Tratamiento de la disfunción del suelo pélvico

Outeiriño, J M Pena; Perez, April; Duarte, A. Villodres; Navarro, Silvia; Blasco, J.M.

doi:10.4321/s0210-48062007000700004

Cited by 4 publications

(4 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…This signal is subsequently used to teach and correct the physiological process, achieving a therapeutic effect (8,11). Biofeedback is considered as an operant conditioning therapy (12).…”

Section: Discussionmentioning

confidence: 99%

Manometric Biofeedback Effectiveness on Urinary Incontinence and Quality of Life: A Non-Randomized Control Trial

Fernández-Cuadros

Diez-Ramos

Albaladejo-Florín

et al. 2017

Middle East J Rehabil Health Stud

View full text Add to dashboard Cite

Objectives: This study aimed at examining if a 6-session protocol of tonic-phasic exercises using manometric biofeedback (BFB) is capable of improving quality of life (QoL) and muscular strength in patients with urinary incontinence (UI). Methods: A prospective quasi-experimental before-after study was performed on 31 patients with Urinary Incontinence (UI) referred to the rehabilitation department of Santa Cristina's University hospital, Madrid, Spain. The study was performed from January to December 2016. At initial evaluation, affiliation of data, predisposing factors, and type of UI were recorded. Patients were given lifestyle recommendations and international consultation on incontinence questionnaire short form (ICIQ-SF)/ incontinence quality-of-life measure (I-QOL) questionnaires/scales to be fulfilled at the beginning/end of treatment. Manometric evaluation was recorded at initial/final evaluation by MYOMED ® 932. Manometric-BFB protocol consisted of a 30-minute session of tonic/phasic exercises (15 minutes each), 2 times a week for up to 6 sessions, supervised by a physiotherapist. Results:Mean age was 52 ± 12.1 years. Overall, 96.7% (n = 31) of the participants were females. Maximum and mean strength of pelvic floor contraction was 24 ± 17.72 and 4.9 ± 4.1 mmHg, and increased significantly after treatment to 35 ± 20.85 and 7.45 ± 4.92 mmHg (P < 0.01). The mean ICIQ-SF score was 9.13 ± 5.18 and decreased significantly to 6.13 ± 4.75 (P = 0.003). The mean I-QoL score increased significantly from 70.33 ± 22.12 to 81.25 ± 16.72 (P = 0.0017). The I-QoL Limiting Behaviour (LB)-subscale raised from 68.38 ± 23.33 to 80 ± 16.56 (P = 0.0015); I-QoL Psychosocial Impact (PI)-subscale increased from 77.43 ± 24.51 to 80 ± 17.47 (p = 0.0152); and I-QoL social embarrassment (SE)-subscale incremented from 60.72 ± 22.37 to 74.37 ± 20.86 (P = 0.0007). Conclusions:Manometric-BFB protocol is capable of decreasing UI and to improve QoL and manometric values. This reduced protocol could be applied to other public and private institutions and it could have an economical impact on the health system and on patients' economy.

show abstract

“…This signal is subsequently used to teach and correct the physiological process, achieving a therapeutic effect (8,11). Biofeedback is considered as an operant conditioning therapy (12).…”

Section: Discussionmentioning

confidence: 99%

Manometric Biofeedback Effectiveness on Urinary Incontinence and Quality of Life: A Non-Randomized Control Trial

Fernández-Cuadros

Diez-Ramos

Albaladejo-Florín

et al. 2017

Middle East J Rehabil Health Stud

View full text Add to dashboard Cite

show abstract

“…The authors observed that 71.42% of the patients had improved by the fourth week, and 80% of them had improved by the tenth week of the program. Just as Lorenzo Gómez et al 28 showed improvement of UI symptoms with less than half the number of treatment sessions used in the present study, Pena Outeiriño et al 29 found improvement in women (n=72) with low PMF tone or inability to understand the mechanics of perineal contraction after six 20-minute sessions of electrical stimulation with biphasic currents. However, the rate of improvement reported by the authors (66%) was lower than that of the present study (87.5%).…”

Section: Discussionmentioning

confidence: 89%

Intervenção fisioterapêutica em mulheres com incontinência urinária associada ao prolapso de órgão pélvico

Knorst

Cavazzotto²,

Henrique³

et al. 2012

Rev. bras. fisioter.

View full text Add to dashboard Cite

show abstract

“…Para a incontinência de esforço, frequências iguais ou superiores a 50 Hz conseguem ativar o reflexo pudendo. Para a incontinência de urgência, empregam-se frequências entre 5 e 10 Hz, que ativam o reflexo pudendo inibitório do detrusor, levando ao término ou diminuição das contrações involuntárias desse músculo; a largura de pulso oscila de 1 a 5 ms 12,13 . Estudos realizados em humanos, em músculos atrofiados após cirurgias ou de indivíduos sedentários, mostraram que a fisioterapia com a ES aumentou significativamente a proporção das fibras musculares e a força muscular durante uma contração voluntária máxima sustentada, o que apoia nossos dados em relação à musculatura uretral 14,15 .…”

Section: Discussionunclassified

Aspectos morfológicos da uretra de ratas após eletroestimulação do assoalho pélvico

Camargo¹,

Salerno²,

Gomes³

et al. 2013

Rev. Bras. Ginecol. Obstet.

View full text Add to dashboard Cite

ResumoOBJETIVO: Avaliar os efeitos da eletroestimulação (ES) do assoalho pélvico na uretra de ratas. MÉTODOS: Quarenta ratas adultas foram distribuídas, randomicamente, em quatro grupos com dez animais cada: Ctrl -sem intervenção; Sham -não foi submetido a ES, recebeu um eletrodo dentro da vagina; Exp6 -submetido a seis sessões de ES do assoalho pélvico; e Exp12 -submetido a 12 sessões de ES do assoalho pélvico. Ao final do experimento, todos os animais foram anestesiados, e o terço médio da uretra foi retirado, fixado em líquido de Bouin e processado para estudo histomorfométrico. Alguns cortes foram corados pela hematoxilina e eosina, para descrição morfológica e morfométrica, e outros, pelo picrosirius red, para avaliação do colágeno total. As espessuras da camada muscular e do epitélio foram obtidas, nos 4 quadrantes da uretra, pela realização de 20 medições em cada animal. O número de vasos sanguíneos presentes na lâmina própria foi obtido nos quatro quadrantes, em uma área de 10 3 mm 2 por quadrante, sendo as imagens obtidas pelo programa de análise de imagens AxioVision ® REL 4.3 (Carl Zeiss). A proporção de colágeno e de fibras musculares foi obtida de duas imagens por quadrante, de cada lâmina da uretra corada pelo picrosirius red, com auxílio do programa Imagelab ® . Os dados foram submetidos à análise de variância (ANOVA) e ao teste de comparações múltiplas de Tukey-Kramer (p<0,05). RESULTADOS: A morfometria do colágeno, número de vasos sanguíneos e espessura do epitélio não mostraram alterações significantes. No entanto, a espessura do tecido muscular periuretral mostrou aumento significante no grupo Exp12 em relação aos outros grupos (Exp12*>Exp6==Ctrl==Sham; *p<0,05). CONCLUSÃO: A eletroestimulação funcional prolongada do assoalho pélvico induziu aumento na espessura da camada muscular periuretral em ratas. Abstract PURPOSE:To evaluate the effects of electrical stimulation (ES) of the pelvic floor on the urethra of female rats. METHODS: Forty adult rats were divided at random into four groups of ten animals each: Ctrl -without intervention; Sham -not submitted to ES, but with an electrode inserted into the vagina; Exp6 -submitted to six sessions of ES of the pelvic floor, and Exp12 -submitted to 12 sessions of ES of the pelvic floor. At the end of the experiment, all animals were anesthetized and the middle third of the urethra was removed, fixed in Bouin's fluid and processed for histomorphometric study. Sections were stained with hematoxylin and eosin for morphological and morphometric description, and others were stained with picrosirius red for the quantitation of total collagen. The thicknesses of the muscle layer and of the epithelium were determined, in 4 quadrants of the urethra, by performing 20 measurements per animal. The number of blood vessels present in the lamina propria was counted in the four quadrants over an area of 10 3 µm 2 per quadrant and the images were obtained using the image analysis program AxioVision ® REL 4.3 (Carl Zeiss). The collagen and muscle fiber ratios in the ur...

show abstract

Tratamiento de la disfunción del suelo pélvico

Cited by 4 publications

References 4 publications

Manometric Biofeedback Effectiveness on Urinary Incontinence and Quality of Life: A Non-Randomized Control Trial

Manometric Biofeedback Effectiveness on Urinary Incontinence and Quality of Life: A Non-Randomized Control Trial

Intervenção fisioterapêutica em mulheres com incontinência urinária associada ao prolapso de órgão pélvico

Aspectos morfológicos da uretra de ratas após eletroestimulação do assoalho pélvico

Contact Info

Product

Resources

About