Banca de DEFESA: MARIA CLARA EUGÊNIA DE OLIVEIRA

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
DISCENTE : MARIA CLARA EUGÊNIA DE OLIVEIRA
DATA : 22/02/2017
HORA: 15:00
LOCAL: Departamento de Fisioterapia
TÍTULO:

EVALUATION OF URINARY INCONTINENCE IN WOMEN WITH OVERWEIGHT AND OBESITY BEFORE AND AFTER TREATMENT WITH KINESIOTHERAPY AND NUTRITIONAL EDUCATION: Randomized clinical trial.

PALAVRAS-CHAVES:

Pelvic floor; Rehabilitation; Physiotherapy; Eating habits.

PÁGINAS: 70
GRANDE ÁREA: Ciências da Saúde
ÁREA: Fisioterapia e Terapia Ocupacional
RESUMO:

Background: Being overweight is the main risk factor for a number of chronic diseases like diabetes, cardiovascular disease and cancer. Among the pathologies affected by excess of weight, there are also pelvic floor (PF) dysfunctions such as urinary incontinence (UI). Purpose: To compare the efficacy of a physiotherapeutic treatment for women with urinary incontinence through pelvic floor kinesiotherapy and kinesiotherapy associated with nutritional education. Materials and Methods: A clinical trial, randomized and simple-blind trial, carried out at the University Hospital Onofre Lopes. Twenty - six women with BMI between 25 and 40 kg / m2 were divided into two groups: Kinesiotherapy Group and Food Reeducation (GCRA - n = 13) and Kinesiotherapy Group (GC - n = 13). The data collection took place in three stages: Evaluation, with application of the evaluation form, of the questionnaires and physical examination; Intervention, with application of the kinesiotherapy protocol or nutritional education associated with kinesiotherapy protocol; And Reevaluation, Application of evaluation form, questionnaires and physical examination at the end of treatment, with 2 months. Two visits were performed per week, totaling 16 visits in both groups, with a duration of 30 minutes per service. The data were analyzed using the statistical software SPSS 20.0, assigning the significance level of 5%. The Shapiro-Wilk test was used to test the normality of the data. According to the data distribution, the t'Student or Mann-Whitney test was used to compare the intergroup means, and the paired t-test or Wilcoxon test to verify intragroup differences. Results: The perineometry presented a statistically significant difference, when compared before and after treatment, in both groups (GCRA P = 0.045; GC P = 0.028). The impact of urinary incontinence on quality of life, analyzed by the ICIQ-SF, both groups presented statistically significant differences from their initial moment to the final (GCRA P = 0.001, GC P = 0.000). Regarding quality of life, the GCRA showed an increase at the end of the treatment, regarding health satisfaction (P = 0.026). Conclusions: It is hoped that the physiotherapist will be able to enjoy a truly reliable protocol in the treatment of patients. In addition, we note the importance of interdisciplinary work, which favors an improvement of several body systems as well as improvement of the quality of life.

MEMBROS DA BANCA:
Presidente - 2786809 - MARIA THEREZA ALBUQUERQUE BARBOSA CABRAL MICUSSI
Externo ao Programa - 1879430 - ANA PAULA TRUSSARDI FAYH
Externo à Instituição - VANESSA PATRICIA SOARES DE SOUSA - FANEC