Gesilani Júlia da Silva Honório

Female sexual function and urinary incontinence in nulliparous athletes: An exploratory study

OBJECTIVES To estimate the prevalence of Female Sexual Dysfunction (FSD) and Urinary Incontinence (UI) symptom in nulliparous athletes and analyze the risk factors for these dysfunctions. DESIGN A cross-sectional study. SETTING The International Consultation on Incontinence Questionnaire-Short Form (ICIQ-UI-SF) and the Female Sexual Function Index (FSFI) were applied to assess the UI and the FSD. PARTICIPANTS 50 athletes with ≥18 years old. RESULTS We found a prevalence of 48% of UI and 44% of FSD among nulliparous athletes. The rate of athletes having concomitant FSD and UI was 24%. We found a significant difference between high and low impact sports in the ICIQ-UI-SF score (p = 0.028). Hours of training (p = 0.007; R2 = 0.21) was found to be a risk factor for UI. Incontinent athletes demonstrated a Relative Risk of 2.7 to develop sexual desire problem when compared to the continents (p = 0.04; 95% CIs: 1.50-4.89). CONCLUSIONS This study found a high prevalence of both UI and FSD among nulliparous athletes. Furthermore, nulliparous athletes practicing high-impact modalities are the most susceptible to UI. The hours of training per day was considered a risk factor to develop UI, and incontinent athletes have more chances of showing difficulties in sexual desire.

The Role of Physiotherapy in Female Breast Cancer

Breast cancer is a prevalent disease in women and complications following breast cancer treatment are frequent, compromising health condition of this population. This chapter describes physiotherapy applied to motor and functional rehabilitation in women with breast cancer. The implementation of therapeutic activities is important for prevention and health promotion of these women, as for treatment, when changes are installed. Physiotherapy aims to assist the patient recovering the skills to perform daily life activities, wellness and quality-of-life during the whole treatment. It will present the main details for adequate evaluation, care and couseling, and proper physiotherapy to prevent pre- and post-operative complications.

URINARY INCONTINENCE IN ELDERLY PEOPLE: CARE PRACTICES AND CARE PROPOSAL IN PRIMARY HEALTH CARE

ABSTRACTObjective: identify the knowledge and care practices concerning urinary incontinence in elderly women and develop a care proposal for these women for the purpose of health promotion in Primary Health Care. Method: a qualitative, convergent care research was undertaken. The data were collected between August and October 2014 through semistructured interviews and thematic workshops with 14 physiotherapists and ten nurses. The analysis involved apprehension, synthesis, theorization and transference processes, revealing two thematic axes: the professionals’ perception of urinary incontinence in elderly women; and the conception of a care proposal for elderly women with urinary incontinence. Results: the professionals’ limited knowledge of urinary incontinence was verified, as well as the lack of information on the possible orientations for self-care concerning the urinary symptoms. Conclusion: training actions should be implemented for these professionals with a view to health promotion for self-care.

Efeitos da intervenção fisioterapêutica na amplitude de movimento do ombro e no mapa termográfico de idosas submetidas à cirurgia para tratamento de câncer de mama

A idade e o principal fator de risco para o desenvolvimento do câncer de mama e clinicamente, as mulheres idosas apresentam um processo de reabilitacao mais dificil. Objetivo: Avaliar os efeitos da intervencao fisioterapeutica na amplitude de movimento (ADM) do ombro e no mapa termografico de idosas em pos-operatorio de tratamento do câncer de mama. Metodos: Participaram 10 idosas, submetidas a tratamento cirurgico para câncer de mama. A avaliacao foi feita antes e apos a intervencao atraves do goniometro, para medidas de ADM, e da câmera termografica Eletrophysics PV320T, para identificacao da temperatura da regiao toracica. Utilizou-se o teste Wilcoxon e a correlacao de Spearman, com nivel de significância de 0,05. Resultados: As pacientes apresentaram melhora significativa da amplitude de todos os movimentos do membro comprometido, exceto a rotacao interna. Ao comparar os valores de temperatura da avaliacao com a reavaliacao, houve um aumento da temperatura das regioes toracicas, sendo significativos apenas os valores da mama preservada. Ao comparar a temperatura da regiao preservada com a comprometida na avaliacao, houve diferenca significativa, ja na reavaliacao, ocorreu uma aproximacao destes valores. A correlacao entre o aumento de temperatura e ADM foi significativa para aducao de ambos os membros e rotacao interna do membro preservado, na avaliacao. Conclusao: A intervencao garantiu resolucao ou diminuicao das alteracoes apresentadas no exame fisico, melhora da ADM, aumento da temperatura das regioes toracicas, e correlacao entre aumento da temperatura e ADM de aducao bilateral e rotacao interna do membro preservado na avaliacao inicial180 ABSTRACT Age is the main risk factor for developing breast cancer and clinically, older women have a more difficult rehabilitation process. Objective: The aim of the study was to evaluate the effects of physiotherapy intervention in range of motion (ROM) of shoulder and thermographic map of elderly postoperative treatment of breast cancer. Methods: A total of 10 elderly, undergoing surgery for breast cancer. The evaluation was done before and after the intervention by means of the goniometer for ADM measures and thermographic camera Eletrophysics PV320T, to identify the temperature of the thoracic region. We used the Wilcoxon test and Spearman correlation, with a 0.05 significance level. Results: The patients showed significant improvement in range of all movements of the affected limb, except internal rotation. When comparing the assessment of temperature values with the revaluation, there was an increase in temperature of the thoracic regions, and only significant values preserved breast. By comparing the temperature of the region preserved with compromised in the evaluation, there was a significant difference, since the revaluation, there was an approximation of these values. Conclusion: The correlation between increased temperature and ADM was significant for both members adduction and internal rotation member preserved in the evaluation. Intervention assured resolution or reduction of amendments on physical examination, improved ROM, increased temperature of the thoracic regions, and correlation between temperature increase and ROM bilateral adduction and internal rotation member preserved in the initial evaluation.

Effects of physiotherapeutic intervention on shoulder range of motion and map thermography of elderlies submitted to surgery for breast cancer treatment

A idade e o principal fator de risco para o desenvolvimento do câncer de mama e clinicamente, as mulheres idosas apresentam um processo de reabilitacao mais dificil. Objetivo: Avaliar os efeitos da intervencao fisioterapeutica na amplitude de movimento (ADM) do ombro e no mapa termografico de idosas em pos-operatorio de tratamento do câncer de mama. Metodos: Participaram 10 idosas, submetidas a tratamento cirurgico para câncer de mama. A avaliacao foi feita antes e apos a intervencao atraves do goniometro, para medidas de ADM, e da câmera termografica Eletrophysics PV320T, para identificacao da temperatura da regiao toracica. Utilizou-se o teste Wilcoxon e a correlacao de Spearman, com nivel de significância de 0,05. Resultados: As pacientes apresentaram melhora significativa da amplitude de todos os movimentos do membro comprometido, exceto a rotacao interna. Ao comparar os valores de temperatura da avaliacao com a reavaliacao, houve um aumento da temperatura das regioes toracicas, sendo significativos apenas os valores da mama preservada. Ao comparar a temperatura da regiao preservada com a comprometida na avaliacao, houve diferenca significativa, ja na reavaliacao, ocorreu uma aproximacao destes valores. A correlacao entre o aumento de temperatura e ADM foi significativa para aducao de ambos os membros e rotacao interna do membro preservado, na avaliacao. Conclusao: A intervencao garantiu resolucao ou diminuicao das alteracoes apresentadas no exame fisico, melhora da ADM, aumento da temperatura das regioes toracicas, e correlacao entre aumento da temperatura e ADM de aducao bilateral e rotacao interna do membro preservado na avaliacao inicial180 ABSTRACT Age is the main risk factor for developing breast cancer and clinically, older women have a more difficult rehabilitation process. Objective: The aim of the study was to evaluate the effects of physiotherapy intervention in range of motion (ROM) of shoulder and thermographic map of elderly postoperative treatment of breast cancer. Methods: A total of 10 elderly, undergoing surgery for breast cancer. The evaluation was done before and after the intervention by means of the goniometer for ADM measures and thermographic camera Eletrophysics PV320T, to identify the temperature of the thoracic region. We used the Wilcoxon test and Spearman correlation, with a 0.05 significance level. Results: The patients showed significant improvement in range of all movements of the affected limb, except internal rotation. When comparing the assessment of temperature values with the revaluation, there was an increase in temperature of the thoracic regions, and only significant values preserved breast. By comparing the temperature of the region preserved with compromised in the evaluation, there was a significant difference, since the revaluation, there was an approximation of these values. Conclusion: The correlation between increased temperature and ADM was significant for both members adduction and internal rotation member preserved in the evaluation. Intervention assured resolution or reduction of amendments on physical examination, improved ROM, increased temperature of the thoracic regions, and correlation between temperature increase and ROM bilateral adduction and internal rotation member preserved in the initial evaluation.

Intervention effects on shoulder physiotherapeutic range of motion and old map thermography submitted to surgery for breast cancer treatment

A idade e o principal fator de risco para o desenvolvimento do câncer de mama e clinicamente, as mulheres idosas apresentam um processo de reabilitacao mais dificil. Objetivo: Avaliar os efeitos da intervencao fisioterapeutica na amplitude de movimento (ADM) do ombro e no mapa termografico de idosas em pos-operatorio de tratamento do câncer de mama. Metodos: Participaram 10 idosas, submetidas a tratamento cirurgico para câncer de mama. A avaliacao foi feita antes e apos a intervencao atraves do goniometro, para medidas de ADM, e da câmera termografica Eletrophysics PV320T, para identificacao da temperatura da regiao toracica. Utilizou-se o teste Wilcoxon e a correlacao de Spearman, com nivel de significância de 0,05. Resultados: As pacientes apresentaram melhora significativa da amplitude de todos os movimentos do membro comprometido, exceto a rotacao interna. Ao comparar os valores de temperatura da avaliacao com a reavaliacao, houve um aumento da temperatura das regioes toracicas, sendo significativos apenas os valores da mama preservada. Ao comparar a temperatura da regiao preservada com a comprometida na avaliacao, houve diferenca significativa, ja na reavaliacao, ocorreu uma aproximacao destes valores. A correlacao entre o aumento de temperatura e ADM foi significativa para aducao de ambos os membros e rotacao interna do membro preservado, na avaliacao. Conclusao: A intervencao garantiu resolucao ou diminuicao das alteracoes apresentadas no exame fisico, melhora da ADM, aumento da temperatura das regioes toracicas, e correlacao entre aumento da temperatura e ADM de aducao bilateral e rotacao interna do membro preservado na avaliacao inicial180 ABSTRACT Age is the main risk factor for developing breast cancer and clinically, older women have a more difficult rehabilitation process. Objective: The aim of the study was to evaluate the effects of physiotherapy intervention in range of motion (ROM) of shoulder and thermographic map of elderly postoperative treatment of breast cancer. Methods: A total of 10 elderly, undergoing surgery for breast cancer. The evaluation was done before and after the intervention by means of the goniometer for ADM measures and thermographic camera Eletrophysics PV320T, to identify the temperature of the thoracic region. We used the Wilcoxon test and Spearman correlation, with a 0.05 significance level. Results: The patients showed significant improvement in range of all movements of the affected limb, except internal rotation. When comparing the assessment of temperature values with the revaluation, there was an increase in temperature of the thoracic regions, and only significant values preserved breast. By comparing the temperature of the region preserved with compromised in the evaluation, there was a significant difference, since the revaluation, there was an approximation of these values. Conclusion: The correlation between increased temperature and ADM was significant for both members adduction and internal rotation member preserved in the evaluation. Intervention assured resolution or reduction of amendments on physical examination, improved ROM, increased temperature of the thoracic regions, and correlation between temperature increase and ROM bilateral adduction and internal rotation member preserved in the initial evaluation.