Keyla Mara dos Santos

A PERDA DE URINA É INFLUENCIADA PELA MODALIDADE ESPORTIVA OU PELA CARGA DE TREINO? UMA REVISÃO SISTEMÁTICA

En la actualidad, varios estudios senalan incontinencia urinaria (IU) entre las mujeres nuliparas jovenes y fisicamente activas. Sin embargo, algunos investigan la prevalencia de la IU segun las modalidades deportivas, mientras otros investigan la carga de entrenamiento. El proposito de este estudio fue verificar si la modalidad deportiva es mas decisiva en la prevalencia de la IU que la carga de entrenamiento entre las mujeres nuliparas jovenes. Para esta revision sistematica, tres revisores independientes realizaron una busqueda de las publicaciones originales en PubMed, LILACS y SciELO, entre 1994 y 2015. Se utilizaron como estrategia de busqueda las siguientes palabras clave: urinary incontinence AND (physical activity OR women OR nulliparous OR athletes), registradas en MeSH y DeCS. Se incluyeron solo los estudios originales publicados en los idiomas: portugues, ingles y espanol, que analizaron la IU en mujeres nuliparas, atletas o practicantes de actividad fisica. Se seleccionaron 873 estudios, pero solo diez articulos cumplieron los criterios de inclusion y exclusion. Todos los articulos fueron del tipo transversal, de los cuales cuatro relacionaron la IU con las modalidades deportivas, cinco analizaron la carga del entrenamiento con la perdida de orina y un estudio examino ambos aspectos. Se encontro una alta prevalencia de la IU entre los atletas. Parece haber evidencias de que las actividades que requieran saltar, largo aterrizaje y correr son las mas propensas a causar la perdida de orina. Ademas, la mayor carga de entrenamiento parece estar asociada con la cantidad de orina perdida. Esta revision destaca las altas tasas de IU en practicantes con grandes cargas de entrenamiento relacionadas con los deportes de salto, especialmente entre atletas. Sin embargo, todavia no hay respuesta sobre cual factor deportivo es mas decisivo para la perdida de orina en las mujeres nuliparas.

Quantification of Urinary Loss in Nulliparous Athletes During 1 Hour of Sports Training

Urinary incontinence (UI) is a pelvic floor dysfunction that can affect nulliparous female athletes because of the effect of sports activities on pelvic floor muscles.

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.

Assessment of abdominal and pelvic floor muscle function among continent and incontinent athletes

Introduction and hypothesisStudies have shown that there is a co-contraction between the pelvic floor and abdominal muscles. This study aimed to evaluate pelvic floor and abdominal muscle function in continent and incontinent female athletes and to investigate the association between these muscle groups.MethodsThis was a cross-sectional study. Forty nulliparous professional female athletes who competed at the municipal level or above participated in this study. All participants underwent a pelvic floor muscle (PFM) and abdominal muscle assessment. PFM function and strength were assessed using the modified Oxford Scale and a perineometer. Abdominal muscle function and strength were assessed using a 4-Pro isokinetic dynamometer. To assess athletes’ urinary continence, the International Consultation on Incontinence Questionnaire Short-Form (ICIQ-UI-SF) was used.ResultsThere was a positive association between PFM and abdominal muscle strength among the incontinent athletes (p = 0.006; r = 0.577). The incontinent athletes had greater PFM strength than the continent athletes (p = 0.02). There was no difference in abdominal muscle function between the groups.ConclusionsWe found that incontinent athletes have greater PFM strength than continent athletes. This suggests that urinary incontinence in this population is not due to PFM weakness. The positive association between abdominal and PFM strengths in incontinent athletes may be due to frequent co-contraction between these muscle groups.

IS URINE LOSS INFLUENCED BY TYPE OF SPORT OR TRAINING LOAD? A SYSTEMATIC REVIEW

En la actualidad, varios estudios senalan incontinencia urinaria (IU) entre las mujeres nuliparas jovenes y fisicamente activas. Sin embargo, algunos investigan la prevalencia de la IU segun las modalidades deportivas, mientras otros investigan la carga de entrenamiento. El proposito de este estudio fue verificar si la modalidad deportiva es mas decisiva en la prevalencia de la IU que la carga de entrenamiento entre las mujeres nuliparas jovenes. Para esta revision sistematica, tres revisores independientes realizaron una busqueda de las publicaciones originales en PubMed, LILACS y SciELO, entre 1994 y 2015. Se utilizaron como estrategia de busqueda las siguientes palabras clave: urinary incontinence AND (physical activity OR women OR nulliparous OR athletes), registradas en MeSH y DeCS. Se incluyeron solo los estudios originales publicados en los idiomas: portugues, ingles y espanol, que analizaron la IU en mujeres nuliparas, atletas o practicantes de actividad fisica. Se seleccionaron 873 estudios, pero solo diez articulos cumplieron los criterios de inclusion y exclusion. Todos los articulos fueron del tipo transversal, de los cuales cuatro relacionaron la IU con las modalidades deportivas, cinco analizaron la carga del entrenamiento con la perdida de orina y un estudio examino ambos aspectos. Se encontro una alta prevalencia de la IU entre los atletas. Parece haber evidencias de que las actividades que requieran saltar, largo aterrizaje y correr son las mas propensas a causar la perdida de orina. Ademas, la mayor carga de entrenamiento parece estar asociada con la cantidad de orina perdida. Esta revision destaca las altas tasas de IU en practicantes con grandes cargas de entrenamiento relacionadas con los deportes de salto, especialmente entre atletas. Sin embargo, todavia no hay respuesta sobre cual factor deportivo es mas decisivo para la perdida de orina en las mujeres nuliparas.

¿LA PÉRDIDA DE ORINA SE VE INFLUENCIADA POR LA MODALIDAD DEPORTIVA O POR LA CARGA DEL ENTRENAMIENTO? UNA REVISIÓN SISTEMÁTICA

En la actualidad, varios estudios senalan incontinencia urinaria (IU) entre las mujeres nuliparas jovenes y fisicamente activas. Sin embargo, algunos investigan la prevalencia de la IU segun las modalidades deportivas, mientras otros investigan la carga de entrenamiento. El proposito de este estudio fue verificar si la modalidad deportiva es mas decisiva en la prevalencia de la IU que la carga de entrenamiento entre las mujeres nuliparas jovenes. Para esta revision sistematica, tres revisores independientes realizaron una busqueda de las publicaciones originales en PubMed, LILACS y SciELO, entre 1994 y 2015. Se utilizaron como estrategia de busqueda las siguientes palabras clave: urinary incontinence AND (physical activity OR women OR nulliparous OR athletes), registradas en MeSH y DeCS. Se incluyeron solo los estudios originales publicados en los idiomas: portugues, ingles y espanol, que analizaron la IU en mujeres nuliparas, atletas o practicantes de actividad fisica. Se seleccionaron 873 estudios, pero solo diez articulos cumplieron los criterios de inclusion y exclusion. Todos los articulos fueron del tipo transversal, de los cuales cuatro relacionaron la IU con las modalidades deportivas, cinco analizaron la carga del entrenamiento con la perdida de orina y un estudio examino ambos aspectos. Se encontro una alta prevalencia de la IU entre los atletas. Parece haber evidencias de que las actividades que requieran saltar, largo aterrizaje y correr son las mas propensas a causar la perdida de orina. Ademas, la mayor carga de entrenamiento parece estar asociada con la cantidad de orina perdida. Esta revision destaca las altas tasas de IU en practicantes con grandes cargas de entrenamiento relacionadas con los deportes de salto, especialmente entre atletas. Sin embargo, todavia no hay respuesta sobre cual factor deportivo es mas decisivo para la perdida de orina en las mujeres nuliparas.

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.

Evaluation and treatment physiotherapeutic in pain syndrome patellofemoral: case study

Introduction: The patellofemoral pain syndrome is a common condition in orthopedic practice, is defined as a pain or retropatellar in the absence of other diseases of the knee, multifactorial. Objectives: The aim of this study was to investigate the influence of a physiotherapy intervention in a patient with patellofemoral pain syndrome. Methods: We performed a descriptive study, through a case report with physical therapy assessment data and the description of the techniques used during treatment. Results: The results showed range of motion improves, the manifestations of pain and patellar mobility. Conclusion: The proposed physical therapy treatment given to this patient proved to be efficient, but a greater number of physical therapy sessions is required in order to obtain better results.

Physical Therapy at the postoperative of hip endoprosthesis for osteosarcoma: a case report

Introduction: Osteosarcoma is the most common malignancy among musculoskeletal tumors. It can be treated for preservation member or amputation. The cases treated for preservation member have improved functionality and quality of life, however, patients with oncologic diseases exhibit symptoms of anxiety and depression. The aim of this study is to describe the role of physiotherapy in the hip endoprosthesis after surgery for osteosarcoma of a patient treated at the Clinic Physiotherapy School of the University of the State of Santa Catarina (CEFID / UDESC) and verify their quality of life, functionality and symptoms of anxiety and depression. Materials and Methods : A descriptive study through case report. The subject was assessed before and after 10 sessions of physiotherapy on the quality of life, functionality and symptoms of anxiety and depression using a standardized assessment form, the Quality of Life Assessment Questionnaire (WHOQOL-BREF), the system Functional assessment (Musculoskeletal Tumor Society Rating Scale - MSTS); of Lower Limb Function Scale (EFMI) and the Hospital Anxiety and Depression Scale (Hospital Anxiety and Depression Scale - HADS); Results and Conclusions: Physical therapy treatment proposed to the patient allowed the increase of muscle strength; increased muscle tropism; improved member functionality (65% of EFMI); possible reduction of anxiety or depressive symptoms in HADS; presenting score (67.31%) of the WHOQOL-BREF and (56%) in MSTS. Thus, based on the functional, emotional and psychological outcomes, the proposed physical therapy had a positive influence on a patients quality of life osteosarcoma at the proximal end of the left femur, underwent resection and reconstruction member with endoprosthesis.

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.