Exercise and incontinence

Nygaard, Ingrid; DeLancey, John O.L.; Arnsdorf, Linda; Murphy, Eileen A.

doi:10.1016/0020-7292(90)90554-x

Cited by 107 publications

(126 citation statements)

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“…Nygaard et al 16 , mostram que 30% das mulheres queixamse de perdas urinárias durante exercícios físicos. Isso se deve à constante pressão que esta musculatura sofre durante atividades físicas de alto impacto.…”

Section: Discussionunclassified

Impacto da reeducação postural global no tratamento da incontinência urinária de esforço feminina

Fozzatti¹,

Palma²,

Herrmann³

et al. 2008

Rev. Assoc. Med. Bras.

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RESUMOOBJETIVO. Avaliar os efeitos da reeducação postural global (RPG) nos sintomas de incontinência urinária de esforço (IUE) e a qualidade de vida em um grupo de mulheres incontinentes. MÉTODOS. Ensaio clínico aberto, tipo antes e depois, prospectivo, não randomizado. Foram selecionadas 26 mulheres com queixa clínica e estudo urodinâmico compatível com IUE, do Ambulatório de Uroginecologia do Hospital das Clínicas da UNICAMP. A idade média foi de 50,76 anos (23 a 72 anos). Todas as mulheres foram avaliadas por anamnese, exames clínicos e uroginecológico, avaliação postural. Todas foram submetidas a tratamento com RPG, em sessões individuais de 50 minutos semanais por três meses e quinzenais por mais três meses. As pacientes foram submetidas a posturas de alongamento propostas pela técnica, em que se coloca em tensão as cadeias musculares responsáveis pela postura estática e estrutura do corpo. O trabalho ativo da paciente nas correções, aliado à atuação do fisioterapeuta, levam ao reequilíbrio das tensões musculares e reestruturação do corpo, o que pode favorecer as funções, especificamente as relacionadas ao assoalho pélvico. Ao término do tratamento, e após seis meses, as pacientes foram reavaliadas através do questionário de impressão geral de melhora, dos domínios relacionados à IUE do King's Health Questinnaire: impacto da incontinência, em que se avaliam os prejuízos na qualidade de vida; percepção geral da saúde, qual a classificação que a paciente dá para sua saúde no momento e a presença do sintoma de perda por esforço; avaliação funcional do assoalho pélvico (AFA) e número de trocas de protetores diários. RESULTADOS.No término do tratamento, quatro pacientes (16%) estavam curadas, dezoito (72%) melhoraram significativamente e três (12%) falharam. Após seis meses, seis pacientes (24%) estavam curadas, 16 (64%) melhoraram e três (12%) falharam (p <0,001). Ao avaliarmos a qualidade de vida das pacientes, observamos melhora significativa (p <0,05) em todos os domínios questionados, destacando-se percepção geral da saúde, impacto da incontinência e número de episódios de perda. A avaliação do funcional do assoalho pélvico (AFA) e do teste do absorvente (número de troca/dia) também mostrou melhora significativa (p<0,001) nos diferentes tempos de coleta. CONCLUSÃO. Os resultados mostram que a RPG pode ser uma alternativa para o tratamento da IUE. INTRODUÇÃOA incontinência urinária (IU) é definida pela International Continence Society (ICS) como qualquer perda involuntária de urina 1 , sendo que a incontinência urinária de esforço (IUE) é a causa mais comum de IU entre as mulheres. A IUE é definida como a perda involuntária de urina no esforço ou exercício, tosse ou espirro, representando problema social e psicológico 1,2,3 . Alguns estudos mostram que nas mulheres adultas da comunidade a prevalência varia de 15% a 45% e nas institucionalizadas, acima de 50% 4,5 . A mulher sofre, no decorrer dos anos, alterações posturais que podem desestruturar sua bacia pélvica, causadas por fatores como gravidez, parto, ...

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Section: Discussionunclassified

Impacto da reeducação postural global no tratamento da incontinência urinária de esforço feminina

Fozzatti¹,

Palma²,

Herrmann³

et al. 2008

Rev. Assoc. Med. Bras.

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“…33 The problem may also lead to withdrawal from regular physical activities, potentially harming general health. 34 …”

Section: Significance In Terms Of Ill Health Effect On Well-beingmentioning

confidence: 99%

“…33 Furthermore, SUI may lead to withdrawal from regular physical activities and hence impair women's general health. 34 One of the problems with the assessment of incontinence is that outcome measures frequently used in primary research may not perfectly map on to outcomes of importance to women. For example, the commonly reported outcome measure in clinical trials is 'cure', which is the satisfactory resolution (or near resolution) of symptoms.…”

Section: Introductionmentioning

confidence: 99%

Systematic review and economic modelling of the effectiveness and cost-effectiveness of non-surgical treatments for women with stress urinary incontinence

Imamura

Abrams²,

Bain³

et al. 2010

Health Technol Assess

165

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How to obtain copies of this and other HTA programme reports An electronic version of this title, in Adobe Acrobat format, is available for downloading free of charge for personal use from the HTA website (www.hta.ac.uk). A fully searchable DVD is also available (see below).Printed copies of HTA journal series issues cost £20 each (post and packing free in the UK) to both public and private sector purchasers from our despatch agents.Non-UK purchasers will have to pay a small fee for post and packing. For European countries the cost is £2 per issue and for the rest of the world £3 per issue. How to order:-fax (with credit card details) -post (with credit card details or cheque) -phone during office hours (credit card only).Additionally the HTA website allows you to either print out your order or download a blank order form. Contact details are as follows:Synergie UK (HTA Department) Digital House, The Loddon Centre Wade Road Basingstoke Hants RG24 8QW Email: orders@hta.ac.uk Tel: 0845 812 4000 -ask for 'HTA Payment Services' (out-of-hours answer-phone service) Fax: 0845 812 4001 -put 'HTA Order' on the fax header Payment methods Paying by chequeIf you pay by cheque, the cheque must be in pounds sterling, made payable to University of Southampton and drawn on a bank with a UK address. Paying by credit cardYou can order using your credit card by phone, fax or post. SubscriptionsNHS libraries can subscribe free of charge. Public libraries can subscribe at a reduced cost of £100 for each volume (normally comprising 40-50 titles). The commercial subscription rate is £400 per volume (addresses within the UK) and £600 per volume (addresses outside the UK). Please see our website for details. Subscriptions can be purchased only for the current or forthcoming volume. How do I get a copy of HTA on DVD?Please use the form on the HTA website (www.hta.ac.uk/htacd/index.shtml). HTA on DVD is currently free of charge worldwide.The website also provides information about the HTA programme and lists the membership of the various committees. HTA NIHR Health Technology Assessment programmeT he Health Technology Assessment (HTA) programme, part of the National Institute for Health Research (NIHR), was set up in 1993. It produces high-quality research information on the effectiveness, costs and broader impact of health technologies for those who use, manage and provide care in the NHS. 'Health technologies' are broadly defined as all interventions used to promote health, prevent and treat disease, and improve rehabilitation and long-term care. The research findings from the HTA programme directly influence decision-making bodies such as the National Institute for Health and Clinical Excellence (NICE) and the National Screening Committee (NSC). HTA findings also help to improve the quality of clinical practice in the NHS indirectly in that they form a key component of the 'National Knowledge Service'. The HTA programme is needs led in that it fills gaps in the evidence needed by the NHS. There are three routes to the start of projec...

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“…Nygaard et al (25) and Jolleys (2) found a higher prevalence with higher parity and Beck & Hsu (32) reported that the incontinence was progressively worse with successive pregnancies. On the other hand, Thomas et al (33) could not demonstrate any differences within parity ranges of 1 to 3.…”

Section: Prevalencementioning

confidence: 99%

“…A higher prevalence of SUI has been demonstrated in parous than in nulliparous women (25)(26)(27). Prevalence of urinary incontinence post partum varies from 0.7% (28) to 44% (29).…”

Section: Prevalencementioning

confidence: 99%

Prevalence and treatment of post partum urinary incontinence

Mørkved¹,

Bø²

2009

Nor J Epidemiol

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SUMMARYChildbirth is often considered the main etiological factor in the development of female urinary incontinence (UI). For that reason women in the western countries have been encouraged to engage in post partum pelvic floor muscle (PFM) exercise in order to strengthen the pelvic floor. However, the effect of post partum PFM exercise has been sparsely documented. The aim of this article is to review and discuss literature related to prevalence of post partum UI and effect of post partum PFM exercise in the treatment of UI. The reported prevalence of UI post partum varies from 0.7% to 44%. The variation may be explained by different definitions of UI used in the questionnaires and that the registration of incontinence was done at different intervals after delivery. A few studies have tried to evaluate the effect of post natal PFM exercise. Some have evaluated PFM strength, others the frequency of UI. PFM strength is difficult to measure and the reliability and validity of the methods used is open to question. Another flaw in some of the previous studies is the training protocol applied to improve PFM strength. Mørkved and Bø tried to take into account the above mentioned methodological considerations, in a study aiming to evaluate the effect of post partum PFM exercise. The results demonstrate that post partum PFM exercise is effective in strengthening the PFM and in the treatment of UI. However, success of PFM exercise is dependent upon both the training frequency and intensity. This requires a closer follow up of the post partum women, than the written information that usually serves this purpose at the present time.

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Exercise and incontinence

Cited by 107 publications

References 0 publications

Impacto da reeducação postural global no tratamento da incontinência urinária de esforço feminina

Impacto da reeducação postural global no tratamento da incontinência urinária de esforço feminina

Systematic review and economic modelling of the effectiveness and cost-effectiveness of non-surgical treatments for women with stress urinary incontinence

Prevalence and treatment of post partum urinary incontinence

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