Dos herramientas que facilitan la percepción de la contracción del suelo pélvico en posición sentada de mujeres con incontinencia urinaria: un análisis comparativo
DOI:
https://doi.org/10.1590/1809-2950/220092100822EN%20Palabras clave:
Contracción Muscular, Diafragma Pélvico, Fisioterapia, Incontinencia UrinariaResumen
| Las herramientas de apoyo pueden ayudar en la
percepción de la contracción de los músculos del suelo pélvico
(SP), que no siempre es fácil de obtener su medición. El objetivo de
este estudio fue comparar si dos tipos diferentes de herramientas
ayudan a las mujeres con disfunción muscular del SP a contraer
estos músculos en posición sentada. Para ello, se realizó un estudio
transversal con 37 mujeres con incontinencia urinaria (IU) de esfuerzo
o mixta. Primero, las participantes realizaron tres contracciones
libres de los músculos del SP sentadas en una silla, sin el uso
de herramientas de apoyo. Luego, realizaron tres contracciones
utilizando cada uno de los dos dispositivos de apoyo: almohadillas
de arena y espuma cilíndrica, que brindan apoyo isquiático y
perineal, respectivamente. Las participantes deberían asignar una
puntuación de 1 a 5 cuanto a su percepción de la contracción
muscular del SP, de la facilitación de la contracción (cuanto mayor
sea la puntuación, mejor será el resultado) y la incomodidad con
la herramienta (cuanto mayor sea la puntuación, mayor será
la incomodidad) en comparación con las contracciones libres.
Los principales resultados encontrados apuntan que el uso de la
almohadilla cilíndrica fue similar al de las almohadillas de arena en
cuanto a su percepción de la contracción de los músculos del SP
(2,84±1,61 vs. 3,19±1,43; p=0,34), y la facilitación de la contracción
(3,38±1,34 vs. 3,19±1,54; p=0,61), así como la incomodidad (1,83±1,23
vs. 1,5±1,16; p=0,20). El 57% de las participantes informó preferir las
almohadillas de arena. Se concluyó que tanto las almohadillas de
arena (apoyo isquiático) como la espuma cilíndrica (apoyo perineal)
mejoraron la percepción y la facilitación de la contracción muscular
del SP en posición sentada de mujeres con disfunción muscular del
SP en comparación con la ausencia de la herramienta, sin embargo,
hay no hubo diferencia entre las herramientas
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Derechos de autor 2022 Andressa Camargo, Debora Boguchewski Campos, Aline Aparecida Chocai de Lima, Gladson Ricardo Flor Bertolini, Andersom Ricardo Fréz, Aline Cristiane Binda
Esta obra está bajo una licencia internacional Creative Commons Atribución-CompartirIgual 4.0.
