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Assessment of the pelvic floor muscle strength in elderly female with urinary incontinence

INTRODUCTION: The urinary incontinence is considered a public health problem and the prevalence increases with advancing age, although it can happen at any stage of life. There are several risk factors that are associated and contribute to the beginning of symptoms, among them the natural aging of the muscle fibers, reduction of ovarian function after menopause, obesity, pregnancy, multiparity, among others. To evaluate the pelvic floor muscle strength and quality of life of women complaining of urinary incontinence after kinesiotherapy. MATERIALS AND METHODS: The sample included 22 women whose underwent medical history, functional assessment of the pelvic floor (AFA), quantification of contraction by palpation and bidigital perineometer to the assessment of quality of life through the King's Health Questionnaire (KHQ). Evaluations were performed before and after intervention. The protocol used was composed of awareness exercises and a series of Kegel. RESULTS: In relation to the degree of muscle strength it was observed a significantly improvement after treatment (p < 0.001) improvement in peak pressure and duration of contraction measured at perineometer (p < 0.001). However, there was no significant difference in relation to muscular endurance. Comparing the time before and after treatment, there was improvement in quality of life. However, there was no significant difference when comparing the two types of incontinence in relation to the subjective perception of health. CONCLUSION: The protocol used was effective kinesiotherapeutic to strengthen the pelvic floor muscles and to improve the quality of life in elderly incontinent.

Urinary incontinence; Exercise; Muscle strength; Pelvic floor; Quality of life


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