Pelvic floor muscle hypotonia
Conditions
Interventions
Group 1 (G1) consisted of 10 women, who were evaluated for orgasmic activity by questionnaire and validated coefficient. We evaluated the contractility of the pelvic floor muscles by digital palpation
evaluated the contractility of the pelvic floor muscles
did not perform the protocol physiotherapists proposed, were evaluated on the contractility of the pelvic floor and the orgasmic activity while women of G1, and called G2-Control. Then, this group per
other
E02.779.83
Sponsors
Universidade Estadual de Campinas - UNICAMP
Eligibility
Sex/Gender
Female
Age
18 Years to 40 Years
Inclusion criteria
Inclusion criteria: Women aged between 18 and 40 years old; With sexually active, regular partner at least one year; Use oral contraceptives No symptoms of urinary / fecal incontinence; Domain orgasm FSFI with a score <3.0 (which features the orgasmic dysfunction, according to the instrument); Coefficient of orgasmic capacity - COC <1 (low orgasmic capacity, according to the instrument); Force of contraction of the pelvic floor compromised.
Exclusion criteria
Exclusion criteria: Peripheral or central neurological disorders; History of pelvic floor muscle training; History of any treatment for sexual dysfunction; Presence of symptoms of urinary / fecal incontinence; Reporting of clinical diagnosis: vaginismus, type III and IV prolapse, diabetes, dislipedemias; menopause or menopause, hypertension, depression; Reporting of primary anorgasmia (never had an orgasm); Pregnant women; More than three pregnancies and / or three births; Have the orgasm domain scores >3.0; high orgasmic capacity (CCO > 1); Without compromising the strength of contraction of the pelvic floor; Patient has not achieved 75% of the proposed therapy.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Assessment of contractility of the pelvic floor. Digital vaginal palpation: average of three successive maximal voluntary contractions of the pelvic floor muscles for 5 seconds, separated by a rest period with a doubling time of their maximum contraction to avoid fatigue, whose undergraduate degree was performed according to Ortis scale, ie 0 to 5 degrees. Surface electromyography: average of three RMS's in microvolts, captured by probe endovaginal (Physio-Med Services ®) connected to the electromyography (EMG-400C System in Brazil ®) after three maximal voluntary contractions and repeated the pelvic floor muscles . These tests were performed before and after kinesiotherapy, and by a single researcher. Assessment of orgasmic activity. Field of the Female Orgasm Fexual Function Index (FSFI) questionnaire validated for the Portuguese by Thiel et al. (2008). The orgasm domain score ranges from 0 to 6, and this domain score 1 (high orgasmic capacity) and COC <1 (low orgasmic capacity). These instruments were administered before and after kinesiotherapy. Physiotherapists protocol: designed and taught by a researcher who was not part of the evaluation of the pelvic floor, and consisted of 12 individual sessions, lasting 30 minutes, twice a week, and whose goal was the pelvic floor muscle training. | — |
Secondary
| Measure | Time frame |
|---|---|
| The questionnaire International Consultation on Incontinence Questionnaire-Short Form (SF-ICIQ), validated to Portuguese by Tamanini et al. (2004) was used as a complement to anmenese in order to verify the coexistence of urinary incontinence. | — |
Countries
Brazil
Contacts
Public ContactAna Helena Lanza
Universidade Estadual de Campinas - UNICAMP
Outcome results
None listed