Fisioterapia aquática no ganho de força muscular do assoalho pélvico e melhora da incontinência urinária : um estudo de caso.

Abstract

The present study aimed to measure the pelvic floor muscle strength (PA) and the minimization of the impact of urinary incontinence (IU) on the quality of life of a primipara woman, before and after an aquatic physical therapy exercise program. The participant had a diagnosis of mixed UI since the postpartum which was vaginally with an episiotomy period 3 years and 11 months ago, , engaged in regular physical activity, had normal BMI and did not undergo treatment for urinary loss. In the methodology, the KHQ - King's Health Questionnaire was applied to verify the impact of UI on quality of life, and the PA muscle strength was measured with the T.I.U equipment. There were 16 meetings, two of which were pre- and post-intervention evaluations, and 14 AF sessions consisting of warm-up, stretching, specific pelvic nexercises and relaxation. It was possible to observe an important gain in the strength of the AP after the intervention, because in the three contractions there was an increase in the value of sauers when comparing the values before and after the AF. It was found that the following quality of life domains had there were no more limitations, physical limitations, social limitations, sleep/disposition and UI severity, which means a lower impact of UI on the life of this woman after the intervention. AF was shown to be important both for the impact of UI on quality of life and for the improvement of AP strength.