Confira o resumo do artigo publicado no conceituado Neurourology and Urodynamics em março de 2015
Is Pilates as Effective as Conventional Pelvic Floor Muscle Exercises in the Conservative Treatment of Post-Prostatectomy Urinar y Incontinence?
A Randomis ed Controlled Trial
A Randomis ed Controlled Trial
Fabiana Rotondo Pedriali e cols
Aims: To verify the efficacy of a Pilates exercise program compared to conventional pelvic floor muscle exercise (PFME) protocol in the conservative treatment of post-prostatectomy urinary incontinence (PPUI). Methods: Baseline
assessment was performed four weeks postoperatively and included 24 hr pad test, bladder diary, and the ICIQ-SF.
Patients were randomised into three groups: Pilates (G1), PFME combined with anal electrical stimulation (G2), and a control group (G3). Both treatment groups had to perform 10 weekly treatment sessions. Primary outcomes were mean reduction of daily pads and mean reduction of ICIQ-SF score four months after surgery. The significance level was set at
P < 0.05. Results: 85 patients completed the study. Differences between treatment groups (G1 and G2) in terms of mean reduction in daily pad usage, 24 hr pad test, and ICIQ-SF scores were not statistically significant ( P > 0.05). The control group differed from G1 in daily pad usage (P ¼ 0.01) and ICIQ-SF score (P ¼ 0.0073). Intergroup comparisons revealed
that 57.7% of the volunteers in G1 and 50% of the individuals from G2 no longer used pads by the end of the treatment period (P ¼ 0.57). In the control group, 22.6% were not using pads four months after surgery, with statistical difference compared to G1 (P < 0.05).
assessment was performed four weeks postoperatively and included 24 hr pad test, bladder diary, and the ICIQ-SF.
Patients were randomised into three groups: Pilates (G1), PFME combined with anal electrical stimulation (G2), and a control group (G3). Both treatment groups had to perform 10 weekly treatment sessions. Primary outcomes were mean reduction of daily pads and mean reduction of ICIQ-SF score four months after surgery. The significance level was set at
P < 0.05. Results: 85 patients completed the study. Differences between treatment groups (G1 and G2) in terms of mean reduction in daily pad usage, 24 hr pad test, and ICIQ-SF scores were not statistically significant ( P > 0.05). The control group differed from G1 in daily pad usage (P ¼ 0.01) and ICIQ-SF score (P ¼ 0.0073). Intergroup comparisons revealed
that 57.7% of the volunteers in G1 and 50% of the individuals from G2 no longer used pads by the end of the treatment period (P ¼ 0.57). In the control group, 22.6% were not using pads four months after surgery, with statistical difference compared to G1 (P < 0.05).
Conclusions: The Pilates exercise program proved to be as effective as conventional PFME to
speed up continence recovery in PPUI. It also achieved a higher rate of fully continent patients when compared to the control group in the short-term. Neurourol. Urodynam.
speed up continence recovery in PPUI. It also achieved a higher rate of fully continent patients when compared to the control group in the short-term. Neurourol. Urodynam.
TAO PILATES INSTITUTO DE MEDICINA DO ESPORTE - TAO CURSOS
TAO EDUCAÇÃO - CURSOS ON LINE PARA SUA EVOLUÇÃO
DR. JOEL STEINMAN - CRM 6447 - DIRETOR TÉCNICO
CURSOS TAO PILATES BLUMENAU
CURSOS TAO PILATES CAXIAS DO SUL
CURSOS TAO PILATES CHAPECÓ
CURSOS TAO PILATES CURITIBA
CURSOS TAO PILATES JOINVILLE
CURSOS TAO PILATES FLORIANÓPOLIS
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