Exercícios dos músculos do assoalho pélvico e incontinência urinária de esforço

Abstract

Stress urinaryincontinence (SUI) isdefined as involuntarylossof urine duringdailyactivitiesand stress as coughing and sneezing. During exertion, sphincter contraction increases the urethral impulse in response to increased bladder pressure to prevent urinary leakage. However, incontinent women have delayed weak sphincter contraction and the movement dorso caudal. The pelvic floor exercises (PFM) works in the progression of support for the exercise of a more effective session. However, many women aren t able to contract fast their muscles. The vaginal cones (VC) are used for the purpose of learning and overload. However, its use is not well defined in the literature. The investigation was carried out at the SUI, with the objective of conducting the first study, a meta-analysis of studies on the use of PMF, vaginal cones and female stress urinary incontinence. The meta-analysis showed that studies on the subject has low methodological quality and that VC were used passively. In order to test the application of VC according to the recommendation proposed in the literature, a second randomized controlled trial (RCT) was performed.This RCT showed that performing PFM exercises with or without VC may decrease SUI, although not increasing PFM strength. The RCT aims to the need for further studies with women who do not have the initial strength of PFMs to verify the proprioceptive effect of VC to acquire PFM strength