Development of an anatomic intravaginal device and comparison with a conventional vaginal cone regarding their effectiveness in pelvic floor muscle perception and strength: randomized clinical test
Tóm tắt
The weakness and lack of perception of the perineal musculature and pelvic floor cause a series of emotional and social problems that can affect the social quality of life. This muscular structure is responsible for maintaining the support of the internal organs and participating in the maintenance of the urinary and fecal continence, as well as allowing coitus and childbirth. The objective of this study was evaluating the maximum pressure during the contraction of the perineal musculature and the performance of the pelvic floor muscles after using both the anatomical intravaginal device and the conventional vaginal cone. For this purpose, 30 women were selected and randomly and equally divided into 3 groups: Group I, control; Group II, used the conventional vaginal cone; and Group III, used the anatomically shaped intravaginal device, developed in order to accomplish the research. The volunteers in Groups II and III were respectively submitted to a protocol with the vaginal cone and the intravaginal device, and, after the use, they were assessed in order to verify their maximum pressure and the capacity of pelvic floor contraction. The analysis of the data showed a statistically significant difference, concerning the evaluated parameters, in the group that used the anatomically shaped intravaginal device. The anatomical intravaginal device, developed in this study, was more effective than the conventional vaginal cone regarding the improvement of the maximum perineal contraction pressure, local perception, and muscular performance.
Tài liệu tham khảo
Alapati S, Jambhekar K. Dynamic Resonance Imaging of the pelvic floor. Elsevier 2017. 38(3):188–199.
Bhattacharyya KB. The stretch reflex and the contributions of C David Marsden. Ann Indian Acad Neurol. 2017;20:1–4.
Contreras Ortiz O, Coya Nuñes F, Ibañez G. Evaluación functional del piso pelviano femenino (classificacion functional). Bol Soc Latinoam Uroginecol Cir Vaginal. 1994;1:5–9.
Douglas CR. Treaty of physiology – applied to medical science. 6th ed: Guanabara Koogan; 2006.
Dumoulin C, Pazzoto Cacciari C, Mercier J. Keeping the pelvic floor health. Climateric. 2019. https://doi.org/10.1080/13697137.2018.1552934.
Fernandes AC, Reis B, Patrizzi L, Meirelles MC. Clinical functional evaluation of female's pelvic floor: integrative review. Fisioterapia Mov. 2018;31:1–9.
Golmakani N, Khadem N, Arabipoor A, Kerigh BF, Esmaily H. Behavioral intervention program versus vaginal cones on stress urinary incontinence and related quality of life: a randomized clinical trial. Oman Med J. 2014;29:32.
Haddad JM, Ribeiro RM, Bernardo WM, Abrão MS, Baracat EC. Vaginal cone use in passive and active phases in patients with stress urinary incontinence. Clinics. 2001;66(5):785–91. https://doi.org/10.1590/S1807-59322011000500013.
Hall JE, Guyton AC. Textbook of medical physiology. Ed Elsevier.13th edition. 2016
Herbison GP, Dean N. Weighted vaginal cones for urinary incontinence: review. Cochrane Collab. 2013:1–76. https://doi.org/10.1002/14651858.CD002114.pub2.
López-Liria R, Varverde-Martínez M, Padilla-Góngora D, Rocamora-Pérez P. Effectiveness of physiotherapy treatment for urinary incontinence in women: a systematic review. 2019;28(4):490–501.
Nambiar KA, Bosh R, Cruz F, Lemack G, Thiruchelvam N, Tubaro A, et al. EUA guideline on assessment and nonsurgical management of urinary incontinence. Eur Urol. 2018;73:596–609.
Oblasser C, Christie J, Maccourt C. Vaginal cones or balls to improve pelvic floor muscle performance and urinary continence in women post partum: a quantitative systematic review and meta-analysis protocol. Rev Elsevier. 2015:3–9.
Oliveira M, Ferreira M, Azevedo MJ, Machado JF, Santos PC. Pelvic floor muscle training protocol for stress urinary incontinence in women: a systematic review. Mag Braz Med Assoc. 2017;63(7):642–50.
Plevnik S. A new method for testing and strengthening of pelvic floor muscles. Proceedings of the 15th Annual General Meeting. International Continence Society 1985;267–268.
Vural M, Capan N, Karan A, Eskiyurt N, Yalcin O. Vaginal cone therapy in patients with stress urinary incontinence. Arch Gynecol Obstet. 2013;288:99–103.
Yuce T, Dokmeci F, Çetinkaya SE. A prospective randomized trial comparing the use of tolderine or weighted vaginal cones in women with overactive bladder syndrome. Eur J Obstet Gynecol Reprod Biol. 2016;197:91–7.