@article{Gordon_Ruivo_Viscardi_Oliveira_2020, title={Effects of the Pilates method isolated and associated with manual therapy in women with urinary incontinence}, volume={18}, url={https://submission-mtprehabjournal.com/revista/article/view/1190}, DOI={10.17784/mtprehabjournal.2020.18.1190}, abstractNote={<p>Background: Urinary incontinence (UI) is clinically defined by the International Continence Society as involuntary urine loss. Currently, UI is<br>considered a public health issue worldwide, considering that the prevalence in women is quite high, requiring attention from health<br>professionals. Objective: To evaluate the effects of the Pilates method associated with Manual Therapy in women with UI. Methods: It was<br>performed a randomized, controlled, longitudinal clinical trial with a quantitative approach of the data. 14 female participants were evaluated,<br>aged 20 to 55 years and who had presented episodes of urinary loss in the last months. The following evaluations were carried out: anamnesis,<br>evaluation of urogynecological history, application of the King’s Health Questionnaire and PERFECT test. After all the evaluations, half of the<br>volunteers received treatment for urinary incontinence through a physical therapy approach that includes the Pilates method associated with<br>Manual Therapies (GPT), and the other half received treatment using only the Pilates method (GP). Results: Both groups showed increased<br>PFM strength, being GPT (p = 0.04) and GP (p = 0.00); increased resistance, being GPT (p = 0.02) and GP (p = 0.01); and the contraction of<br>fibers, being GPT (p = 0.04) and GP (p = 0.02). In the GPT there was a decrease in the severity measures (p = 0.01); disappearance of<br>nocturia (p = 0.04); decreased symptoms of SUI (p = 0.02); and bladder pain (p = 0.04). In the GP, there was a significant improvement in the<br>perception of health (p = 0.00); decreased UI impact on the participant’s life (p = 0.02); the influence of UI on emotions (p = 0.00); symptoms<br>of overactive bladder (p = 0.01); and the SUI (p = 0.00). Conclusion: Both treatment protocols decrease episodes of leakage of urine when<br>there is an increase in intra-abdominal pressure, increase the PFM strength, endurance and number of fast contractions, and the quality of<br>life of women with UI. However, only the group that received only the Pilates protocol showed an increase in repetitions of slow contraction.</p>}, journal={Manual Therapy, Posturology & Rehabilitation Journal}, author={Gordon, Stephany and Ruivo, Daniele Bastos and Viscardi, Luciana Gonzalez Auad and Oliveira, Adriana Sarmento de}, year={2020}, month={Nov.}, pages={1–6} }