Efficacy of pelvic floor muscle training and hypopressive exercises for treating pelvic organ prolapse in women: randomized controlled trial

São Paulo Medical Journal = Revista Paulista De Medicina
Bruno Teixeira BernardesMarair G F Sartori

Abstract

Previous studies have shown that women with pelvic floor dysfunctions present decreased cross-sectional area (CSA) of the levator ani muscle. One way to assess the effects of training programs is to measure the CSA of the muscle, using ultrasonography. The aim here was to evaluate the efficacy of pelvic floor muscle training and hypopressive exercises for increasing the CSA of the levator ani muscle in women with pelvic organ prolapse. Prospective randomized controlled trial at the Urogynecology outpatient clinic of Universidade Federal de São Paulo. Fifty-eight women with stage II pelvic organ prolapse were divided into three groups for physiotherapy: a pelvic floor muscle training group (GI); a hypopressive exercise group (GII); and a control group (GIII). The patients underwent transperineal ultrasonographic evaluation using a transducer of frequency 4-9 MHz. The (CSA) of the levator ani muscle was measured before physiotherapy and after 12 weeks of treatment. The groups were homogeneous regarding age, number of pregnancies, number of vaginal deliveries, body mass index and hormonal status. Statistically significant differences in CSA were found in GI and GII from before to after the treatment (P < 0.001), but not in relatio...Continue Reading

References

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Dec 21, 2007·São Paulo Medical Journal = Revista Paulista De Medicina·Míriam Raquel Diniz ZanettiManoel João Batista Castello Girão
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Sep 25, 2009·European Journal of Applied Physiology·Juha P AhtiainenKeijo Häkkinen

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Citations

Oct 7, 2015·Ultrasound Quarterly·Ana Paula Magalhães ResendeMarair Gracio Ferreira Sartori
Aug 20, 2018·The Cochrane Database of Systematic Reviews·Nir HayaChristopher Maher
Jan 28, 2020·Neurourology and Urodynamics·Beatriz Navarro BrazálezMaría Torres Lacomba
Oct 3, 2020·International Journal of Environmental Research and Public Health·Samuel Fernández-CarneroTomás Gallego-Izquierdo
Apr 23, 2020·Journal of Clinical Medicine·Beatriz Navarro-BrazálezMaría Torres-Lacomba
Jan 9, 2021·International Urogynecology Journal·Ritu Basnet
Mar 15, 2021·Journal of Bodywork and Movement Therapies·Erick G P de LucenaMarco C Uchida

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