Fatores limitadores à reabilitação da musculatura do assoalho pélvico em pacientes com incontinência urinária de esforço
DOI:
https://doi.org/10.11606/issn.2317-0190.v14i4a102869Palavras-chave:
Incontinência Urinária por Estresse, Assoalho Pélvico, ReabilitaçãoResumo
A reabilitação da musculatura do assoalho pélvico tem sido preconizada por diversos autores como uma terapia de primeira linha para o tratamento da incontinência urinária de esforço. Apresenta vantagens por ser não invasiva, de baixo custo e sem efeitos colaterais. Porém, fatores como aderência, motivação, compreensão da terapia e deficiência esfincteriana podem interferir nos resultados dessa abordagem terapêutica. A fim de se conhecer o impacto dos fatores citados acima e se investigar o efeito de cada um destes na intervenção fisioterápica foi feita uma revisão da literatura.
Downloads
Referências
Abrams P. Recommendation of the International Scientific Commitee. In: Abrams P, Cardozo L, Khoury S, Wein A. Incontinence: 3rd International Consultation on Incontinence. Plymouth: Health Publications; 2005. p.426-71.
Bo K, Talseth T, Holme I. Single blind, randomised controlled trial of pelvic floor exercises, electrical stimulation, vaginal cones, and no treatment in management of genuine stress incontinence in women. BMJ. 1999;318(7182):487-93.
Bo K, Kvarstein B, Nygaard I. Lower urinary tract symptoms and pelvic floor muscle exercise adherence after 15 years.Obstet Gynecol. 2005;105(5 Pt 1):999-1005.
Mouritsen L, Schiotz HA. Pro et contra pelvic floor exercises for female stress urinary incontinence. Acta Obstet Gynecol Scand. 2000;79(12):1043-5.
Bo K, Talseth T, Vinsnes A. Randomized controlled trial on the effect of pelvic floor muscle training on quality of life and sexual problems in genuine stress incontinent women. Acta Obstet Gynecol Scand. 2000;79(7):598-603.
Bo K. Pelvic floor muscle training is effective in treatment of female stress urinary incontinence, but how does it work? Int Urogynecol J Pelvic Floor Dysfunct. 2004;15(2):76-84.
Bo K, Sherburn M. Evaluation of female pelvic-floor muscle function and strength. Phys Ther. 2005;85(3):269-82.
Kurita GP, Pimenta CAM. Adesao ao tratamento da dor crônica: estudo de variáveis demográficas, terapêuticas e psicossociais. Arq Neuropsiquiatr 2003;61:416-425.
Garcia R, Shooley RT, Badaró R. An adherence trilogy is essential for long term HAART success. Braz J Infect Dis. 2003;7(5):307-14.
Silveira SRB. Estudo observacional de aspectos relacionados à adesao ao tratamento da IU em mulheres que realizaram exercícios da musculatura do assoalho pélvico [dissertaçao]. Sao Paulo: Faculdade de Medicina da Universidade de Sao Paulo; 2006.
Alewijnse D, Mesters I, Metsemakers J, Adriaans J, van den Borne B. Predictors of intention to adhere to physiotherapy among women with urinary incontinence. Health Educ Res. 2001;16(2):173-86.
Saunders M. The impact of conservative management. Eur Urol Suppl. 2006;5(16):860-2.
Alewijnse D, Metsemakers JF, Mesters IE, van den Borne B. Effectiveness of pelvic floor muscle exercise therapy supplemented with a health education program to promote long-term adherence among women with urinary incontinence. Neurourol Urodyn. 2003;22(4):284-95.
Castro RA. Estudo prospectivo, randomizado e controlado em mulheres com incontinência urinária de esforço, tratadas com exercícios perineais, terapia com cones e eletroestimulaçao funcional do assoalho pélvico [dissertaçao]. Sao Paulo: Universidade Federal de Sao Paulo; 2005.
Sung MS, Hong JY, Choi YH, Baik SH, Yoon H. FES-biofeedback versus intensive pelvic floor muscle exercise for the prevention and treatment of genuine stress incontinence. J Korean Med Sci. 2000;15(3):303-8.
Parkkinen A, Karjalainen E, Vartiainen M, Penttinen J. Physiotherapy for female stress urinary incontinence: individual therapy at the outpatient clinic versus home-based pelvic floor training: a 5-year follow-up study. Neurourol Urodyn. 2004;23(7):643-8.
Pages IH, Jahr S, Schaufele MK, Conradi E. Comparative analysis of biofeedback and physical therapy for treatment of urinary stress incontinence in women. Am J Phys Med Rehabil. 2001;80(7):494-502.
Capelini MV, Riccetto CL, Dambros M, Tamanini JT, Herrmann V, Muller V. Pelvic floor exercises with biofeedback for stress urinary incontinence. Int Braz J Urol. 2006;32(4):462-9.
Cammu H, Van Nylen M, Amy JJ. A 10-year follow-up after Kegel pelvic floor muscle exercises for genuine stress incontinence. BJU Int. 2000;85(6):655-8.
Lagro-Janssen TL, Debruyne FM, Smits AJ, van Weel C. Controlled trial of pelvic floor exercises in the treatment of urinary stress incontinence in general practice. Br J Gen Pract. 1991;41(352):445-9.
Blaivas JG, Olsson CA. Stress incontinence: classification and surgical approach. J Urol. 1988;139(4):727-31.
Schick E, Jolivet-Tremblay M, Tessier J, Dupont C, Bertrand PE. Observations on the function of the female urethra: III: An overview with special reference to the relation between urethral hypermobility and urethral incompetence. Neurourol Urodyn. 2004;23(1):22-6.
DeLancey JO. Stress urinary incontinence: where are we now, where should we go? Am J Obstet Gynecol. 1996;175(2):311-9.
Bump RC, Coates KW, Cundiff GW, Harris RL, Weidner AC. Diagnosing intrinsic sphincteric deficiency: comparing urethral closure pressure, urethral axis, and Valsalva leak point pressures. Am J Obstet Gynecol. 1997;177(2):303-10.
Feldner Junior PC, Bezerra LRPS, Girao MJBC, Castro RA, Sartori MGF, Baracat EC, Lima GR. Correlaçao entre a pressao de perda à manobra de Valsalva e a pressao máxima de fechamento uretral com a história clínica em mulheres com incontinência urinária de esforço. Rev Bras Ginecol Obstet. 2002;24(7):433-8.
Nitti VW, Combs AJ. Correlation of Valsalva leak point pressure with subjective degree of stress urinary incontinence in women. J Urol. 1996;155(1):281-5.
Homma JL, Batista J, Bauer S, Griffiths D, Hilton P, Kramer G, et al. Urodynamics women. In: Abrams P, Cardozo L, Khoury S, Wein A. Incontinence: 2nd International Consultation on Incontinence. 2nd ed. Plymouth: Health Publications; 2002. p.317-72.
Wilson PD, Bo K, Haysmith J, Nyaard I, Staskin D, Wyman J. Conservative treatment in women. In: Abrams P, Cardozo L, Khoury S, Wein A. Incontinence: 2nd International Consultation on Incontinence. 2nd ed. Plymouth: Health Publications; 2002. p.571-624.
Downloads
Publicado
Edição
Seção
Licença
Copyright (c) 2007 Acta Fisiátrica
Este trabalho está licenciado sob uma licença Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
