Efeito de um programa de exercícios para o fortalecimento dos músculos do assoalho pélvico de multíparas
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2013
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Resumo
PURPOSES: To investigate the effect of an individualized and supervised exercise program for the pelvic floor muscles
(PFM) in the postpartum period of multiparous women, and to verify the correlation between two methods used to assess
PFM strength. METHODS: An open clinical trial was performed with puerperal, multiparous women aged 18 to 35
years. The sample consisted of 23 puerperal women divided into two groups: Intervention Group (IG, n=11) and Control
Group (CG, n=12). The puerperal women in IG participated in an eight-week PFM exercise program, twice a week.
The puerperal women in CG did not receive any recommendations regarding exercise. PFM strength was assessed
using digital vaginal palpation and a perineometer. The statistical analysis was performed using the following tests:
Fisher’s exact, χ2, Student’s t, Kolmogorov-Smirnov for two samples, and Pearson’s correlation coefficient. Significance
was defined as p<0.05. RESULTS: The participants’ mean age was 24±4.5 years in IG and 25.3±4 years in CG
(p=0.4). After the exercise program, a significant difference was found between the groups in both modalities of muscle
strength assessment (p<0.001). The two muscle strength assessment methods showed a significant correlation in both
assessments (1st assessment: r=0.889, p<0.001; 2nd assessment: r=0.925, p<0.001). CONCLUSIONS: The exercise
program promoted a significant improvement in PFM strength. Good correlation was observed between digital vaginal
palpation and a perineometer, which indicates that vaginal palpation can be used in clinical practice, since it is an
inexpensive method that demonstrated significant correlation with an objective method, i.e. the use of a perioneometer.
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Palavras-chave
Terapia por exercícios, Contração muscular/fisiologia, Força muscular, Diafragma da pelve, Período pós-parto, Atenção primária à saúde
Citação
ASSIS, Thaís Rocha et al. Efeito de um programa de exercícios para o fortalecimento dos músculos do assoalho pélvico de multíparas. Revista Brasileira de Ginecologia e Obstetrícia, Rio de Janeiro, v. 35, n. 1, p. 10-15, 2013.