Stress Urinary Incontinence Clinical Trial
Official title:
Effects of Pelvic Floor Muscle Training or Hipopressive Abdominal Gymnastics in the Treatment of Women's Stress Urinary Incontinence: a Prospective, Randomized, Controlled Study
In the current scientific literature, it is clear that SUI can cause several social, hygienic
and personal relationship problems. It has also been proven that this condition affects many
more menopausal women than menacme, and this is believed to be due to the hypoestrogenism
characteristic of this phase.
On the other hand, weakness of the pelvic floor muscles (PFM) is also related to the genesis
of SUI. The role of these muscles would be to keep the bladder neck elevated (above the pubic
symphysis) during increases in abdominal pressure, and its weakness would lead to excessive
lowering of the bladder neck at these times, leading to SUI due to bladder neck
hypermobility.
The conservative treatment of this condition, therefore, encompasses the strengthening of
PFMs, which would avoid excessive descent of the bladder neck during increases in abdominal
pressure, thereby reducing urinary loss.
In the current literature there are studies proving the effectiveness of pelvic floor muscle
training; however, in relation to the literature on abdominal hipopressive gymnastics, it is
observed that the scientific evidence is still poor, however, the technique is still Widely
spread through extension courses offered throughout Latin America, France and Spain; With
regard to the comparison of these methods with respect to their clinical efficacy and the
quality of life and patient satisfaction, there are no consistent studies, and this fact
motivated us to carry out this study.
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