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Type: Artigo de periódico
Title: Pelvic Floor Muscle Training In The Treatment Of Lower Urinary Tract Dysfunction In Women With Multiple Sclerosis.
Author: Lúcio, Adélia Correia
Campos, Renata Martins
Perissinotto, Maria Carolina
Miyaoka, Ricardo
Damasceno, Benito Pereira
D'ancona, Carlos Arturo Levi
Abstract: Evaluate the role of pelvic floor muscle training (PFMT) on the treatment of lower urinary tract dysfunction (LUTD) in multiple sclerosis (MS) patients. In this randomized controlled trial, twenty seven female patients with a diagnosis of MS and LUTD complaints were randomized, in two groups: Treatment group (GI) (N = 13) and Sham group (GII) (N = 14). Evaluation included urodynamic study, 24-hr Pad testing, three day voiding diary and pelvic floor evaluation according to PERFECT scheme. Intervention was performed twice a week for 12 weeks in both groups. GI intervention consisted of PFMT with assistance of a vaginal perineometer. GII received a sham treatment consisted on the introduction of a perineometer inside the vagina with no contraction required. At the end of the treatment GI was complaining less about storage and voiding symptoms than GII. Furthermore, differences found between groups were: reduction of pad weight (P = 0.00) (Mean: 87,51 grams initial and 6,03 grams final in GI. 69,46 grams initial and 75,88 grams final in GII), number of pads (P = 0.01) (Mean: 3,61 initial and 2,15 final in GI. 3,42 initial and 3,28 final in GII) and nocturia events (P < 0.00) (Mean: 2,38 initial and 0,46 final in GI. 2,55 initial and 2,47 final in GII) and improvements of muscle power (P = 0.00), endurance (P < 0.00), resistance (P < 0.00) and fast contractions (P < 0.00), domains of PERFECT scheme. PFMT is an effective approach to treat LUTD in female with MS.
Subject: Adult
Incontinence Pads
Middle Aged
Multiple Sclerosis
Muscle Contraction
Muscle Strength
Pelvic Floor
Physical Therapy Modalities
Time Factors
Treatment Outcome
Urinary Bladder
Urination Disorders
Young Adult
Citation: Neurourology And Urodynamics. v. 29, n. 8, p. 1410-3, 2010-Nov.
Rights: fechado
Identifier DOI: 10.1002/nau.20941
Date Issue: 2010
Appears in Collections:Unicamp - Artigos e Outros Documentos

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