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Eficácia de instruções verbais na contração dos músculos do pavimento pélvico: revisão bibliográfica
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Abstract(s)
Introdução: A tarefa de ensinar as mulheres a contrair os músculos do pavimento pélvico (MPP) é bastante exigente para os fisioterapeutas, sendo desafiados a usar diferentes métodos terapêuticos que facilitem a contração voluntária correta. Objetivo: analisar a eficácia de instruções verbais na contração dos músculos do pavimento pélvico. Metodologia: pesquisa nas bases de dados Medical Literature Analysis and Retrieval System Online (MedLine/PubMed), PEDro, SciELO e Web of Science com os critérios: estudos experimentais; em língua inglesa e portuguesa; estudos realizados em mulheres; idade igual ou superior a 18 anos; que contenham a descrição das instruções verbais na contração dos MPP, sendo avaliados segundo a escala Critical Appraisal Skills Programme (CASP). Resultados: incluídos 5 estudos, com um total de 185 participantes do sexo feminino. As instruções variaram entre 1 e 7 nos diferentes estudos, sendo que uns focaram instruções anteriores, outros posteriores e outros instruções combinadas dos MPP. Conclusão: foi possível verificar a eficácia das instruções verbais na contração do pavimento pélvico, não sendo possível especificar quais as mais eficazes.
Introduction: the task to teach women to contract pelvic floor muscles (PFM) is very demanding to physiotherapists, who are challenged to use different therapeutics methods in order to ease the correct voluntary contraction. Purpose: analyze verbal instructions effectiveness on the learning process of pelvic floor muscles contraction. Methodology: research on Medical Literature Analysis and Retrieval System Online (MedLine/PubMed), PEDro, SciELO e Web of Science databases following these criteria: experimental studies in English and Portuguese about women with 18 years old or more, containing verbal instructions description on PFM contraction, rated according Critical Appraisal Skills Programme (CASP) scale. Results: 5 studies were included with a total of 185 female participants. Between 1 and 7 instructions were used on the studies, varying between anterior instructions, posterior instructions and combined instructions of PFM. Conclusions: it was possible to verify the effectiveness of verbal instructions on the pelvic floor contraction, but it was not possible to check which ones where the more effective ones.
Introduction: the task to teach women to contract pelvic floor muscles (PFM) is very demanding to physiotherapists, who are challenged to use different therapeutics methods in order to ease the correct voluntary contraction. Purpose: analyze verbal instructions effectiveness on the learning process of pelvic floor muscles contraction. Methodology: research on Medical Literature Analysis and Retrieval System Online (MedLine/PubMed), PEDro, SciELO e Web of Science databases following these criteria: experimental studies in English and Portuguese about women with 18 years old or more, containing verbal instructions description on PFM contraction, rated according Critical Appraisal Skills Programme (CASP) scale. Results: 5 studies were included with a total of 185 female participants. Between 1 and 7 instructions were used on the studies, varying between anterior instructions, posterior instructions and combined instructions of PFM. Conclusions: it was possible to verify the effectiveness of verbal instructions on the pelvic floor contraction, but it was not possible to check which ones where the more effective ones.
Description
Projeto de Graduação apresentado à Universidade Fernando Pessoa como parte dos requisitos para obtenção do grau de Licenciada em Fisioterapia
Keywords
Pelvic floor Contraction Verbal instructions Randomized control trial