Escola Paulista de Medicina
Programa de Pós-Graduação em Urologia

Is there any difference in pelvic floor muscles performance between continent and incontinent women?

cover

Authors:

Juliana Schulze Burti, Claudia R. Hacad, João Paulo Zambon, Emily Assis Polessi, Fernando G. Almeida

Abstract:

Aims

To compare pelvic floor muscles (PFMs) performance in women with and without stress urinary incontinence (SUI) during endurance test.

Methods

It is a prospective case–control clinical trial. After determining PFM maximal voluntary contraction (MVC) by electromyography (EMG), women underwent endurance test, which consisted of consecutively PFM 1-sec fast contractions reaching MVC amplitude followed by 1-sec rest. Training time guided by Borg perceived exertion scale was noted. Heart rate (HR) behavior and EMG variables were assessed before and after training making a physiological analysis in both groups.

Results

A total of 56 women, mean age 52.19 years old, were evaluated (26 continent and 30 incontinent women). The time that SUI and continent women took to reach fatigue (Borg 10) was 9.1 ± 4.7 and 14.19 ± 8.32 min, respectively (P = 0.006). Confirming that all women performed similar effort during the test, analysis of variance with repeated measures showed that during the endurance test both groups presented similar increase in HR, showing detectable and significant increase from resting time to Borg 10 (P < 0.001). Besides, there was similar behavior in EMG for continent and SUI women, with a decrease from the baseline resting amplitude (P = 0.003 for SUI women and P = 0.006 for continent women).

Conclusions

Women with SUI showed worse performance during an endurance test than continent women. It suggests that women have different capacity to perform PFM training. An initial evaluation based on PFM performance would help to define the best individualized PFM training. Neurourol. Urodynam. 34:544–548, 2015. © 2014 Wiley Periodicals, Inc.

First published: 23 April 2014
DOI: 10.1002/nau.22613

Artigos Relacionados - Artigos Científicos

24 Mai 2017 21:22

Authors:

P. T. Del Giudice, L. B. Belardin, M. Camargo, D. S. Zylbersztejn, V. [ ... ]

Artigos Cientificos
24 Mai 2017 21:22

Authors:

Juliana Schulze Burti, Claudia R. Hacad, João Paulo Zambon, Emily Assis Polessi, Fernando [ ... ]

Artigos Cientificos
24 Mai 2017 21:22

Authors:

Paula Intasqui, M.Sc.a, Mariana Camargo, M.Sc.a, Mariana Pereira Antoniassi, M.Sc.a, Agnaldo [ ... ]

Artigos Cientificos

© 2013 - 2017 Escola Paulista de Medicina - Universidade Federal de São Paulo - Unifesp

Rua Napoleão de Barros, 715, 2º andar - Vila Clementino São Paulo - SP • CEP 04024-002
+55 11 5576 4848 VoIP 4086  •   ppg.urologia@unifesp.br