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Published in: International Urogynecology Journal 12/2015

01-12-2015 | IUJ Video

Abdominopelvic kinesiotherapy for pelvic floor muscle training: a tested proposal in different groups

Authors: Simone Botelho, Natalia Miguel Martinho, Valéria Regina Silva, Joseane Marques, Fabiola Kenia Alves, Cássio Riccetto

Published in: International Urogynecology Journal | Issue 12/2015

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Abstract

Introduction and hypothesis

This video’s proposal was to present one of the pelvic floor muscle (PFM) training programs used in our research, and to study the effects of abdominopelvic kinesiotherapy on female PFM function.

Methods

A total of 82 women participated in this study, 11 nulliparous, 13 primiparous pregnant, 20 primiparous postpartum and 38 postmenopausal women, who were evaluated first by digital palpation, then by either electromyography or vaginal dynamometry to investigate their PFM strength, followed by ICIQ UI-SF and ICIQ-OAB to evaluate urinary symptoms. This intervention protocol lasted for 60 min, three times a week, with a total of 10 sessions, and was supervised by a physiotherapist, using a gym ball, according to Marques and collaborators.

Results

A significant increase in PFM strength was observed by digital palpation in all groups. This finding was confirmed by electromyography in both pregnant (p = 0.0001) and postpartum (p = 0.0001) groups, as well as in 20 of the 38 women from the postmenopausal group (p = 0.003) then by vaginal dynamometry (p = 0.02) in the rest of the women (18) from the same group, with a concomitant decrease in urinary symptoms (p < 0.05).

Conclusion

The abdominopelvic kinesiotherapy program promotes an increase in pelvic floor muscle strength and a decrease in urinary symptoms.
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Metadata
Title
Abdominopelvic kinesiotherapy for pelvic floor muscle training: a tested proposal in different groups
Authors
Simone Botelho
Natalia Miguel Martinho
Valéria Regina Silva
Joseane Marques
Fabiola Kenia Alves
Cássio Riccetto
Publication date
01-12-2015
Publisher
Springer London
Published in
International Urogynecology Journal / Issue 12/2015
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-015-2699-4

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