Eficácia dos tratamentos fisioterapêuticos combinados na redução dos sintomas da incontinência urinária em mulheres idosas - uma revisão sistemática
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Data
2023-06-20, 2023-06-20
Tipo de documento
Artigo Científico
Artigo Científico
Artigo Científico
Título da Revista
ISSN da Revista
Título de Volume
Área do conhecimento
Ciências da Saúde
Modalidade de acesso
Acesso aberto
Editora
Autores
FREITAS, Brenda Cunha
SANTANA, Eduarda Milena Queiroz
FERREIRA, Maria Tereza Rodrigues
SILVA, Victoria Rocha
Ferreira, Maria Tereza Rodrigues
Ferreira, Maria Tereza Rodrigues
Silva, Victoria Rocha
Silva, Victoria Rocha
Orientador
AUGUSTO, Leonardo Silva
Coorientador
LACERDA, Carla Silva A.
Resumo
RESUMO Introdução: A incontinência urinária é caracterizada por qualquer perda involuntária de urina. Possui alta prevalência em mulheres idosas, visto que o avanço da idade é um dos principais fatores para o surgimento da IU. Objetivos: Este trabalho apresenta como objetivo, buscar através da literatura, tratamentos fisioterapêuticos associados que reduzam os sintomas da incontinência urinária e contribuam para melhor qualidade de vida em idosas nessa condição. Metodologia: Como um estudo de revisão sistemática, foram realizadas buscas sistemáticas nas bases de dados: Pubmed, PEDro e Scielo, através das palavras-chave: pelvic floor disorders, transvaginal electrical stimulation, urinary incontinence, urinary incontinence elderly. Resultados: Com o resultado da pesquisa foi possível observar que dos 6 estudos incluídos, realizados com idosas tendo idade média entre 60 e 85 anos, todos utilizaram o método PFMT (Pelvic Floor Muscle Training), que esteve associado a terapia comportamental, sendo abordada com treinamento da bexiga e terapia vesical, foi associado também ao recurso terapêutico de eletroestimulação e ao uso de biofeedback eletromiográfico. Através de diferentes intervenções, todos obtiveram resultados positivos. Conclusões: Podemos concluir através dos estudos encontrados, que o tratamento fisioterapêutico associado se faz eficaz diante dos sintomas da incontinência urinária em idosas, tendo como método mais utilizado o PFMT associado a outras terapias utilizadas no tratamento da fisioterapia pélvica. Palavras-chave: Distúrbios do assoalho pélvico, Eletroestimulação transvaginal, Incontinência urinária, Incontinência urinária em idosos.
Introduction: Urinary incontinence is characterized by any involuntary loss of urine. It has a high prevalence in elderly women, since advancing age is one of the main factors for the onset of UI. Objectives: The objective of this work is to search through the literature for associated physiotherapeutic treatments that reduce the symptoms of urinary incontinence and contribute to a better quality of life in elderly women with this condition. Methodology: As a systematic review study, systematic searches were carried out in the databases: Pubmed, PEDro and Scielo, using the keywords: pelvic floor disorders, transvaginal electrical stimulation, urinary incontinence, urinary incontinence elderly. Results: With the result of the research, it was possible to observe that of the 6 studies included, carried out with elderly women with an average age between 60 and 85 years old, all used the PFMT method, which was associated with behavioral therapy, being approached with bladder training and bladder therapy , was also associated with the therapeutic resource of electrostimulation and the use of electromyographic biofeedback. Through different interventions, all obtained positive results in relation to the objective. Conclusions: We can conclude from the studies found that the associated physiotherapeutic treatment is effective in the face of the symptoms of urinary incontinence in elderly women, with the most used method being PFMT associated with other therapies. Keywords: pelvic floor disorders, transvaginal electrical stimulation, urinary incontinence, urinary incontinence elderly.
Introduction: Urinary incontinence is characterized by any involuntary loss of urine. It has a high prevalence in elderly women, since advancing age is one of the main factors for the onset of UI. Objectives: The objective of this work is to search through the literature for associated physiotherapeutic treatments that reduce the symptoms of urinary incontinence and contribute to a better quality of life in elderly women with this condition. Methodology: As a systematic review study, systematic searches were carried out in the databases: Pubmed, PEDro and Scielo, using the keywords: pelvic floor disorders, transvaginal electrical stimulation, urinary incontinence, urinary incontinence elderly. Results: With the result of the research, it was possible to observe that of the 6 studies included, carried out with elderly women with an average age between 60 and 85 years old, all used the PFMT method, which was associated with behavioral therapy, being approached with bladder training and bladder therapy , was also associated with the therapeutic resource of electrostimulation and the use of electromyographic biofeedback. Through different interventions, all obtained positive results in relation to the objective. Conclusions: We can conclude from the studies found that the associated physiotherapeutic treatment is effective in the face of the symptoms of urinary incontinence in elderly women, with the most used method being PFMT associated with other therapies. Keywords: pelvic floor disorders, transvaginal electrical stimulation, urinary incontinence, urinary incontinence elderly.
Palavras-chave
pelvic floor disorders, transvaginal electrical stimulation, urinary incontinence, urinary incontinence elderly