OBJECTIVE: To evaluate the effects of global postural reeducation (GPR) in symptoms of stress urina

Maria Celina Martins Fozzatti *; Paul Palma; Viviane Herrmann; Miriam Dambros
OBJECTIVE: To evaluate the effects of global postural reeducation (GPR) in symptoms of stress urinary incontinence (SUI) and quality of life in a group of incontinent women. METHODS: open clinical trial, type before and after, prospective, non-randomized. We selected 26 women with clinical complaints and urodynamic study compatible with SUI, the Urogynecology cruises from charleston sc Clinic at the Hospital of UNICAMP. The mean age of 50.76 years (23 to 72 years). All women were evaluated through history, clinical and urodynamic, postural assessment. All were subjected to treatment cruises from charleston sc with RPG in individual 50-minute sessions weekly for three months and fortnightly for three more months. The patients cruises from charleston sc were subjected to stretching postures for the technical proposals, where tension arises in the muscular chains responsible for static and body structure posture. The active work of the patient in the correction, together with the physiotherapist performance, lead to rebalancing of muscle and restructuring of the body tensions, which may facilitate the functions, specifically those related to pelvic floor. At the end of treatment, and after six months, the patients were re-evaluated through cruises from charleston sc the general impression questionnaire improvement of the areas relating to SUI of King's Health Questinnaire: impact of incontinence, that evaluate the losses in quality of life; general health perception, what classification the patient gives to his health at the time and the presence of loss symptom of effort; functional evaluation of the pelvic floor (AFA) and number of daily exchanges protectors. RESULTS: At the end of treatment, four patients (16%) were cured, eighteen (72%) improved significantly and three (12%) failed. After six months, six patients (24%) were cured, 16 (64%) improved and three (12%) fail (p <0.001). When evaluating the quality of life of patients cruises from charleston sc showed significant improvement (p <0.05) in all domains, with emphasis on general health perception, incontinence impact and number of episodes of loss. Performance evaluations of the pelvic floor (AFA) and the pad test (number of exchanges / day) also showed significant improvement (p <0.001) in different times of collection. CONCLUSION: These results show that the RPG may be an alternative treatment for stress urinary incontinence.
OBJECTIVE: To evaluate the effect of global postural reeducation (GPR) on stress urinary incontinence (SUI) and quality of life in SUI female pacientes METHODS: The study design was a prospective non-randomized clinical trial. Twenty-six Patients with Symptoms of SUI Were selected from the Urogynecology Outpatient Clinics of the State University of Campinas (Unicamp), state of São Paulo, Brazil. Age ranged from 23 to 72 years old (mean 50.8). All women Were submitted to anamnesis, physical exam, postural evaluation and urodynamic testing. Patients Were treated by the GPR in individual 50 minute cruises from charleston sc sessions weekly for three months and twice a month for the next three months. All Patients Were re-evaluated at the end of treatment and six months later by means of General Impression of Improvement, Incontinence Impact, General Perception of Health, Functional Evaluation of the Pelvic Floor, Number of Episodes Leaking and Pad Use RESULTS:. At the 4 end of treatment (16%) of the cured Were Patients, 18 (72%) had Significantly improved and 3 (12%) failed. At 6 months, 6 (24%) Were cured, 16 (64%) improved and 3 (12%) failed (p <0.001). Quality of Life Questionnaires Presented Significant improvement (p <0.05) in all domains, cruises from charleston sc with emphasis on General Perception of Health, Incontinence Impact and number of leaking episodes. The Functional Evaluation of the Pelvic Floor and Pad Use Also Presented Significant (p <0.001) improvement. CONCLUSION: These results may Manda que GPR is an efficient alternative for treatment of stress urinary incontinence.
Urinary incontinence (UI) is defined by the International Continence Society (ICS) as any involuntary loss of urine 1, wherein the urinary incontinence (SUI) is the most common cause of UI among women. SUI is defined as the involuntary loss of urine on effort or exercise, coughing or sneezing, representing social and psychological problem 1,2,3. Some studies show that in adult female community prevalence ranges from 15% to 45% and the institutionalized, up to 50% 4,5. The woman suffers, over the years, postural changes that can disrupt cruises from charleston sc your pelvic bowl, caused by factors such as pregnancy, cruises from charleston sc childbirth, cruises from charleston sc obesity, skews in the spine, sports, activity, effect of gravity of the action, among others. The body search, then, new balance, often with damage to bodily functions. There War Bonds