O EFEITO DO TREINAMENTO DO ASSOALHO PÉLVICO CONVENCIONAL E AVANÇADO NOS SINTOMAS URINÁRIOS, FUNÇÃO SEXUAL E QUALIDADE DE VIDA DE MULHERES CLIMATÉRICAS: ENSAIO CLÍNICO RANDOMIZADO

Abstract

Sexuality and continence are central aspects of a woman's quality of life and can have negative impacts on menopause. Pelvic floor muscle training (PMTCT) is recommended as a first-line treatment for SUI in women (Level of Evidence A). Currently, other methods propose to perform the same treatment, although there is still no concrete evidence of their effectiveness. Objective: To compare the impact of Hypopressive Abdominal Gymnastics (GAH) with conventional ground muscle training (TMAP) on stress urinary incontinence, sexual function and quality of life in women during menopause. Methods: A randomized controlled clinical trial was conducted with 31 climacteric women who had stress urinary incontinence and were sexually active. They were divided into two groups: 16 in the TMAP group and 15 in the GAH group. Both groups received 26 years, twice a week and individual consultations. All volunteers were evaluated in two moments, at the beginning and at the end of the interventions. The primary outcome was assessed using the Consultation on the Incontinence Questionnaire - Short Form (ICIQ-SF) questionnaire, and the secondary outcomes were given by the ability to contract the PFM assessed through vaginal palpation; sexual function assessed by the Female Sexual Function Index (FSFI) and quality of life using the Utian Quality of Life - UQOL questionnaire. Results: The TMAP and GAH groups had an improvement in urinary incontinence, -11.00 and -6.33, respectively, but the TMAP was superior, with a decreased difference p = 0.011. There was a significant effect at the time of analysis for both groups, but no difference between the groups in relation to contraction strength, sustaining time, fast and slow repetitions. The women's sexual function improved over time of treatment, but we did not show improvement between groups. Regarding quality of life, there was no improvement in terms of moments or groups. Conclusion: Regarding SUI symptoms and sexual function, both groups are different, however, TMAP was superior to GAH with regard to SUI. There was no change in the quality of life of the treated women.

KeywordsKEYWORDS: Physical therapy modalities. Sexuality. Climacteric. Lower urinary tract symptoms. Diaphragm of the pelvis.