Banca de DEFESA: LÍVIA OLIVEIRA BEZERRA

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
DISCENTE : LÍVIA OLIVEIRA BEZERRA
DATA : 12/03/2018
HORA: 14:00
LOCAL: AUDITÓRIO DO DEPTO DE FISIOTERAPIA
TÍTULO:

COMPARATIVE EVALUATION OF THE EFFECTIVENESS OF PELVIC FLOOR MUSCULATURE TRAINING AND GAMETERAPY IN THE TREATMENT OF MIXED URINARY INCONTINENCE: Randomized clinical trial.

PALAVRAS-CHAVES:

physical therapy, urinary incontinence, pelvic floor.

PÁGINAS: 86
GRANDE ÁREA: Ciências da Saúde
ÁREA: Fisioterapia e Terapia Ocupacional
RESUMO:

Introduction: Urinary incontinence is defined as any involuntary loss of urine; your treatment may be surgical or conservative. The surgical approach involves invasive procedures that can lead to complications. Thus, conservative treatments are of increased interest, and pelvic floor muscle rehabilitation programs are the first intervention option. Objective: To compare the efficacy of pelvic floor muscle training and game therapy in the treatment of mixed urinary incontinence. Methods: A randomized, blind clinical trial, conducted at the Hospital Universitário Onofre Lopes. A total of 32 women aged 45 to 70 years with the diagnosis of mixed urinary incontinence were randomly divided into two groups: Pelvic Floor Muscle Training Group (PFMTG - n = 16) and Game Therapy Group (GG - n = 16). Participants were assessed before the intervention and eight weeks after, in relation to the functionality of the pelvic floor muscles: muscle strength (measured by modified Oxford scale) and muscle pressure (measured by manometry); amount and degree of urinary loss (measured by the Pad test); classification of urinary loss (measured by the International Consultation on Incontinence Questionnaire - ICIQ-SF Short Form); and the evaluation of the intervention (measured by the Patient Global Impression of Improvement - PGI-I). The sample data were analyzed using the statistical software SPSS (version 20.0). The Komolgorov-Smirnov test was used to test the normality of the data, and Levene Test, to analyze the variance homogeneity. The descriptive statistics were used to present the means, standard deviation and percentages of the data. According to the data distribution, a mixed-variance analysis (ANOVA Two-Way) was performed, followed by Tukey post-hoc. The time-group interaction and inter and intragroup differences were analyzed for the studied variables. Sphericity was tested using the Mauchly test, and if violated, the Greenhouse-Geisser correction was used. Results: The mean age of the sample was 50.12 (± 8.62) in the PFMTG and 54.43 (± 9.96) in the GG, most of whom had completed elementary education. All volunteers had children, had no regular menstrual cycles, were sexually active, and were overweight. There was no intergroup-time interaction or statistically significant intergroup difference in manometry (p = 0.871), pad-test 1h (p = 0.740) and ICIQ-SF (p = 0.053) when comparing the two treatments. Intragroup differences were observed in these variables mentioned above after the end of the intervention. Conclusion: Both treatments proved to be effective for the treatment of mixed urinary incontinence in the study population.

 

MEMBROS DA BANCA:
Externo ao Programa - 1242804 - ADRIANA GOMES MAGALHAES
Externo à Instituição - GABRIELA MARINI PRATA - NENHUMA
Presidente - 2786809 - MARIA THEREZA ALBUQUERQUE BARBOSA CABRAL MICUSSI