Bruna Maciel Catarino

Pelvic floor muscle training in groups versus individual or home treatment of women with urinary incontinence: systematic review and meta-analysis

Introduction and hypothesisUrinary Incontinence (UI) in women is a condition that becomes more common with age. Pelvic floor muscle training (PFMT) is recommended as a first option of treatment for women with symptoms of stress urinary incontinence (SUI), mixed urinary incontinence (MUI), and for some with symptoms of urge urinary incontinence (UUI). PFMT can be performed in groups, individually, and at home, and there is no consensus as to which of the approaches is more efficient for the conservative treatment of UI. The objective was to perform a systematic review comparing the effects of group PFMT vs individual or home training in the treatment of women with UI.MethodsCochrane’s recommendations for systematic reviews were followed. The inclusion criteria were that the studies had been carried out in adult women who suffered from UI and who underwent PFMT in a group.ResultsTen studies that fit the criteria previously mentioned were included in this systematic review. The meta-analysis showed that there was no difference when comparing PFMT in groups vs individual PFMT. However, when comparing PFMT in groups vs PFMT at home, the group intervention was more efficient in the treatment of UI.ConclusionPFMT is an efficient technique for the improvement of the symptoms of female UI. When PFMT was supervised by a physiotherapist, no significant difference was noted when comparing group with individual approaches.

Weekly frequency of a motor intervention program for day care babies

178 Mailing address: Carla Skilhan de Almeida – Federal University of Rio Grande do Sul – Rua Felizardo, 750 – Porto Alegre (RS), Brazil – CEP: 90620-200 Phone: +55 (51) 98066352 – E-mail: carlasilhan@gmail.com – Financing source: Nothing to declare – Conflict of interest: Nothing to declare Presentation: May 2015 Accepted for publication: Apr. 2016. Approved by Research Ethics Comittee under protocol no. 20854. DOI: 10.1590/1809-2950/14923223022016

La frecuencia semanal de un programa de intervención motora en bebés

178 Mailing address: Carla Skilhan de Almeida – Federal University of Rio Grande do Sul – Rua Felizardo, 750 – Porto Alegre (RS), Brazil – CEP: 90620-200 Phone: +55 (51) 98066352 – E-mail: carlasilhan@gmail.com – Financing source: Nothing to declare – Conflict of interest: Nothing to declare Presentation: May 2015 Accepted for publication: Apr. 2016. Approved by Research Ethics Comittee under protocol no. 20854. DOI: 10.1590/1809-2950/14923223022016

Frequência semanal de um programa de intervenção motora para bebês de berçário

178 Mailing address: Carla Skilhan de Almeida – Federal University of Rio Grande do Sul – Rua Felizardo, 750 – Porto Alegre (RS), Brazil – CEP: 90620-200 Phone: +55 (51) 98066352 – E-mail: carlasilhan@gmail.com – Financing source: Nothing to declare – Conflict of interest: Nothing to declare Presentation: May 2015 Accepted for publication: Apr. 2016. Approved by Research Ethics Comittee under protocol no. 20854. DOI: 10.1590/1809-2950/14923223022016

Perfil das pacientes do ambulatório de uroginecologia de um hospital público de Porto Alegre com relação à incontinência urinária e à qualidade de vida

Introducao: A incontinencia urinaria (IU) e a perda involuntaria de urina e pode ser classificada de acordo com os sintomas, sendo os tipos mais comuns: IU de esforco (IUE), IU de urgencia (IUU) e IU mista (IUM). Ela causa impacto fisico e psicologico negativo, piorando a qualidade de vida. A fisioterapia pelvica e importante no tratamento conservador da IU, pois e segura, nao invasiva e com minimos efeitos colaterais. Objetivos: Descrever o perfil das mulheres avaliadas pela fisioterapia pelvica no Ambulatorio de Uroginecologia do Hospital de Clinicas de Porto Alegre (HCPA) com relacao a IU e qualidade de vida. Metodos: Estudo descritivo, transversal e retrospectivo, realizado a partir de informacoes dos prontuarios das pacientes avaliadas pela fisioterapia pelvica no Ambulatorio de Uroginecologia do HCPA, de agosto de 2013 a dezembro de 2014. Resultados: Dos 164 prontuarios analisados, a media de idade das pacientes foi de 58,07 anos (±10,98), 55% realizaram parto normal, 51% fizeram episiotomia, todas eram multiparas, 60,4% apresentavam prolapso de orgao pelvico e a IUM foi a mais prevalente, sendo que 71,3% perdiam urina em jato. Quanto a forca dos musculos do assoalho pelvico, a maioria apresentava grau 2 (31,1%), seguido de grau 1 (28%) e grau 3 (24,4%), conforme a Escala de Oxford Modificada, e 75,6% acionavam musculatura acessoria. O International Consultation on Incontinence Questionnaire - Short Form (ICIS-SF) mostrou que o impacto da IU foi grave em 62,8%. Conclusao: Este estudo permitiu identificar as principais demandas da populacao feminina com IU, facilitando o delineamento de estrategias de reabilitacao eficazes e compativeis com a pratica clinica. Palavras-chaves: Assoalho pelvico; incontinencia urinaria; qualidade de vida; fisioterapia