Two devices to facilitate perception of pelvic floor contraction in sitting position in urinary incontinent women: comparative analysis
DOI:
https://doi.org/10.1590/1809-2950/220092100822EN%20Keywords:
Muscle Contraction, Pelvic Floor, Physical Therapy, Urinary IncontinenceAbstract
Contraction of pelvic floor muscles (PFM) may be difficult. The use of support devices may facilitate perception of contraction. Therefore, the objective of this study was to compare women’s perception of PFM contraction during the use of two different support devices on women with PFM dysfunction in sitting position. This was a cross-sectional study. Thirty-seven women with stress or mixed urinary incontinence (UI) performed three free contractions of PFM sitting on a chair, followed by three contractions using each one of the support devices (sand pads and a cylindrical shaped foam, which provide sciatic and perineal support, respectively). Women scored from 1 to 5 the perception of PFM contraction, the perception of facilitation of contraction (higher grades indicated better results) and the discomfort (higher grades indicate more discomfort) compared to free contraction. As main results, we found that the cylindrical shaped foam was similar to sand pads for perception of PFM contraction (2.84±1.61 vs. 3.19±1.43; p=0.34) and perception of facilitation of contraction (3.38±1.34 vs. 3.19±1.54; p=0.61) as well as for their discomfort (1.83±1.23 vs. 1.5±1.16; p=0.20). 57% of women reported to prefer sand pads. We concluded that both sand pads (sciatic support) and the cylindrical shaped foam (perineal support) improved perception of PFM contraction and of facilitation of contraction in sitting position for women with PFM dysfunction compared to no device, with no difference between the two devices.
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