Effects of Training of Pelvic Floor Muscles (MAP) on Stress Urinary Incontinence

Federal University of Uberlandia

Status: Unknown

Conditions: Stress Urinary Incontinence

Treatments: Procedure: Training of pelvic floor muscles; Procedure: Hipopressive abdominal gymnastics

Study type: Interventional

Funder types: Other

Identifiers

NCT03203798

1.516.103

Details and patient eligibility

About

In the current scientific literature, it is clear that SUI can cause several social, hygienic and personal relationship problems. It has also been proven that this condition affects many more menopausal women than menacme, and this is believed to be due to the hypoestrogenism characteristic of this phase.

On the other hand, weakness of the pelvic floor muscles (PFM) is also related to the genesis of SUI. The role of these muscles would be to keep the bladder neck elevated (above the pubic symphysis) during increases in abdominal pressure, and its weakness would lead to excessive lowering of the bladder neck at these times, leading to SUI due to bladder neck hypermobility.

The conservative treatment of this condition, therefore, encompasses the strengthening of PFMs, which would avoid excessive descent of the bladder neck during increases in abdominal pressure, thereby reducing urinary loss.

In the current literature there are studies proving the effectiveness of pelvic floor muscle training; however, in relation to the literature on abdominal hipopressive gymnastics, it is observed that the scientific evidence is still poor, however, the technique is still Widely spread through extension courses offered throughout Latin America, France and Spain; With regard to the comparison of these methods with respect to their clinical efficacy and the quality of life and patient satisfaction, there are no consistent studies, and this fact motivated us to carry out this study.

Enrollment: 42 estimated patients

Sex: Female

Volunteers: No Healthy Volunteers

Inclusion criteria

• Women with IUE and with a modified Oxford scale of at least 1.

Exclusion criteria

• Presence of neuromuscular diseases
• Uncontrolled diabetes

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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42 participants in 2 patient groups

Training of pelvic floor muscles

Active Comparator group

Treatment:

Procedure: Training of pelvic floor muscles

Hipopressive abdominal gymnastics

Experimental group

Treatment:

Procedure: Hipopressive abdominal gymnastics