Pelvic Organ Prolapse
Conditions
Keywords
pelvic floor, pelvic organ prolapse
Brief summary
To verify if pelvic floor muscle training program and/or a hypopressive exercise program could improve women with stage II of pelvic organ prolapse, their symptoms or pelvic floor muscle strength.
Detailed description
To verify if three months of an exercise program could improve stage II of pelvic organ prolapse, as a conservative treatment.
Interventions
Three individual initial sessions for learn about pelvic floor muscle localization and function; receive lifestyle advice and practice the exercises correctly. The control group receive only lifestyle advice. Followed by three months of home training with appointments each two weeks with physiotherapist.
Sponsors
Study design
Eligibility
Inclusion criteria
* women with stage II of pelvic organ prolapse, preferably symptomatic and not to be submitted to surgery to correct pelvic organ prolapse during the study
Exclusion criteria
* Neuromuscular diseases and use of hormonal therapy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pelvic floor muscle changes | 3 months after the begining of treatment | Digital palpation - Evaluates the pelvic floor muscle contraction and assign values according to scales: Oxford (previously validated) and muscular endurance (measured in seconds) Surface electromyography - evaluates the electrical activity generated by activation of motor units of pelvic floor muscles - during the rest and during the maximum voluntary contraction 2D perineal ultrasound - evaluates the cross sectional area of levator ani muscle. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Pelvic Organ Prolapse changes | 3 months after the begining of treatment | Quantification of stage of pelvic organ prolapse. Measured during gynecology exam by pelvic organ prolapse quantification (POP-Q)exam. Measure of changes in symptoms of pelvic organ prolapse using a questionnaire. |
Countries
Brazil