2007, Number 1
PDF size: 24.54 Kb.
ABSTRACTIntroduction: Urinary incontinence is a very common problem affecting 17 to 40% of women over 60 years. Physiotherapy of the pelvic floor is an economic and the effective alternative with low morbility for the treatment urinary incontinence. Method and materials: 23 patients were managed with physiotherapy of the pelvic floor, uncoordinated miction (five), urinary stress incontinence (four), urinary urge incontinence (nine) and mixed urinary incontinence (five). The management was done via biofeedback, inhibitory electrostimulation, enforcement electrostimulation and or both. Results: All the patients refer a subjective improvement, being this 74% for urinary stress incontinence, 67.85% for urinary urge incontinence, 66% for mixed urinary incontinence and 59.8% for uncoordinated miction, all the parameters evaluated in an objective manner presented improvement. Not one patient presented complications such as irritation or vaginal infection. Conclusions: Rehabilitation of the pelvic floor represents a good alternative in the initial management in the patient with urinary incontinence, taking this alternative as the first line in the treatment of urinary stress incontinence, giving that almost all the patients show an important improvement in there sintoms.
Theofrastous J, Wyman J, Bump R, McClish D, Elser D, Bland D, et al. Effects of pelvic floor muscle training on strength and predictors of response in the treatment of urinary incontinence. Neurourology and Urodynamics 2002; 21: 486-90.
Kerschank, Uher E, Wiesinger G, Kaider A, Ebenbichler G, Nicolakis P, et al. Rehabilily of pelvic floor muscle strength measurement in elderly incontinent women. Neurourology and Urodynamics 2002; 21: 42-7.
Nygaard I, Kreder K, Lepic M, Fountain K, Rhomberg A. Efficacy of pelvic floor muscle exercises in women with stress, urge and mixed urinary incontinence. Am J Obstet Gynecol 1996; 174, Part. 1.
Parkkinen A, Karjalainen E, Vartiainen M, Penttinen J. Physiotherapy for female stress urinary incontinence: individual therapy at the outpatient clinic versus home-based pelvic floor training: A 5-year follow-up study. Neurourology and Urodynamics 2004; 23: 643-8.
Freeman R. The role of pelvic floor muscle training in urinary incontinence. BJOG 2004; 11: 37-40.
De Lateur BJ. Therapeutic Exercise. In: Braddom RL. Ed. Physical Medicine & Rehabilitation. Philadelphia: W.B. Saunders; 1996, 401-19.
Kegel AH. Stress incontinence of urine in women: physiologic treatment. J Int Coll Surg 1956; 25: 487-99.
Devreese A, Staes F, De Weerdt W, Feys H, Van Assche A, Peninkx F, Vereecken R. Clinical evaluation of pelvic floor muscle function in continent and incontinent women. Neurourology and Urodynamics 2004; 23: 190-7.
10.Kegel AH. Progressive resistance exercise in functional restoration of the perineal muscles. Am J Obstet Gynecol 1948; 56: 238-48.
11.Burgio KL, Robinson JC. Engel BT. The role of biofeedback in Kegel exercise training for stress urinary incontinence. Am J Obstet Gynecol 1998; 154: 58-64.
12.Shepard AM, Montgomery E, Anderson RS, et al. Treatment of genuine stress incontinence with a new perineometer. Physiotherapy 1983; 69: 113.
13.Smith JJ. Intravaginal stimulation randomized trial. J Urol 1996; 155: 127-30.
14.Sand PK, Richardson DA, Staskin DR, et al. Pelvic floor electrical stimulation in the treatment of genuine stress incontinence: a multicenter, placebo-controlled trial. Am J Obstet Gynecol 1995; 173: 72-9.