Effect of Hypopressive Gymnastics Associated or Not With Pelvic Floor Muscle Training in Women With Urinary Incontinence
Urinary Incontinence, Quality of Life, Pelvic Floor Disorders
About this trial
This is an interventional treatment trial for Urinary Incontinence focused on measuring Pelvic floor, Hypopressive exercise
Eligibility Criteria
Inclusion Criteria:18 years old and older, and having a complaint or diagnosis of urinary incontinence.
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Exclusion Criteria: women will be excluded if they had diseases affecting the muscular and nerve tissues, chronic degenerative and/or cerebrovascular disease, or neurological conditions, or had previously undergone pelvic floor re-education programs. Besides that, only women with the ability to correctly contract their PFM proceeded to intervention.
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Sites / Locations
- Center for Health and Sport Sciences
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Hypopressive
Hypopressive + PFMC
st session: the meetings were provided by a physiotherapist, who also discussed the location and function of the pelvic organs, PFM, and the transversus abdominis (TrA) muscles. The participants learned how to activate TrA muscles. The training was performed during full expiration, the physiotherapist check and coordinate the group to maintain the Tra contraction. The women were also trained to inhale through the nose and exhale through the mouth maintaining an apical breathing pattern. nd session: The contractions were executed during six different positions the ones which they will keep following through the whole treatment. rd session: The patients were exposed to all the six positions (supplementary material) and their three variations (positions 1, 3, 5 and 6 ). Every meeting obeyed the same schedule through the five weeks of treatment and was accompanied by two physiotherapists.
This group receives the same protocol than the Hypopressive group, but with a verbal command to realize the PFM contraction during the activation of the deep abdominal muscle.