Urinary incontinence unspecified
Conditions
Interventions
Eighty women with urinary incontinence of predominance of effort will be sent to perform the evaluations of pelvic floor muscles, respecting the randomization: Assessment in gynecological position + E
2. assessment of pelvic floor muscles by digital palpation
3. evaluation of pelvic floor muscles by means of Dynamometry in units of kilograms / force
4. evaluation of the electromyographic activity of the pelvic floor muscles
After, the patients will perform the same evaluation in Orthostatic Position: 1. evaluation of the pelvic floor muscles by m
4. evaluation of the electromyographic activity of the pelvic floor muscles
At the end of these evaluations will be carried out the postural evaluation according to the recommendations of the SAPO Pos
Other
Sponsors
Universidade Federal de São Paulo (UNIFESP)
Universidade Federal de São Paulo (UNIFESP)
Eligibility
Sex/Gender
Female
Age
18 Years to 65 Years
Inclusion criteria
Inclusion criteria: 80 women with stress urinary incontinence; or mixed urinary incontinence with predominant stress symptoms; the diagnosis of the type of incontinence was based on clinical parameters and the pad test
Exclusion criteria
Exclusion criteria: Patients younger than 18 years and above 65 years; with predominance of urgency or urge-incontinence symptoms; chronic degenerative diseases; uncontrolled metabolic diseases; neurological or psychiatric disorder; who have participated in pelvic floor rehabilitation programs previously and/or pelvic floor surgeries, or who are performing another type of treatment for urinary incontinence; with presence of genital prolapse grades II, III and IV; incapable of voluntarily contracting the muscles of the pelvic floor; with a body mass index greater than 25 kg/cm2; and women who feel discomfort with the devices used to evaluate the pelvic floor muscles
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Evaluation of pressure contraction of the pelvic floor muscles in cmH2O: the pressure of contraction of the pelvic floor muscles will be evaluated with a manometer; the evaluation will be conducted at a single time in the supine and standing position (according to randomization) | — |
Secondary
| Measure | Time frame |
|---|---|
| Bidigital palpation for qualitative evaluation of pelvic floor muscles: it will be evaluated 1 - Voluntary contraction and relaxation; 2 - Involuntary and Unconscious Contraction and Relaxation 3 - Endurance (0-10 seconds) and 4 - Phasic Fibers. Muscle function will also be classified by the Modified Oxford Scale (0: no contraction - 5: strong contraction); evaluation will be performed in a single moment in the supine and orthostatic postures (according to the randomization) ;Dynamometry for evaluation of pelvic floor muscle strength: base tone and maximum voluntary contraction in kilograms / force (kgf) will be analyzed; evaluation will be performed in a single moment in the supine and orthostatic postures (according to the randomization) ;Electromyography and surface of the pelvic floor muscles: the muscles, maximal gluteus, adductor magnus, the muscular group formed by the Transverse Abdominal (TRA) and internal obliquus (OI) muscles and the pelvic floor muscles will be evaluated. the measurement will be expressed in microvolts; evaluation will be performed in a single moment in the supine and orthostatic postures (according to the randomization);Postural evaluation using the SAPO Postural Evaluation Software: the anatomical points evaluated will be antero-superior iliac spines and posterior-superior iliac spines Evaluation will be performed in a single moment in the orthostatic postura | — |
Countries
Brazil
Contacts
Public ContactMarcia Gimenez
Universidade Federal de São Paulo (UNIFESP)
Outcome results
None listed