DOCSLIB.ORG

Evaluation of Effect of Kegel Exercise for the Management of Stress Incontinence in Women of Gujrat, India

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Evaluation of Effect of Kegel Exercise for the Management of Stress Incontinence in Women of Gujrat, India Neela Soni et al: Kegel exercise in Stress Incontinence ORIGINAL ARTICLE Evaluation of Effect of Kegel Exercise for the Management of Stress Incontinence in Women of Gujrat, India Neela Soni1, Anil Rahule2, Varsha Sagdeo3 1Principal, Khyati Institute of Physiotherapy, Ahmedabad, Gujrat 2Associate Professor, Anatomy, Government Medical College Rajnandgaon 3Director, Radhkrishna Hospital and Research Institute, Nagpur http://dx.doi.org/10.18049/jcmad/234 Abstract Background: Stress Urinary Incontinence (SUI) affects the quality of life of at least one third of women globally. This problem is more common in India, where women usually do not seek treatment for their reproductive health problems and do not vocalize their symptoms. Kegel exercise is said to be effective for the management of SUI. Hence it was tried to see the effects of this method in the population of Gujrat, India. Methods: A total of 60 females having Stress Incontinence were included in the study and given Kegel exercises for one month and compared with pretreatment status. Results: Statistically significant improvement was observed in comparison to pretreatment cases after Kegel exercise in Perineometry power. Conclusion: It can be concluded that Kegel exercise is effective for controlling SUI in the study population. Key words: Kegal exercise, Perineometer power, Perineometer, Stress incontinence Address for correspondence: Dr Neela Soni Principal Khyati Institute of Physiotherapy, 15, Contonentment, Shahibaugh Ahmedabad (Gujrat), E-mail: [email protected], [email protected] Essentially the detrusor activity is normal, but Introduction the urethral closure mechanism is incompetent.4 Stress urinary incontinence (SUI) affects the Urinary incontinence is common problem of quality of life of at least one third of women. women which is nothing but the involuntary loss Quite a large number of them believe it to be of urine. The most common type of urinary untreatable even in western countries.5,6 This incontinence in women is Stress Urinary problem is more common in India, where incontinence. Approximately 50% of American women usually do not seek treatment for their women have experienced incontinence.1 The reproductive health problems and do not International Continence Society recently vocalize their symptoms. There is a "culture of defined the stress urinary incontinence as the silence" and low consultation rate among Indian complaint of involuntary leakage of urine during women regarding such problems.7 effort or exertion like sneezing or coughing.2 A Dr. Arnold Kegel, described a pelvic floor proper balance between urethral closure and exercise, more commonly called a Kegel detrusor muscle activity is the most important exercise, consists of repeatedly contracting and factor in maintaining the urinary continence. relaxing the muscles that form part of the pelvic Basic cause of stress urinary incontinence is the floor, now sometimes colloquially referred to as weakness of pelvic floor muscles supporting the the "Kegel muscles".4 Dr. Arnold Kegel also proximal urethra. Hence, the intravesical invented the Perineometer which can be used to pressure exceeds the maximal urethral pressure measure the improvement in strength and during exertion which results in increased intra- endurance of pelvic floor muscles. It gives an abdominal pressure.3 Genuine Stress objective evaluation of the result of therapy and Incontinence (GSI) is the term coined to denote gives bio feedback to patients.8 Kegel exercise the condition in which there is involuntary is said to be effective for the management of leakage of urine when, in the absence of a SUI. Hence it was tried to see the effects of this detrusor contraction, the intravesical pressure method in the population of Gujrat, India. exceeds the maximum urethral pressure. J Cont Med A Dent September-December 2014 Volume 2 Issue 3 20 Neela Soni et al: Kegel exercise in Stress Incontinence Materials and Methods Kegel exercise Initially woman sits with knee apart and leans A total of 75 subjects were enrolled for the forward on a hard chair. It was more study out which 15 were dropped out due to comfortable position and unexposed position. their various reasons like embarrassment, inner There was some perineal sensory stimulus inhibition or time constraint, for few of them, it feedback. Once woman had developed a sense was a negligible problem. Finally a total of 60 of right muscles contraction then she proceeded subjects of confirmed SUI between the age to an exercise program. group of 20 to 65 years who volunteered and OR consented to participate in the study were The patient was instructed how to use the act of included in this study. Included cases were non- urination as a home exercise. Subjects were surgical cases and non prolapsed cases. Patients advised to start and stop midstream flow of suffering from neurological dysfunction, urine and not to repeat it frequently as it can previous or present pelvic malignancy, urinary weaken the pelvic floor muscles. The patient tract infection, patient had taken previous concentrates on the feeling of this act. When physiotherapy for stress incontinence, urinary urination is complete the patient is advised to do fistula and pregnant were excluded from the the same movement again and hold for 2 study. Study was conducted in Physiotherapy seconds. Patient should feel for squeezing of the department of Government Physiotherapy pelvic muscle. College, Government Spine Institute and Civil Hospital Ahmadabad, Gujrat. Study period was Photograph- 1: Perineometer between the years 2008 to 2012. All the subjects had to fill the questionnaire and kept a diary in which number of incontinence episodes over seven days was recorded. Patients were given Kegel exercises for one month. Maximum contraction of pelvic floor muscles (Power) in centimeter of water (cm of H2O) and maximum holding capacity of pelvic floor muscles in seconds (endurance) were assessed by Perineometer before starting the treatment Photograph- 2: Kegel Exercise and after finishing treatment. All the subjects were positioned in crook lying with neutral lumbar spine. Vaginal probe covered with condom is inserted into patient‟s vagina at the level of levator ani muscles. Patient was instructed to „squeeze- strongly and „hold‟ as long as possible, or they were instructed to contract the muscles as if they were trying to stop midstream urination. All subjects were instructed to relax abdomen, glutei The subjects were asked to be in crook lying muscles and not to hold the breath, and not to position. The patients were instructed to squeeze strain during contraction of the perineum. Once and let go. This should be repeated for 5 times. they understood the instructions thoroughly, These are fast contraction followed by slow patients relaxed for ten seconds. Patients contraction in which they asked to attempt to instructed to contract the same muscles on draw their vagina and anus upward, and inward. command. The maximum power (cm H O) was 2 Contract pelvic floor muscle and hold the recorded when patient contracts as hard as contraction for 5 second and relax for 5 second possible. Patient is allowed to rest for 10 repeat this for 5 times. This is done in one seconds before testing for endurance. Then session. Increase this regime up to 10 sec during the sustained contraction, endurance was contraction hold and 10 sec relaxation. Subjects recorded in seconds.9 were to breathe freely during exercises. Repeat J Cont Med A Dent September-December 2014 Volume 2 Issue 3 21 Neela Soni et al: Kegel exercise in Stress Incontinence this four to five times (Photograph 1& 2).10 Data In the present study we observed significant was analyzed using paired t test. increase in mean power of Perineometer and endurance time after one month of the study in Results which all the subjects went for Kegel exercise for entire one month period. Rodrigo A Castro We observed statistically significant increase in observed that pelvic floor muscle training, Perineometer power of post Kegel exercise electrical stimulation, and vaginal cones were treatment cases in comparison to pretreatment equally effective for the management of stress cases as reading in cm of water of Perineometer urinary incontinence in comparison to no was increased from 21.32cms to 25.08cms. treatment. They opined that pelvic floor muscle Recovery rate in mean power was 18%. Mean exercise should be offered as the first choice of endurance time was increased from 4.97 treatment stress urinary incontinence.12 But Hay- seconds (pretreatment) to 7.37 seconds post Smith EJ et al concluded after Meta analysis of treatment cases. The increase was statistically 43 randomized clinical studies, that larger significant (Table- 1). After one month of study, clinical trials with more concise methods are 48% recovery in endurance was observed. needed to prove the various conservative Table- 1: Pre and Post treatment cases (n=60) modalities like pelvic floor muscle training, Groups Perineometer Endurance vaginal cones, and pelvic floor power in cms time in seconds electrostimulation for stress urinary Mean + SD incontinence.13 Lagro-Janssen et al in 1991 Pre conducted subjective study in which they found 21.32+3.96 4.97+1.18 treatment that 85% cure rate and improvement after pelvic Post floor muscle training. But they also pointed out 25.08+4.09* 7.37+1.28* treatment that among all the cases only 21% cases felt *p <0.001 completely dry after treatment.14 Rodrigo A Castro et al commented that “difficulty in Discussion analyzing such types of studies are lies in determining the true clinical picture of the Millions of adults suffer from urinary subjects who improved after using pelvic floor incontinence as it is one of the common 12 exercises”. Bo et al in 1999 found that for problems of adults specifically for females. It stress urinary incontinence, pelvic floor muscle creates tremendous psychological, economic training was more effective than electrical and social problems in females which affect 10 stimulation, vaginal cones, and no treatment their overall health seriously.
Load more

Recommended publications
  • Urinary Incontinence: Impact on Long Term Care
    Urinary Incontinence: Impact on Long Term Care Muhammad S. Choudhury, MD, FACS Professor and Chairman Department of Urology New York Medical College Director of Urology Westchester Medical Center 1 Urinary Incontinence: Overview • Definition • Scope • Anatomy and Physiology of Micturition • Types • Diagnosis • Management • Impact on Long Term Care 2 Urinary Incontinence: Definition • Involuntary leakage of urine which is personally and socially unacceptable to an individual. • It is a multifactorial syndrome caused by a combination of: • Genito urinary pathology. • Age related changes. • Comorbid conditions that impair normal micturition. • Loss of functional ability to toilet oneself. 3 Urinary Incontinence: Scope • Prevalence of Urinary incontinence increase with age. • Affects more women than men (2:1) up to age 80. • After age 80, both women and men are equally affected. • Urinary Incontinence affect 15% to 30% of the general population > 65 years. • > 50% of 1.5 million Long Term Care residents may be incontinent. • The cost to care for this group is >5 billion per year. • The total cost of care for Urinary Incontinence in the U.S. is estimated to be over $36 billion. Ehtman et al., 2012. 4 Urinary Incontinence: Impact on Quality of Life • Loss of self esteem. • Avoidance of social activity and interaction. • Decreased ability to maintain independent life style. • Increased dependence on care givers. • One of the most common reason for long term care placement. Grindley et al. Age Aging. 1998; 22: 82-89/Harris T. Aging in the eighties. NCHS # 121 1985. Noelker L. Gerontologist 1987; 27: 194-200. 5 Health related consequences of Urinary Incontinence • Increased propensity for fall/fracture.
    [Show full text]
  • Kegels: Female Pelvic Floor Exercises What Are Kegel Exercises? Kegel Exercises Strengthen the Pelvic Floor Muscles
    Kegels: Female Pelvic Floor Exercises What are Kegel exercises? Kegel exercises strengthen the pelvic floor muscles. These muscles support the bladder and bowel openings. Strengthening the muscles of the pelvic floor can aid in preventing leakage of urine or feces when you cough, sneeze, lift, or do other stressful movements. Other benefits of Kegels include: Enhanced sexual function Conditioned muscles to make childbirth easier Decreased or prevention of prolapsed pelvic organs Improved ability to pass stool © NIDDK Who should do Kegel exercises? Women with urinary and /or bowel incontinence Women who have demonstrated weakening of the pelvic floor Pregnant women or women who have previously had children Middle aged and older women Physical Medicine and Rehabilitation - 1 - What do I need to know about Kegels? Your success while doing Kegel exercises depends on you practicing them correctly and regularly. When doing the exercises, it is important to identify the correct muscles of the pelvic floor. At first, most people contract the abdominal or thigh muscles while forgetting the pelvic floor muscles. This could make pelvic floor tone and incontinence worse. If you are not sure that you are doing the Kegel exercise correctly, ask your doctor to refer you to a Pelvic Floor Physical Therapist (PT). The PT will evaluate you and provide specific instructions on how to do the exercises. “Kegel exercises diagram" by Gend27 - Own work. Licensed under CC BY-SA 3.0 via Commons You may do Kegels as part of biofeedback. Biofeedback consists of placing a sensor on the abdomen and around the anal area, which measures the tightening of the pelvic floor muscles.
    [Show full text]
  • Original Article Effects of Kegel Exercises Applied to Urinary Incontinence on Sexual Satisfaction
    Int J Clin Exp Med 2016;9(6):12365-12374 www.ijcem.com /ISSN:1940-5901/IJCEM0021587 Original Article Effects of kegel exercises applied to urinary ıncontinence on sexual satisfaction Şenay Topuz1*, Emine Ü Seviğ2* 1Department of Midwifery, Health Science Faculty, Ankara University, Ankara, Turkey; 2Department of Public Health Nursing, Health Science Faculty, Erciyes University, Kayseri, Turkey. *Equal contributors. Received December 10, 2015; Accepted March 19, 2016; Epub June 15, 2016; Published June 30, 2016 Abstract: This study is a semi-experimental study in order to explore the effect of Kegel exercises upon sexual sat- isfaction among the women who suffered from urinary incontinence. The sample of the study is consisted of 30 women who are diagnosed with urinary incontinence. Illustrative data form, GRISS were initially applied to women, kegel exercises were taught to women by the researcher and after 3 months of application were filled with scales. All of the women who were studied are at least primary school graduate and are married. Before the application it was seen that the women had problems in GRISS satisfaction, touch, vaginismus and anorgasmia sub groups. Yet, after the application its seen that the sexual satisfaction raised in these sub groups except vaginismus. A very important positive change was experienced in satisfaction and anorgasmia. A rise in sexual satisfaction was also detected after the application on thickness and avoidance sub groups and on total points. As a result of the study, it was detected that kegel exercises had positive effect on womens sexual satisfaction. However, performing of long term and broader sample studies shouldbe offered.
    [Show full text]
  • Preoperative Exercise Interventions to Optimize Continence Outcomes Following Radical Prostatectomy
    REVIEWS Preoperative exercise interventions to optimize continence outcomes following radical prostatectomy Sean F. Mungovan 1,2,3 ✉ , Sigrid V. Carlsson4,5,6, Gregory C. Gass2,7, Petra L. Graham 8, Jaspreet S. Sandhu4, Oguz Akin 9, Peter T. Scardino4, James A. Eastham4 and Manish I. Patel 10,11 Abstract | Urinary incontinence is a common and predictable consequence among men with localized prostate cancer who have undergone radical prostatectomy. Despite advances in the surgical technique, urinary continence recovery time remains variable. A range of surgical and patient- related risk factors contributing to urinary incontinence after radical prostatectomy have been described, including age, BMI, membranous urethral length and urethral sphincter insufficiency. Physical activity interventions incorporating aerobic exercise, resistance training and pelvic floor muscle training programmes can positively influence the return to continence in men after radical prostatectomy. Traditional approaches to improving urinary continence after radical prostatectomy have typically focused on interventions delivered during the postoperative period (rehabilitation). However, the limited efficacy of these postoperative approaches has led to a shift from the traditional reactive model of care to more comprehensive interventions incorporating exercise- based programmes that begin in the preoperative period (prehabilitation) and continue after surgery. Comprehensive prehabilitation interventions include appropriately prescribed aerobic exercise, resistance
    [Show full text]
  • Kegel Exercises2
    KEGEL EXERCISES A Kegel exercise, named after Dr. Arnold Kegel, consists of contracting and relaxing the muscles that form part of thepelvic floor (which some people now colloquially call the "Kegel muscles"). The aim of Kegel exercises is to improve muscle tone by strengthening the pubococcygeus muscles of the pelvic floor. Advantages of Kegel eercises are : Kegel is a popular prescribed exercise for pregnant women to prepare the pelvic floor for physiological stresses of the later stages of pregnancy and vaginal childbirth. Kegel exercises are said to be good for treating vaginal prolapse and preventing uterine prolapse in women . In men they say these are useful for treating prostate pain and swelling resulting from benign prostatic hyperplasia(BPH) and prostatitis in men. Kegel exercises may be beneficial in treating urinary incontinence in both men and women. Kegel exercises may also increase sexual gratification. Sexual function Kegel workouts can provide men with stronger erections. Research published in 2005 issue of BJU International, have shown that pelvic floor exercises could help restore erectile function in men with erectile disfunction. There are said to be significant benefits for the problem of premature ejaculation from having more muscular control of the pelvis.It is also possible that strengthening the pelvic floor may allow some men to achieve a form of orgasmwithout allowing ejaculation, and thereby perhaps reach multiple "climaxes" during sexual activity. In men, this exercise lifts up the testicles, also strengthening the cremaster muscle, as well as the anal sphincter, as the anus is the main area contracted when a Kegel is done.
    [Show full text]
  • The Effect of Pelvic Floor (Kegel) Exercises on Sexual Satisfaction of 20-40-Year-Old Women Referring to Women′S Counseling Center in 2015: Rafsanjan Health Center No
    Focus on Sciences Original Article Feb 2018, Volume 4, Issue 1 The Effect of Pelvic Floor (Kegel) Exercises on Sexual Satisfaction of 20-40-Year-old Women Referring to Women′s Counseling Center in 2015: Rafsanjan Health Center No. 1 Mohammadreza Mirzabeigi 1, Batoul Shafiei Marji 2,*, Mohammadreza Mokhtaree 3 1 Assistant Professor, Psychiatry Department, Rafsanjan University of Medical Sciences, Rafsanjan, Iran 2 MSc, Department of General Psychology, Rafsanjan University of Medical Sciences, Rafsanjan, Iran 3 MSc, Department of Educational Psychology, Social Determinants of Health Research Center, Rafsanjan University of Medical Sciences, Rafsanjan, Iran * Corresponding author: Batoul Shafiei Marji, MSc, Department of General Psychol- ogy, Rafsanjan University of Medical Sciences, Rafsanjan, Iran. E-mail: bty.shafie@ yahoo.com Submitted: 12.13.2017 Abstract Accepted: 04.04.2018 Introduction: Sexual disorders are common among women. This study aimed to investigate the effect of pelvic exercises on women›s sexual satisfaction. Keywords: Methods: Fifty subjects among 20-40-year-old women referring to the counseling center Orgasm No. 1 of Rafsanjan Health Department were selected using convenient sampling and Pelvic Floor Exercises randomly divided into two experimental and control groups. The participants completed Kegel Linda Berg›s Sexual Satisfaction Scale in pretest and posttests. Five training sessions were © 2018. Focus on Sciences held on pelvic muscle (Kegel) exercises for the experimental group. The control group received no training.The collected data were analyzed using independent t-test, chi-square test and covariance analysis. Results: Sexual satisfaction did not differ between the two groups in pretest (P = 0.614). No high rate of sexual satisfaction was observed for both groups in the pre-test; however, the difference was significant between the pre- and post-test sexual satisfaction scores for the experimental group (P = 0.02).
    [Show full text]
  • The Effect of Pelvic Floor Muscle Training on Incontinence
    JMHXXX10.1177/1557988318757242American Journal of Men’s HealthAydın Sayılan and Özbaş 757242research-article2018 Original Article American Journal of Men’s Health 2018, Vol. 12(4) 1007 –1015 The Effect of Pelvic Floor Muscle © The Author(s) 2018 Reprints and permissions: sagepub.com/journalsPermissions.nav Training On Incontinence Problems DOI:https://doi.org/10.1177/1557988318757242 10.1177/1557988318757242 After Radical Prostatectomy journals.sagepub.com/home/jmh Aylin Aydın Sayılan1 and Ayfer Özbaş2 Abstract The aim of the current study was to determine the effect of pelvic floor muscle exercises (PFME/Kegel) training administered to patients scheduled for robot-assisted radical prostatectomy on postprocedural incontinence problems. This study was a randomized controlled trial. Pelvic floor muscle exercises were applied to the procedure group three times a day for 6 months. No exercises were applied to the control group. Incontinence and quality-of-life assessments of the 60 patients in the experimental and control groups were performed on months 0 (10 days after removal of the urinary catheter), 1, 3, and 6 through face-to-face and telephone interviews. Total Incontinence Consultation on Incontinence-Short Form scores, which provide an objective criterion for the evaluation of individuals with incontinence problems, decreased over time. This decrease was statistically highly significant in the third and sixth months. Pelvic muscle floor exercises are suitable for patients experiencing incontinence after radical prostatectomy. Keywords urinary incontinence, prostatectomy, muscle stretching exercises. Received October 8, 2017; revised December 19, 2017; accepted January 3, 2018 Prostate cancer is one of the most common cancer types therefore involves noninvasive behavioral therapeutic in men, and the prevalence increases with age (Vidmar methods consisting of diet modification, bladder train- et al., 2017).
    [Show full text]
  • Pelvic Floor Muscle Exercise with Biofeedback Helps Regain Urinary
    Original article eISSN 2384-0293 Yeungnam Univ J Med 2021;38(1):39-46 https://doi.org/10.12701/yujm.2020.00276 Pelvic floor muscle exercise with biofeedback helps regain urinary continence after robot-assisted radical prostatectomy Yeong Uk Kim1, Dong Gyu Lee2, Young Hwii Ko3 1Department of Urology, Yeungnam Hospital, of Medicine, Daegu, Korea 2Department of Physical Medicine and Rehabilitation, Yeungnam University College of Medicine, Daegu, Korea 3Department of Urology, Yeungnam University College of Medicine, Daegu, Korea Received: April 12, 2020 Revised: May 5, 2020 Background: To determine the benefit of pelvic floor muscle exercise (PFME) with visual biofeed- Accepted: May 7, 2020 back on promoting patient recovery from incontinence, we investigated variables associated with the early restoration of continence for patients who underwent robot-assisted radical prostatec- Corresponding author: tomy (RARP). Young Hwii Ko Methods: Of the 83 patients enrolled, 41 consecutive patients completed PFME (the exercise Department of Urology, Yeungnam group), and the other 42 consecutive patients just before the PFME program commenced (the University College of Medicine, 170 control group). The primary outcome was whether PFME engagement was associated with zero Hyeonchung-ro, Namgu, Daegu pad continence restoration within 3 months of surgery. 42415, Korea Results: Continence restoration percentages (defined as zero pads used per day) at 1, 3, and 6 Tel: +82-53-620-3694 Fax: +82-53-627-5535 months after surgery were 49.4%, 77.1%, and 94.0%, respectively. The exercise group achieved E-mail: [email protected] significantly higher recovery rates at 1 month (p=0.037), 3 months (p<0.001), and 6 months (p=023).
    [Show full text]
  • Radical Prostatectomy - a Patient Guide
    Your Health Matters Radical Prostatectomy - A Patient Guide UCSF Urology Program Peter R. Carroll, MD, MPH, Matthew Cooperberg, MD, MPH, and UCSF Patient Advocates Department of Urology UCSF Helen Diller Family Comprehensive Cancer Center University of California, San Francisco 550 16th Street Box 1695 San Francisco, CA 94143 For appointments, please telephone 415-353-7171 Your Feedback: We regularly revise this information to keep it up to date and make it as useful as possible to the reader. Because changes and new developments can occur frequently, we suggest you talk to your provider for the latest information. Your feedback about any aspect of this document would be much appreciated. You can e-mail your comments to [email protected]. If you wish to talk with a patient advocate, please call (415) 885-7210. This guide, along with other urologic oncology documents, can be viewed online with this link: http://urology.ucsf.edu/patient-care/cancer/prostate- cancer If you are reading a hard copy, please also refer to the above link for the most up to date information. Words that appear in italics are described in the glossary at the end of this document. Overview A radical prostatectomy is a surgical procedure where the prostate gland is removed. At UCSF we perform laparoscopic radical prostatectomies using a robotic surgical system called the da Vinci® robot. Lymph nodes near the prostate can be removed at the same time. Radical prostatectomy is one option for men with clinically localized prostate cancer. Potential advantages include the following: 1) Removal of the prostate and analysis by a pathologist which allows accurate assessment of cancer aggressiveness (stage and grade); 2) After surgery the serum PSA (prostate specific antigen) level should be undetectable, but monitored regularly.
    [Show full text]
  • Análise Da Distribuição Multivetorial De Cargas Do Assoalho Pélvico Feminino Em Diferentes Populações / Licia Pazzoto Cacciari -- São Paulo, 2017
    LICIA PAZZOTO CACCIARI Análise da distribuição multivetorial de cargas do assoalho pélvico feminino em diferentes populações Tese apresentada à Faculdade de Medicina da Universidade de São Paulo para obtenção do título de Doutora em Ciências Programa de Ciências da Reabilitação Orientadora: Profa. Dra. Isabel de Camargo Neves Sacco SÃO PAULO 2017 LICIA PAZZOTO CACCIARI Análise da distribuição multivetorial de cargas do assoalho pélvico feminino em diferentes populações Tese apresentada à Faculdade de Medicina da Universidade de São Paulo para obtenção do título de Doutora em Ciências Programa de Ciências da Reabilitação Orientadora: Profa. Dra. Isabel de Camargo Neves Sacco SÃO PAULO 2017 Dados Internacionais de Catalogação na Publicação (CIP) Preparada pela Biblioteca da Faculdade de Medicina da Universidade de São Paulo ©reprodução autorizada pelo autor Cacciari, Licia Pazzoto Análise da distribuição multivetorial de cargas do assoalho pélvico feminino em diferentes populações / Licia Pazzoto Cacciari -- São Paulo, 2017. Tese (doutorado)--Faculdade de Medicina da Universidade de São Paulo. Programa de Ciências da Reabilitação. Orientadora: Isabel de Camargo Neves Sacco. Descritores: 1.Biomecânica 2.Assoalho pélvico. 3.Cargas internas 4.Mulheres 5.Treinamento USP/FM/DBD-228/17 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 Aos meus pais e ao Gui, 22 com muito amor 23 24 iii ACKNOWLEDGEMENTS 25 26 Agradeço a todos que me acompanharam, apoiaram e incentivaram ao longo 27 destes quatro anos de estudo, dedicação e aprendizado. 28 Ao Gui, que se debruçou e se aprofundou comigo em cada conquista e desafio, 29 que tornou possível e prazerosa cada superação que vivenciamos juntos.
    [Show full text]
  • What I Need to Know About Bladder Control for Women
    What I need to know about BladderBladder ControlControl forfor WomenWomen U.S. Department NATIONAL INSTITUTES OF HEALTH of Health and National Kidney and Urologic Diseases Information Clearinghouse Human Services What I need to know about Bladder Control for Women NATIONAL INSTITUTES OF HEALTH National Diabetes Information Clearinghouse Contents Urine Leakage: A Common Health Problem for Women of All Ages ................................................................ 1 How does the bladder work?................................................. 2 What are the different types of bladder control problems? ................................................................................ 5 What causes bladder control problems? .............................. 7 How do I tell my health care team about my urine leakage?................................................................................... 9 How is loss of bladder control treated?.............................. 11 Hope Through Research...................................................... 17 For More Information.......................................................... 18 Acknowledgments................................................................. 19 *Inserts in back pocket A. What Your Doctor Needs to Know B. Your Daily Bladder Diary C. Kegel Exercise Tips D. Medicines for Bladder Control Urine Leakage: A Common Health Problem for Women of All Ages You may think bladder control problems are something that happen when you get older. The truth is that women of all ages have urine
    [Show full text]
  • 13 Artigo INGLES
    Santos AG, Almeida NAS, Jorge LB, Xavier SS, Latorre GS EFFECTIVENESS OF PELVIC FLOOR EXERCISES IN THE PERIOPERATIVE PERIOD OF RADICAL PROSTATECTOMY: A LITERATURE REVIEW Efetividade do exercício pélvico no perioperatório de prostatectomia radical: revisão de literatura Efectividad del ejercicio para el suelo pélvico en el perioperatorio Review Article de prostatectomía radical: revisión de literatura ABSTRACT (1) Objective: To review the literature on the effectiveness of pelvic floor exercises in the Adonivia Guimarães Santos perioperative period of radical prostatectomy. Methods: By using the health descriptors Nayara Alexandre de Souza de (DeCS) (prostatectomy) AND (physiotherapy) AND (pelvic floor) AND (urinary Almeida(1) incontinence), articles were selected in English, Spanish and Portuguese, regardless of Luisa Braga Jorge(2) the year of publication. After searching in the BVS database, 26 studies were found: 17 in Stanley Soares Xavier(3) MEDLINE, 5 in IBECS, 2 in LILACS, and 2 in CENTRAL. Of this total, 17 were excluded Gustavo Sutter Latorre(1) because they did not meet the study inclusion criteria, culminating in a total of 9 articles, which were analyzed in this study. Results: Pelvic floor muscle strengthening exercises in the prostatectomy perioperative period have important results in terms of minimizing urinary incontinence, considering the strong impact of the problem on the patients’ quality of life. Conclusion: Scientific evidence points out, despite the heterogeneity of techniques and samples, that the perioperative exercises show promising results in reducing postoperative urinary incontinence, mainly speeding recovery and healing or reducing the symptoms. Descriptors: Prostatectomy; Physical Therapy Specialty; Pelvic Floor; Urinary Incontinence. RESUMO 1) Inspirar College (Faculdade Inspirar) - Curitiba (PR) - Brazil Objetivo: Realizar uma revisão na literatura sobre a efetividade dos exercícios pélvicos 2) Pontifical Catholic University Pontifícia( no perioperatório de prostatectomia radical.
    [Show full text]