Electrical Stimulation and Vaginal Palpation in Pelvic Floor Muscles Awareness

University of Sao Paulo

Status: Unknown

Conditions: Pelvic Floor Disorders

Treatments: Other: Palpation with posterior pelvic tilt; Other: Palpation; Other: Control; Other: Transvaginal electrical stimulation

Study type: Interventional

Funder types: Other

Identifiers

NCT02062242

CEP 211.405

Details and patient eligibility

About

The purpose of this study is to evaluate the effectiveness of transvaginal electrical stimulation, vaginal palpation, and vaginal palpation associated with posterior pelvic tilt and contraction of accessory muscles in the acquisition of ability to contract the pelvic floor muscles (PFM), as well as to evaluate the sexual function of women studied.

Full description

Many women does not know to contract the PFM voluntarily favoring the development of disorders such as urinary and fecal incontinence, pelvic organ prolapse and sexual disorders. However there are no studies in the literature that address the application of therapeutic resources available to improve the PFM awareness. The objective of this study is to evaluate the effectiveness of transvaginal electrical stimulation, vaginal palpation, vaginal palpation associated with posterior pelvic tilt and contraction of accessory muscles in the acquisition of ability to contract the PFM, as well as to evaluate the sexual function of women studied. One hundred twenty women with PFM function graded 0 and 1 measured by Oxford Modified Scale will be submitted at random to physical therapy with transvaginal electrical stimulation, vaginal palpation, vaginal palpation associated with posterior pelvic tilt and contraction of accessory muscles (glutes and hip adductors) and the control group who receive verbal instructions related to the pelvic floor and its contraction. For the evaluation of the sexual function will be applied the Female Sexual Function Index (FSFI).

The patients will be assessed by vaginal palpation, perineometry and surface electromyography before and after the intervention.

Enrollment: 120 estimated patients

Sex: Female

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

Women with age greater than or equal 18 years; Women with pelvic floor muscle function graded 0 and 1 measured by Oxford Modified Scale; Women who voluntarily consente to participate in research.

Exclusion criteria

Women with associated neurological pathologies; Women with symptoms of vaginal or urinary tract infection; Women with pelvic organs prolapse graded greater than 2; Pregnancy suspected or confirmed; Cognitive deficit that impedes or impair the procedure.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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120 participants in 4 patient groups

Transvaginal electrical stimulation

Experimental group

Description:

Patients treated with transvaginal electrical stimulation.

Treatment:

Other: Transvaginal electrical stimulation

Palpation

Experimental group

Description:

Patients treated with vaginal palpation.

Treatment:

Other: Palpation

Palpation with posterior pelvic tilt

Experimental group

Description:

Patients treated with vaginal palpation associated with posterior pelvic tilt and contraction of accessory muscles.

Treatment:

Other: Palpation with posterior pelvic tilt

Control group

Experimental group

Description:

Patients receive verbal instructions related to the pelvic floor and its contraction.

Treatment:

Other: Control