Analysis of the effectiveness of the pilates method on stress urinary incontinence

kinesiotherapy Exercise 1 - Patient will begin with 5 minutes of global stretching of the upper and lower limb. Exercise 2 - The patient will sit on the ball (Bobath) will be held and mobility pelvic movements (exercises anteversion / retroversion, lateral inclination). Exercise 3 - Hundred (Hundred) - Starting Position: Patient supine, hip and knee flexed 90 degress, the scapula stabilized, arms at your sides and palms facing down. Exercise: patient inhales, the expiration patient flex the head and upper body, stabilizing the shoulder blades and tightening the abdominal muscles and the perineum ("Hold Your Wee") and extend the knees. Inspiring, returning to its initial position. Exercise 4 - Double leg stretch (Double Leg Stretch) - Starting Position: Patient supine, hip and knee flexed at 90 degrees, bring your hands on your ankles. Will flex the trunk and maintaining the elongated head and feet in tip. Exercise: A patient inspires, the patient expired contract the abdomen and the perineum muscle and spreading her legs and arms outstretched to take the head. Inspiring, returning to its initial position Exercise 5 - Bearing partial back (Half roll back) - Starting Position: Patient seated, knees bent, feet parallel, about the column bent knees, arms extended and stabilized scapula. Exercise: A patient inspires, the patient expired contracts abdomen and perineum muscle and starts rolling back and can continue while maintaining lumbar flexion and feet on the mat. Inhale, returning to its initial position. Exercise 6 - Preparing for the bridge (Shoulder Bridge Prep) - Starting Position: Patient supine, knees bent and parallel to the line of hip, scapula stabilized, arms at your sides and palms facing down. Exercise: A patient inspires, the patient expired contracts abdomen and perineum muscle, lift your pelvis up vertebra by vertebra, extending the column. Inhale, returning to its initial position. Exercise 7 - Kick Series IV (Side Kick Series IV) - Starting position: lying on its side on the outstretched arm (serving as the headrest), neutral spine and pelvis, scapula stabilized, and one arm resting on the mat. Top leg bent forward with the other foot and lower leg perform adduction, standing on tip. Exercise: inspiration, during expiration the patient contracts the abdominal muscles and perineum, leading to the leg from the bottom up (adduction), inhale back to the starting position. Exercise 8 - Coordination (Coordination) - Starting Position: Patient supine, hip flexed at 45 degrees, the scapula stabilized, arms above your head holding the ball Bobath. Exercise: inspiration, during expiration the patient will contract the abdomen and perineum muscle, flexing the hip and take the ball to the ankle, holding the ball with the medial malleolus. Inhale back to center position. Exercise 9 - Circle of the hip (Hip Circles) - starting position: The patient sits on the buttocks, arms extended and resting on the floor, bend the trunk and then bend your legs at 90 degrees to the trunk. Exercise: Breathe in, hold on expiration circles with the legs. Exercise 10 - Corkscrew (Corkscrew) Starting Position: Patient supine, hip flexed at 45 degrees, the scapula stabilized, arms along the body. Exercise: inspiration, during expiration the patient contracts the abdominal muscles and the perineum, held circular motion with both legs at the same time. All exercises were performed individually by the same physiotherapist three times a week (Monday, Wednesday and Friday), with 1 hour per session for 3 months. All exercises are performed with 10 repetitions of each exercise lasting 1 hour