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Please use this identifier to cite or link to this item: http://hdl.handle.net/1843/39651
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dc.creatorCamila Teixeira Vazpt_BR
dc.creatorRosana Ferreira Sampaiopt_BR
dc.creatorFernanda Saltiel Barbosa Vellosopt_BR
dc.creatorElyonara Mello Figueiredopt_BR
dc.date.accessioned2022-02-24T14:49:39Z-
dc.date.available2022-02-24T14:49:39Z-
dc.date.issued2019-
dc.citation.volume23pt_BR
dc.citation.issue2pt_BR
dc.citation.spage116pt_BR
dc.citation.epage124pt_BR
dc.identifier.doihttps://doi.org/10.1016/j.bjpt.2019.01.007pt_BR
dc.identifier.issn1413-3555pt_BR
dc.identifier.urihttp://hdl.handle.net/1843/39651-
dc.description.resumoBackground: Although the efficacy of pelvic floor muscle training (PFMT) and bladder training are well established, there is a paucity of patient centered models using these interventions to treat women with UI at primary level of health assistance in Brazil. Objective: To investigate the effectiveness of a physical therapy intervention to treat women with UI in primary health centers. Methods: Pragmatic non-randomized controlled trial in which women with UI from the community participated in a supervised physical therapy program consisting of bladder training plus 12 weeks of PFMT, performed either at home or in the health center. Outcome measures were amount and frequency of urine loss measured by the 24-h pad-test and the 24-h voiding diary; secondary outcome was the impact of UI on quality of life measured by the ICIQ-SF. Outcomes were measured at baseline, at the 6th and 12th weeks of the intervention and 1 month after discharge. Results: Interventions reduced the amount (pad-test, p = 0.004; d = 0.13, 95% CI = −0.23 to 0.49) and frequency of urine loss (voiding diary, p = 0.003; d = 0.51, 95%CI = 0.14 to 0.87), and the impact of UI on quality of life (ICIQ-SF, p < 0.001; d = 1.26, 95%CI = 0.87 to 1.66) over time, with positive effects from the 6th week up to 1 month for both intervention setting (home and health center), and no differences between them. Conclusion: Interventions were effective, can be implemented in primary health centers favoring the treatment of a greater number of women who do not have access to specialized physical therapy.pt_BR
dc.format.mimetypepdfpt_BR
dc.languageengpt_BR
dc.publisherUniversidade Federal de Minas Geraispt_BR
dc.publisher.countryBrasilpt_BR
dc.publisher.departmentEEF - DEPARTAMENTO DE FISIOTERAPIApt_BR
dc.publisher.initialsUFMGpt_BR
dc.relation.ispartofBrazilian Journal of Physical Therapypt_BR
dc.rightsAcesso Abertopt_BR
dc.subjectUrinary incontinencept_BR
dc.subjectPelvic floorpt_BR
dc.subjectPhysical therapy modalitiespt_BR
dc.subjectPrimary health carept_BR
dc.subject.otherUrina - Incontinênciapt_BR
dc.subject.otherFisioterapiapt_BR
dc.subject.otherCuidados primários de saúdept_BR
dc.titleEffectiveness of pelvic floor muscle training and bladder training for women with urinary incontinence in primary care: a pragmatic controlled trialpt_BR
dc.typeArtigo de Periódicopt_BR
dc.url.externahttp://www.rbf-bjpt.org.br/en-effectiveness-pelvic-floor-muscle-training-articulo-S1413355518302922pt_BR
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