Relação Entre O Alinhamento Pélvico E a Incontinência Urinária De Esforço

Abstract

RESUMOO equilíbrio da pelve é essencial para a continência urinária. Neste estudo buscou-se verificar a relação entre a Incontinência Urinária de Esforço (IUE) e o alinhamento pélvico em mulheres adultas. O trabalho constituiu na aplicação de um questionário adaptado, específico em Uroginecologia e exames de Raios-X em uma amostra constituída por 25 mulheres, divididas em dois grupos, o Grupo Controle (GC) e o Grupo Experimental (GE), com idade entre 40 e 57 anos. Os resultados foram submetidos a testes estatísticos, com nível de significância de 5%. Os resultados sugerem relação entre alterações de mais de um ângulo pélvico, o que sugere prejuízo do alinhamento pélvico e, consequentemente predisposição a incontinência urinária de esforço (IUE). Não houve correlação de alteração no alinhamento pélvico em um ângulo isoladamente. Descritores Relationship between pelvic alignment and the stress urinary incontinence ABSTRACTThe equilibrium of the pelvis is essential for urinary continence. This study aimed to verify the relationship between urinary incontinence (SUI) and pelvic alignment in adult women. The study consisted of applying a tailored, specific questionnaire in Urogynecology, and X-ray examinations in a sample of 25 women divided into two groups: control (CG) and experimental (EG) aged 40 to 57 years . The results were submitted to statistical tests with significance level of 5%. The results suggest a relationship between changes over a pelvic angle, suggesting loss of pelvic alignment and hence a predisposition to stress urinary incontinence (SUI). There was no correlation between change in pelvic alignment at an angle alone.

The relation of the pelvis and the perineal function in incontinent women: A neglected subject

“…The results point to a possible association between pelvic positioning and urinary continence. However, the small sample sizes of the exploratory studies still do not allow definitive conclusions, and new investigations on the pelvic posture of women are recommended in longitudinal studies to establish causal factors …”

“…Of the studies investigating pelvic posture, only two compared the pelvic parameters in groups of women with urinary incontinence, and continent. 9,10 Their results are controversial, however, it is known that pelvic segment alignment may influence the activation of the pelvic floor of continent women 13 due to fascial and ligament relationships between organs, muscles, and structure. 6 The results point to a possible association between pelvic positioning and urinary continence.…”

“…However, the small sample sizes of the exploratory studies still do not allow definitive conclusions, and new investigations on the pelvic posture of women are recommended in longitudinal studies to establish causal factors. [9][10][11][12][13] A moderate correlation was observed in IG between the baseline electrical activity in orthostasis and pelvic anteversion angles in the RL and LL views, indicating that the greater the degree of anteversion, the greater the electrical activity of PFM during orthostatic rest. Any pelvic misalignment, both tending to anteversion and retroversion, may influence the displacement of the pelvic viscera.…”

“…The relationship between pelvic posture and the presence of SUI is still controversial, however, studies have shown that changes in the pelvic positioning in continent women can influence the electrical activity of PFM . Findings indicate a relationship between pronounced lumbar lordosis, observed in dorsal decubitus, and a greater contraction capacity of PFM…”

“…The complex network of fascia, ligaments, and muscles that are inserted into the bony wall of the pelvis depend on the proper positioning of the segment to maintain the stability of the pelvic organs. [6][7][8] The relationship between pelvic posture and the presence of SUI is still controversial, 9,10 however, studies have shown that changes in the pelvic positioning in continent women can influence the electrical activity of PFM. 11,12 Findings indicate a relationship between pronounced lumbar lordosis, observed in dorsal decubitus, and a greater contraction capacity of PFM.…”