Banca de QUALIFICAÇÃO: DENISE RODRIGUES DA SILVA

Uma banca de QUALIFICAÇÃO de MESTRADO foi cadastrada pelo programa.
STUDENT : DENISE RODRIGUES DA SILVA
DATE: 03/08/2020
TIME: 14:00
LOCAL: Por Parecer
TITLE:

Effect of cryotherapy in the pelvic floor muscle proprioception in women with stress urinary incontinence: randomized controlled clinical trial.

KEY WORDS:

 Pelvic floor, cryotherapy, stress urinary incontinence, proprioception.

PAGES: 32
BIG AREA: Ciências da Saúde
AREA: Fisioterapia e Terapia Ocupacional
SUMMARY:

Introduction: Approximately 30% to 45% of women with urinary incontinence (UI) are unable to contract the pelvic floor muscles (PFM) and is necessary the use of proprioceptive treatment. Cryotherapy is a resource with easy access, low cost and capable to provide a improve of the vascularization and muscle tremor. Objective: Compare the effects between the cryotherapy and manometry in the function and pressure of PFM contraction. Materials and methods: This is a randomized controlled clinical trial, with 33 women, over 35 years of age and with symptoms of stress UI. All participants underwent an initial assessment, which consisted of collecting sociodemographic data, gynecological, obstetric, urological history of the women and then an incontinence severity index questionnaire (ISI-Q) was applied. For physical evaluation, an one hour pad test was performed, the PFM function was assessed using the PERFECT scheme and the PFM contraction pressure was measured through manometry. After 48 hours, the volunteers were randomized according to the intervention in the cryotherapy group (CG) and manometry (MG) and immediately performed the first intervention, after another interval of 48 hours and the second intervention was applied. After each intervention, all participants underwent a functional reassessment of PFM. Statistical analysis: The power of the sample was of the 64%. The Shapiro-Wilk test showed a non-parametric distribution of data, the Wilcoxon test was used for intragroup analysis, and the Mann-Whitney test for intergroup analyzes. The level of significance adopted was p <0.05. Results: It was found that in the intragroup analysis the cryotherapy group (CG) showed an increase in all stages of PERFECT and in the second measurement of manometry after the intervention protocol (p<0.032). The MG a significant increase was observed in the PERFECT power stage (p<0.023) and in the first manometry measurement (p<0.015). There was no statistical difference in the intergroup analysis. Conclusion: The CG showed improvement in the function and pressure of the PFM contraction. However, the CG did not present better results than the MG. The cryotherapy can be used as a method of proprioceptive stimulation in women with SUI.

BANKING MEMBERS:
Presidente - 1892581 - GRASIELA NASCIMENTO CORREIA
Interna - 1242804 - ADRIANA GOMES MAGALHAES
Externa à Instituição - PATRICIA DRIUSSO - UFSCAR