47 publications

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“…Due to numerous myofascial connections between PFM and other muscles all movements are functionally linked, and throughout this system, PFM exists as the basis for local stabilization [33,34]. For this reason, myofascial disorders as well as posture disorders can lead to impaired PFM function and, consequently, their weakness and UI [35].…”

Section: Role Of Pelvic Floor Muscle In Continencementioning

confidence: 99%

Urinary Incontinence in Women: Modern Methods of Physiotherapy as a Support for Surgical Treatment or Independent Therapy

Mazur-Biały

Kołomańska-Bogucka

Nowakowski

et al. 2020

JCM

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Urinary incontinence (UI) is a common health problem affecting quality of life of nearly 420 million people, both women and men. Pelvic floor muscle (PFM) training and other physiotherapy techniques play an important role in non-surgical UI treatment, but their therapeutic effectiveness is limited to slight or moderate severity of UI. Higher UI severity requires surgical procedures with preand post-operative physiotherapy. Given that nearly 30%-40% of women without dysfunction and about 70% with pelvic floor dysfunction are unable to perform a correct PFM contraction, therefore, it is particularly important to implement physiotherapeutic techniques aimed at early activation of PFM. Presently, UI physiotherapy focuses primarily on PFM therapy and its proper cooperation with synergistic muscles, the respiratory diaphragm, and correction of improper everyday habits for better pelvic organ support and continence. The purpose of this work is a systematic review showing the possibilities of using physiotherapeutic techniques in the treatment of UI in women with attention to the techniques of PFM activation. Evidence of the effectiveness of well-known (e.g., PFM training, biofeedback, and electrostimulation) and less-known (e.g., magnetostimulation, vibration training) techniques will be presented here regarding the treatment of symptoms of urinary incontinence in women.

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Section: Role Of Pelvic Floor Muscle In Continencementioning

confidence: 99%

Urinary Incontinence in Women: Modern Methods of Physiotherapy as a Support for Surgical Treatment or Independent Therapy

Mazur-Biały

Kołomańska-Bogucka

Nowakowski

et al. 2020

JCM

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“…Moreover, previous original scientific studies did not simultaneously use all of the questionnaires utilized in our research [36,37]. A recent review article has reported, according to a database analysis, that KHQ was individually used in six studies (42.86%), ICIQ-UI-SF in four studies (28.57%) and FSFI in two studies (14.28%), and only some articles used more than one questionnaire [38]. The problematic components of our research were the fact that the research was conducted only in our neurourology and urodynamics clinic in University Hospital Center Osijek during a relatively short period of time, and a relatively small number of women participated in the research.…”

Section: Discussionmentioning

confidence: 99%

Quality of Life and Female Sexual Dysfunction in Croatian Women with Stress-, Urgency- and Mixed Urinary Incontinence: Results of a Cross-Sectional Study

Radoja

Degmečić

2019

Medicina

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Background and objectives: Urinary incontinence is defined as the involuntary leakage of urine. Studies have reported that the severity of urinary incontinence symptoms can cause decreased quality of life and female sexual dysfunction in women, but the association between the duration of the incontinence and the aforementioned disturbances has not been evaluated. The objective of this study was to evaluate the differences in the occurrence of decreased quality of life and female sexual dysfunction in Croatian women with urinary incontinence, with regard to the duration and subtype of urinary incontinence. Materials and Methods: We conducted a cross-sectional study from March 2017 to July 2018 at our neurourology and urodynamics outpatient clinic, among 120 women with urinary incontinence symptoms. Based on medical history, physical exam and urodynamic assessment, participants were divided into groups with stress-, urgency- and mixed urinary incontinence. Several quality of life and female sexual dysfunction questionnaires were used for evaluation. The differences between the three UI groups were tested by the Kruskal–Wallis test. All p values were two-sided. The level of significance was set to Alpha = 0.05. Results: The mixed urinary incontinence group had a significantly inferior quality of life (p = 0.003) and lower scores on the female sexual dysfunction questionnaires (p = 0.02). The longer the duration of incontinence King’s Health Questionnaire total score was worse (p = 0.003) and Female Sexual Function Index total score was worse (p < 0.001). Conclusions: Our results showed that there was a statistically significant difference in the occurrence of decreased quality of life and female sexual dysfunction considering the duration and subtype of incontinence in Croatian women.

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“…The proper functioning of the entire pelvic floor complex is particularly important in situations that increase pressure in the abdominal cavity, such as laughing, coughing and sneezing. Learning to activate PFM in the above situations should be included in PFMT [20]. Correct body posture is also essential to restore proper pelvic floor function.…”

Section: Pelvic Floor Muscle Training (Pfmt) and Manual Therapymentioning

confidence: 99%

The role of mobile applications in the conservative management of stress urinary incontinence in women

Pilch¹,

Magdoń-Kierzkowska²

2022

Physiother Quart.

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Urinary incontinence (UI) affecting over 300 million women worldwide, regardless of race and age, is considered one of the most important health issues in the 21st century. Due to the scale of the problem, the priority should be to provide therapy to as many patients as possible. Although effective conservative treatment measures for UI are available, they may not cater to all individuals who seek help. Sometimes a sense of embarrassment or a fear of stigmatization causes patients' reluctance to report UI symptoms to their health provider and to join therapy. That forces to search for the new approach. In this field, use of mHealth technologies seems very promising. They became even more valuable during the Covid-19 pandemic, when the interest in telemedicine, as a means of providing care, while not being exposed to the risk of virus infection, further increased. The purpose of this work is a narrative review showing possibilities of using conservative measures of stress urinary incontinence (SUI) in women, with particular emphasis on the use of mHealth technologies, as recent studies have shown that mobile application seem to be an effective tool in terms of improving SUI symptoms, satisfaction and adherence to therapy.

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Clinical functional evaluation of female's pelvic floor: integrative review

Cited by 8 publications

References 47 publications

Urinary Incontinence in Women: Modern Methods of Physiotherapy as a Support for Surgical Treatment or Independent Therapy

Urinary Incontinence in Women: Modern Methods of Physiotherapy as a Support for Surgical Treatment or Independent Therapy

Quality of Life and Female Sexual Dysfunction in Croatian Women with Stress-, Urgency- and Mixed Urinary Incontinence: Results of a Cross-Sectional Study

The role of mobile applications in the conservative management of stress urinary incontinence in women

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