Navegando por Autor "Gonzaga, Sabrina"

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    Dissertação
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    Comparação entre treinamento muscular do assoalho pélvico e exercícios de pilates para incontinência urinária em mulheres na pós-menopausa: ensaio controlado randomizado
    (Universidade Estadual do Norte do Paraná, 2023) Gonzaga, Sabrina; Oliveira, Laís Campos de; https://orcid.org/0000-0002-9853-7337; http://lattes.cnpq.br/1621658942171919; Oliveira, Laís Campos de; https://orcid.org/0000-0002-9853-7337; http://lattes.cnpq.br/1621658942171919; Gonçalves, Ezequiel Moreira; https://orcid.org/0000-0001-8470-9479; http://lattes.cnpq.br/3712055715302474; Oliveira, Deise Aparecida de Almeida Pires; https://orcid.org/0000-0002-5765-1897; http://lattes.cnpq.br/7663275220903598
    Introduction: Postmenopause is a period characterized by a series of body changes such as urogenital manifestations, which includes urinary incontinence (UI). The gold standard treatment for UI improvement is pelvic floor muscle training. It is not yet clear in the literature whether other muscle training exercise regimens, such as Pilates, can be effective in improving UI. Objective: To compare pelvic floor muscle training (PFMT) and Pilates exercises (PE) in improving UI, strength, muscle endurance and the impact of UI on the quality of life of postmenopausal women. Methods: Forty postmenopausal women were randomized into two groups: PFMT (n= 20) and PE (n= 20). Interventions for both groups occurred for 12 weeks, being performed three times a week, on non-consecutive days. The PFMT group protocol consisted of four series of ten maximum contractions, sustained for at least six seconds, and at the end of each series, five quick contractions were performed. Each series was performed in one position: 1st lying in lateral decubitus, 2nd sitting, 3rd on four supports and 4th standing. The EP group protocol consisted of 10 exercises, four specific for stretching and six for muscle strengthening. During a concentric phase of the Pilates strengthening exercises, participants in the PE group were instructed and emphasized to perform maximal targeted contraction of the pelvic floor muscles (PFM). Assessments of UI, strength, pelvic floor muscle endurance and impact of UI on quality of life were performed before and after the 12-week treatment. Shapiro Wilk tests were performed to verify normality, Student's t test and Mann Whitney U test according to parametric or non-parametric distribution, Mann-Whitney U test and Wilcoxon test for comparison between groups and intragroups, p values < 0.05 were considered. Data were processed using the SPSS 25.0 program. For effect size calculations (Cohen's d) the GPower 3.1 program was used. Results: There was a significant intragroup improvement for both groups in the Pad-test: TMAP (p= 0.004) and EP (p= 0.009), in the Average daily urinary loss: TMAP (p= 0.003) and EP (p= 0.007), and the impact of urinary incontinence on quality of life, using the ICIQ-SF: PFMT (p= 0.000) and PE (p= 0.000). Regarding PFM strength, there was a significant improvement only in the TMAP group (p= 0.004) and for resistance, significant improvement in both groups: TMAP (p= 0.000) and PE (p= 0.001). Peak force manometry showed significant improvement only in the EP group (p= 0.018) and mean force manometry in both groups: PFMT (p= 0.043) and EP (p= 0.013); there was also an improvement in both groups in Manometry peak resistance: TMAP (p= 0.000) and EP (p= 0.005) and in Manometry mean resistance: TMAP (p= 0.000) and EP (p= 0.004). In the intergroup comparison, it was possible to identify significant results only for the muscle strength variable, in favor of the PFMT group (p= 0.027). Conclusion: There is no significant difference in the treatment of UI between PFMT and Pilates exercises when performed with the request for voluntary contraction of the PFM.
  • Imagem de Miniatura
    Dissertação
    Acesso aberto (Open Access)
    Comparação entre treinamento muscular do assoalho pélvico e exercícios de pilates para incontinência urinária em mulheres na pós-menopausa: ensaio controlado randomizado
    (Universidade Estadual do Norte do Paraná, 2023) Gonzaga, Sabrina; Oliveira, Laís Campos de; https://orcid.org/0000-0002-9853-7337; http://lattes.cnpq.br/1621658942171919; Oliveira, Laís Campos de; https://orcid.org/0000-0002-9853-7337; http://lattes.cnpq.br/1621658942171919; Gonçalves, Ezequiel Moreira; https://orcid.org/0000-0001-8470-9479; http://lattes.cnpq.br/3712055715302474; Oliveira, Deise Aparecida de Almeida Pires; https://orcid.org/0000-0002-5765-1897; http://lattes.cnpq.br/7663275220903598
    Introduction: Postmenopause is a period characterized by a series of body changes such as urogenital manifestations, which includes urinary incontinence (UI). The gold standard treatment for UI improvement is pelvic floor muscle training. It is not yet clear in the literature whether other muscle training exercise regimens, such as Pilates, can be effective in improving UI. Objective: To compare pelvic floor muscle training (PFMT) and Pilates exercises (PE) in improving UI, strength, muscle endurance and the impact of UI on the quality of life of postmenopausal women. Methods: Forty postmenopausal women were randomized into two groups: PFMT (n= 20) and PE (n= 20). Interventions for both groups occurred for 12 weeks, being performed three times a week, on non-consecutive days. The PFMT group protocol consisted of four series of ten maximum contractions, sustained for at least six seconds, and at the end of each series, five quick contractions were performed. Each series was performed in one position: 1st lying in lateral decubitus, 2nd sitting, 3rd on four supports and 4th standing. The EP group protocol consisted of 10 exercises, four specific for stretching and six for muscle strengthening. During a concentric phase of the Pilates strengthening exercises, participants in the PE group were instructed and emphasized to perform maximal targeted contraction of the pelvic floor muscles (PFM). Assessments of UI, strength, pelvic floor muscle endurance and impact of UI on quality of life were performed before and after the 12-week treatment. Shapiro Wilk tests were performed to verify normality, Student's t test and Mann Whitney U test according to parametric or non-parametric distribution, Mann-Whitney U test and Wilcoxon test for comparison between groups and intragroups, p values \< 0.05 were considered. Data were processed using the SPSS 25.0 program. For effect size calculations (Cohen's d) the GPower 3.1 program was used. Results: There was a significant intragroup improvement for both groups in the Pad-test: TMAP (p= 0.004) and EP (p= 0.009), in the Average daily urinary loss: TMAP (p= 0.003) and EP (p= 0.007), and the impact of urinary incontinence on quality of life, using the ICIQ-SF: PFMT (p= 0.000) and PE (p= 0.000). Regarding PFM strength, there was a significant improvement only in the TMAP group (p= 0.004) and for resistance, significant improvement in both groups: TMAP (p= 0.000) and PE (p= 0.001). Peak force manometry showed significant improvement only in the EP group (p= 0.018) and mean force manometry in both groups: PFMT (p= 0.043) and EP (p= 0.013); there was also an improvement in both groups in Manometry peak resistance: TMAP (p= 0.000) and EP (p= 0.005) and in Manometry mean resistance: TMAP (p= 0.000) and EP (p= 0.004). In the intergroup comparison, it was possible to identify significant results only for the muscle strength variable, in favor of the PFMT group (p= 0.027). Conclusion: There is no significant difference in the treatment of UI between PFMT and Pilates exercises when performed with the request for voluntary contraction of the PFM.