O efeito de intervenções fisioterapêuticas no tratamento da incontinência urinária em idosos

Abstract

The current study aimed to investigate the effectiveness of physical therapy interventions in improving urinary loss, quality of life and autonomy between the elderly people diagnosed with urinary incontinence. This Narrative Bibliographic Review classified as nature basic, for descriptive and explanatory purposes. A search for scientific articles published in the last 5 years (from the year 2016) based in the PEDro database (www.pedro.org.au). The search resulted in 21 studies. Of these, 12 was excluded due to the inclusion of participants which group age is less than 60 years old, articles that address other dysfunctions not including urinary incontinence, such as balance and falls, and articles that did not investigate physiotherapeutic interventions in different types on treatments for UI. Nine studies published in Portuguese, English and Spanish were included on this revision, which investigated the physical therapy interventions on the treatment of urinary incontinence on elderly with or without other associated diseases, such as dementia, cerebral vascular accident, osteoporosis and hip fracture. The outcome of this studies (8 of the 9 articles included, 88%), show that the training of the pelvic floor muscle in the elderly helps improving the muscle function, making them stronger, faster and coordinated, which significantly reduces the urine leaks. Therefore, the analyzed studies proves that pelvic floor muscle training is a successful technique capable of treating urinary incontinence from stress, urgency or mixed. The TMAP associated with physical rehabilitation, demonstrated improvement on urine leakage, quality of life, mobility and ability to go to the bathroom in elderly people.