CORRELATION BETWEEN SENSORY AND MUSCULAR FUNCTIONS OF THE PELVIC FLOOR AND URINARY INCONTINENCE IN YOUNG NULIPAROUS WOMEN...1st Student Scientific Conference of the Brazilian Association for Research and Postgraduate in Physiotherapy (ABRAPG-FT), May 19-21, 2023 (Online).

The functionality of the pelvic floor musculature (PFM) assists in the support of pelvic organs as well as provides urinary, fecal continence and sexual functions within normal limits. For the PFM to be considered functional, it is necessary that strength, resistance, relaxation capacity, superficia...

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Publicado en:Brazilian Journal of Physical Therapy Vol. 28
Autores principales: Penteado, Fernanda Aparecida, Navroski, Ellen Caroline, Franco, Emanuella Mildemberguer, de Andrade, Giovana Frazon, Lopes, Josiane
Formato: abstract proceedings research Journal Article
Publicado: Elsevier B.V. Apr2024:Supplement 1
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Apr2024:Supplement 1
      vid: 28
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      pub: Elsevier B.V.
      place: Philadelphia, Pennsylvania
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        10.1016/j.bjpt.2024.100729
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        atl: CORRELATION BETWEEN SENSORY AND MUSCULAR FUNCTIONS OF THE PELVIC FLOOR AND URINARY INCONTINENCE IN YOUNG NULIPAROUS WOMEN...1st Student Scientific Conference of the Brazilian Association for Research and Postgraduate in Physiotherapy (ABRAPG-FT), May 19-21, 2023 (Online).
      aug:
        au:
          Penteado, Fernanda Aparecida
          Navroski, Ellen Caroline
          Franco, Emanuella Mildemberguer
          de Andrade, Giovana Frazon
          Lopes, Josiane
        affil: Course of Physiotherapy, Universidade Estadual do Centro Oeste (UNICENTRO), Guarapuava, Paraná, Brazil
      sug:
        subj:
          Pelvic Floor Muscles Physiology
          Urinary Incontinence
          Nulliparas
          Women Psychosocial Factors
          Motor Activity
          Sensation
          Congresses and Conferences
      ab: The functionality of the pelvic floor musculature (PFM) assists in the support of pelvic organs as well as provides urinary, fecal continence and sexual functions within normal limits. For the PFM to be considered functional, it is necessary that strength, resistance, relaxation capacity, superficial sensitivity, tonus, and proprioception are present in a harmonious way. Changes in one or more of these components can trigger, for example, urinary incontinence (UI). To Identify the sensory and muscle functions of the pelvic floor and UI and their correlations in young nulliparous women. A descriptive, observational, and cross-sectional study was carried out. The sampling process was of the convenience type, with women aged between 18 and 30 years old, nulliparous, who had never been pregnant and who were not menstruating on the day of the assessment selected. The evaluation was carried out through the application of questionnaires (socio-clinical questionnaire, International Consultation on Incontinence Questionnaire-Short Form) and, later, by physical examination evaluating the superficial sensitivity, the tonus of the perineal body, tonus of the external anal sphincter and strength of MAP through the Perfect scheme. Data were analyzed using the Statistical Program for Social Sciences (version 23) considering a significance level of 5%. The sample consisted of 45 women with a mean age of 22.18 ± 3.15 years. The prevalence of UI was 31.11%, with the majority referring a feeling of incomplete emptying and 17.77% referring a situation of urinary urgency. The entire sample showed normal sensitivity. Changes in perineal body and external anal sphincter tone were observed in 26.6% and 15.5%, respectively. The group with UI showed more muscle weakness (p=0.04) and less ability to repeat PFM contractions (p=0.02). There was a correlation between PFM functions and the presence of UI in the components of muscle strength (R=-0.78), maintenance of muscle contraction capacity (R=-0.60), repetition potential (R=-0.65) and presence of contraction of the lower abdominal muscles (R=0.55). UI is directly related to muscle weakness, difficulty maintaining the contraction, lack of ability to repeat PFM contractions and the presence of co-contraction of lower abdominal muscles. In scientific terms, it was shown that, in terms of MAP, for the development of UI, muscle strength is not a single factor to be considered, considering the importance of other parameters. In clinical terms, this study underscores the importance of considering motor, but also sensory, aspects when evaluating PFM functionality.
      pubtype: Academic Journal
      doctype:
        abstract
        proceedings
        research
        Journal Article
      ougenre: Article
    language: English
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