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Type: Artigo de periódico
Title: Pelvic Floor Muscle Training Program Increases Muscular Contractility During First Pregnancy And Postpartum: Electromyographic Study.
Author: Marques, Joseane
Botelho, Simone
Pereira, Larissa Carvalho
Lanza, Ana Helena
Amorim, Cesar Ferreira
Palma, Paulo
Riccetto, Cassio
Abstract: The aim of this study was to evaluate the effect of a training program over both pelvic floor muscles contractility and urinary symptoms in primigravid pregnant and postpartum primiparous women. A clinical, prospective and blinded trial was conducted with 33 women divided into three groups: (G1) 13 primigravid pregnant women; (G2) 10 postpartum primiparous women (49.3 ± 5.84 days), after vaginal delivery with right mediolateral episiotomy; (G3) 10 postpartum primiparous women (46.3 ± 3.6 days), after cesarean section delivery. The evaluation was carried out using digital palpation (Modified Oxford Grading Scale), pelvic floor electromyography and, for the investigation of urinary symptoms, validated questionnaires (International Consultation on Incontinence Questionnaire-short form-ICIQ-UI SF and International Consultation on Incontinence Questionnaire Overactive Bladder-ICIQ-OAB). The protocol consisted of 10 individual sessions carried out by the physiotherapist through home visits, three times a week, with 60 min duration each. The statistical analysis was performed using ANOVA and Spearman's correlation coefficient. The pelvic floor muscle contractility increased after the training program (P = 0.0001) for all groups. Decreases in the scores of both ICIQ-UI SF (P = 0.009) and ICIQ-OAB (P = 0.0003) were also observed after training. Pelvic floor muscle training is an effective means for the increase in its own contractility in both primigravid pregnant and primiparous postpartum women, accompanied with a concomitant decrease in urinary symptoms.
Subject: Analysis Of Variance
Cesarean Section
Muscle Contraction
Pelvic Floor
Pelvic Floor Disorders
Physical Therapy Modalities
Postpartum Period
Predictive Value Of Tests
Prospective Studies
Time Factors
Treatment Outcome
Urinary Incontinence
Young Adult
Pelvic Floor
Pelvic Floor Muscle Training
Urinary Symptoms
Citation: Neurourology And Urodynamics. v. 32, n. 7, p. 998-1003, 2013-Sep.
Rights: fechado
Identifier DOI: 10.1002/nau.22346
Date Issue: 2013
Appears in Collections:Unicamp - Artigos e Outros Documentos

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