EFEITO DA GINÁSTICAABDOMINAL HIPOPRESSIVA SOBRE OS MÚSCULOS DO ASSOALHO PÉLVICO, SINTOMAS URINÁRIOS E FUNÇÃO SEXUAL DE MULHERES CLIMATÉRICAS

Abstract

INTRODUCTION: Climaterium is a critical period in a woman's life in which she is more susceptible to urogenital disorders. OBJECTIVE: To analyze the effects of AHG on pelvic muscles, urinary symptoms and sexual function in climacteric women. METHODOLOGY: 19 women (median age 50.63 ± 4.2 years) in the climacteric period were submitted to 26 sessions of Abdominal Hypopressive Gymnastics. For evaluation, the PERFECT scheme, the ICIQ - Short Form questionnaire and the FSFI questionnaire were used. Data were gained in median ± interquartile range, and for analysis, the One Sample T and Wilcoxon test was used, with a significance level of 5%. RESULTS: In view of the proposed treatment, there was improvement in outcomes such as pelvic floor muscle functionality and contractility, urinary symptoms and sexual function improved. In the PERFECT scheme, contraction force “P” MAP power initial = 3.0 ± 1.5 final = 3.0 ± 2.0 (p = <0.0001); the “E” endurance initial = 2.0 ± 3.5 final = 5.0 ± 6.5 (p = <0.0001); o “R” slow repetitions initial = 2.0 ± 3.5 final = 5.0 ± 5.0 (p = <0.0001); and “F” rapid repetitions initial = 6.0 ± 7.0 final = 10.0 ± 4.0 (p = <0.0001). In relation ICIQ-SF questionnaire score initial = 13.0 final = 6.0 (p = 0.0005). In relation to the FSFI questionnaire initial = 17 ± 7.8 and at the end = 23.3 ± 6.8 (p = <0.0001). CONCLUSIONS: The results point to benefits of Abdominal Hypopressive Gymnastics on urinary symptoms, on the strength of the pelvic muscle muscles and female sexual function in climacteric women.