Eficacia del entrenamiento de la musculatura del suelo pélvico en incontinencia urinaria femenina

Autores/as

  • B. González Sánchez UNIVERSIDAD DE EXTREMADURA
  • J. Rodríguez Mansilla UNIVERSIDAD DE EXTREMADURA
  • A. De Toro García
  • M.V. González López-Arza universidad de extremadura

DOI:

https://doi.org/10.23938/ASSN.0324

Palabras clave:

Ejercicio físico. Incontinencia urinaria femenina. Suelo pélvico. Músculo. Entrenamiento.

Resumen

Se define incontinencia urinaria “como la pérdida involuntaria de orina, que condiciona un problema social e higiénico”. Existen gran variedad de técnicas para el tratamiento de la incontinencia urinaria.

Nuestro objetivo es conocer la efectividad clínica de los diversos métodos utilizados para el entrenamiento de la musculatura del suelo pélvico como tratamiento de la incontinencia urinaria femenina de esfuerzo o mixta y su contribución a la mejora de la calidad de vida de estas pacientes.

Para ello hemos realizado una revisión sistemática de ensayos clínicos controlados. Tras analizar los resultados podemos concluir que el tratamiento de la incontinencia urinaria de esfuerzo o mixta mediante ejercicios de entrenamiento de la musculatura del suelo pélvico contribuye de manera positiva a mejorar los síntomas, la fuerza de la musculatura del suelo pélvico y la calidad de vida de las pacientes afectas.

Descargas

Los datos de descargas todavía no están disponibles.

Biografía del autor/a

B. González Sánchez, UNIVERSIDAD DE EXTREMADURA

MIEMBRO GRUPO DE INVESTIGACIÓN ADOLOR.

DEPARTAMENTO DE TERAPEÚTICA MÉDICO-QUIRÚRGICA

FACULTAD DE MEDICINA

UNIVERSIDAD DE EXTREMADURA

J. Rodríguez Mansilla, UNIVERSIDAD DE EXTREMADURA

MIEMBRO GRUPO DE INVESTIGACIÓN ADOLOR.
DEPARTAMENTO DE TERAPEÚTICA MÉDICO-QUIRÚRGICA
FACULTAD DE MEDICINA
UNIVERSIDAD DE EXTREMADURA

A. De Toro García

fisioterapeuta. IMC fisioterapia

M.V. González López-Arza, universidad de extremadura

MIEMBRO GRUPO DE INVESTIGACIÓN ADOLOR.
DEPARTAMENTO DE TERAPEÚTICA MÉDICO-QUIRÚRGICA
FACULTAD DE MEDICINA
UNIVERSIDAD DE EXTREMADURA

Citas

1. ESTUDILLO F, GARRIDO S, SÁNCHEZ C, NIETO M, RODRÍGUEZ F. Incontinencia urinaria en la mujer ¿qué debemos saber? Enfuro 2004; 91: 10-13.

2. MILLA F.J. Protocolo de reeducación vesical en incontinencia urinaria. Enfuro 2007; 102: 14-17.

3. ENRIQUE J. La incontinencia urinaria. An Sist Sanit Navar 2006; 29: 219-231

https://doi.org/10.4321/S1137-66272006000300006

4. SÁNCHEZ M, VÁZQUEZ E, LÓPEZ MC, RODRÍGUEZ MC. Incontinencia urinaria y mujer: un problema frecuente y olvidado. Med gen 2006; 91: 790-793.

5. SENOVILLA JL, GUINDA A, GIMENO A, ZAZO J, BORREGO A, GARCÍA A. Conocimientos básicos sobre incontinencia urinaria femenina de esfuerzo. Clín Urol Complut 2000; 8: 377-394.

6. DELGADO H, RAMÍREZ JM, PEREDA E, DELGADO MJ. Detección de incontinencia urinaria. Enfuro 2007; 102: 10-13.

7. JUARRANZ M, TERRON M, ROCA M, SORIANO T, VILLAMOR M, CALVO MJ. Tratamiento de la incontinencia urinaria. Aten Primaria 2002; 30: 323-332.

https://doi.org/10.1016/S0212-6567(02)79035-5

8. PETROS PE, ULMSTEN UI. An integral theory of female urinary incontinence. Experimental and clinical considerations. Acta Obstet Gynecol Scand Suppl 1990; 153: 7-31.

https://doi.org/10.1111/j.1600-0412.1990.tb08027.x

9. PETROS PE, ULMSTEN UI. An integral theory and its method for the diagnosis and management of female urinary incontinence. Scand J Urol Nephrol Suppl 1993; 153: 1-93.

10. TEJERO M, MARCO E, BOZA R, SELVA F, PIQUERAS M, GULLÉN A, et al. Incontinencia urinaria de esfuerzo y ejercicios del suelo pélvico. Estudio comparativo entre la eficacia de un entrenamiento individualizado vs instrucciones básicas. Trauma. 2008; 19: 171-177.

11. ESCALA PEDRO [Consultado 01/06/2013]. Disponible en: http://www.pedro.org.au/spanish/downloads/pedro-scale/.

12. AKSAC B, AKI S, KARAN A, YALCIN O, ISIKOGLU M, ESKIYURT N. Biofeedback and pelvic floor exercises for the rehabilitation of urinary stress incontinence. Gynecol Obstet Invest. 2003; 56: 23-27.

https://doi.org/10.1159/000072327

13. ALEWIJNSE D, METSEMAKERS JF, MESTERS IE, VAN DEN BORNE B. Effectiveness of pelvic floor muscle exercise therapy supplemented with a health education program to promote long-term adherence among women with urinary incontinence. Neurourol Urodyn 2003; 22 : 284-295.

https://doi.org/10.1002/nau.10122

14. ARRUDA RM, CASTRO RA, SOUSA GC, SARTORI MG, BARACAT EC, GIRÃO MJ. Prospective randomized comparison of oxybutynin, functional electrostimulation, and pelvic floor training for treatment of detrusor overactivity in women. Int Urogynecol J Pelvic Floor. Dysfunct. 2008; 19: 1055-1061.

https://doi.org/10.1007/s00192-008-0586-y

15. AUKEE P, IMMONEN P, LAAKSONEN DE, LAIPPALA P, PENTTINEN J, AIRAKSINEN O. The effect of home biofeedback training on stress incontinence. Acta Obstet Gynecol Scand. 2004; 83: 973-977.

https://doi.org/10.1111/j.0001-6349.2004.00559.x

16. BORELLO DF, DOWNEY PA, ZYCZYNSKI HM, RAUSE CR. Continence and Quality of Life in Female Stress Urinary Incontinence. Phys Ther. 2008; 88: 1545-1553.

https://doi.org/10.2522/ptj.20070257

17. CARNEIRO EF, ARAUJO NDOS S, BEUTTENMÜLL L, VIEIRA PC, CADER SA, CADER SA, et al. The anatomical-functional characteristics of the pelvic floor and quality of life of women with stress urinary incontinence subjected to perineal exercises. Actas Urol Esp 2010; 34: 788-793.

https://doi.org/10.1016/j.acuro.2010.05.008

18. CASTRO RA, ARRUDA RM, ZANETTI MR, SANTOS PD, SARTORI MG, GIRÃO MJ. Single-blind, randomized, controlled trial of pelvic floor muscle training. Clinics. 2008; 63: 465-472.

https://doi.org/10.1590/S1807-59322008000400009

19. DE OLIVEIRA F, RODRIGUES AM, ARRUDA RM, FERREIRA MG, GIRÃO MJ, CASTRO RA. Pelvic floor muscle training in female stress urinary incontinence: comparison between group training and individual treatment using PERFECT assessment scheme. Int Urogynecol J Pelvic Floor Dysfunct 2009; 20: 1455-1562.

https://doi.org/10.1007/s00192-009-0971-1

20. DONAHOE DE, CHORNY W, BRAHLER CJ, INGLEY A, KENNEDY J, OSTERFELD V. A comparison of two pelvic floor muscle trainings programs in female with stress urinary incontinence: a pilot study. J Appl Res. 2011; 11: 73-83.

21. DUMOULIN C, LEMIEUX MC, BOURBONNAIS D, GRAVEL D, BRAVO G, MORIN M. Physiotherapy for persistent postnatal stress urinary incontinence: a randomized controlled trial. Obstet Gynecol 2004; 104: 504-510.

https://doi.org/10.1097/01.AOG.0000135274.92416.62

22. FELICÍSSIMO MF, CARNEIRO MM, SALEME CS, PINTO RZ, DA FONSECA AM, DA SILVA-FILHO AL. Intensive supervised versus unsupervised pelvic floor muscle training for the treatment of stress urinary incontinence: a randomized comparative trial. Int Urogynecol J 2010; 21: 835-840.

https://doi.org/10.1007/s00192-010-1125-1

23. GAMEIRO MO, MOREIRA EH, GAMEIRO FO, MORENO JC, PADOVANI CR, AMARO JL. Vaginal weight cone versus assisted pelvic floor muscle training in the treatment of female urinary incontinence. A prospective, single-blind, randomized trial. Int Urogynecol J 2010; 21: 395-399.

https://doi.org/10.1007/s00192-009-1059-7

24. GHONIEM GM, VAN LEEUWEN JS, ELSER DM, FREEMAN RM, ZHAO YD, YALCIN I, et al. A randomized controlled trial of duloxetine alone, pelvic floor muscle training alone, combined treatment and no active treatment in women with stress urinary incontinence. J Urol 2005; 173: 1647-1653.

https://doi.org/10.1097/01.ju.0000154167.90600.c6

25. HIRAKAWA T, SUZUKI S, KATO K, GOTOH M, YOSHIKAWA Y. RANDOMIZED controlled trial of pelvic floor muscle training with or without biofeedback for urinary incontinence. Int Urogynecol J 2013; 24:1347-1354.

https://doi.org/10.1007/s00192-012-2012-8

26. HUNG HC, HSIAO SM, CHIH SY, LIN HH, TSAUO JY. An alternative intervention for urinary incontinence: retraining diaphragmatic, deep abdominal and pelvic floor muscle coordinated function. Man Ther 2010; 15: 273-279.

https://doi.org/10.1016/j.math.2010.01.008

27. KAMEL DM, THABET A, TANTAWY S, RADWAN M. Effect of abdominal versus pelvic floor muscle exercises in obese Egyptian women with mild stress urinary incontinence: A randomized controlled trial. HKPJ 2013; 31: 12-18.

https://doi.org/10.1016/j.hkpj.2012.11.002

28. KASHANIAN M, ALI SS, NAZEMI M, BAHASADRI S. Evaluation of the effect of pelvic floor muscle training (PFMT or Kegel exercise) and assisted pelvic floor muscle training (APFMT) by a resistance device (Kegelmaster device) on the urinary incontinence in women: a randomized trial. Eur J Obstet Gynecol Reprod Biol 2011; 159: 218-223.

https://doi.org/10.1016/j.ejogrb.2011.06.037

29. KIM H, SUZUKI T, YOSHIDA Y, YOSHIDA H. Effectiveness of multidimensional exercises for the treatment of stress urinary incontinence in elderly community-dwelling Japanese women: a randomized, controlled, crossover trial. J Am Geriatr Soc 2007; 55: 1932-1939.

https://doi.org/10.1111/j.1532-5415.2007.01447.x

30. KIM H, YOSHIDA H; SUZUKI T. The effects of multidimensional exercise treatment on community-dwelling elderly Japanese women with stress, urge, and mixed urinary incontinence: a randomized controlled trial. Int J Nurs Stud 2011; 48: 1165-1172.

https://doi.org/10.1016/j.ijnurstu.2011.02.016

31. KONSTANTINIDOU E, APOSTOLIDIS A, KONDELIDIS N, TSIMTSIOU Z, HATZICHRISTOU D, IOANNIDES E. Short-term efficacy of group pelvic floor training under intensive supervision versus unsupervised home training for female stress urinary incontinence: a randomized pilot study. Neurourol Urodyn 2007; 26: 486-491.

https://doi.org/10.1002/nau.20380

32. LIEBERGALL M, HOCHNER D, LAVY Y, MANOR O, ARBEL R, PALTIEL O. PAULA. Method of circular muscle exercises for urinary stress incontinence: a clinical trial. Int. Urogynecol. J Pelvic Floor Dysfunct. 2005; 16: 345-351.

https://doi.org/10.1007/s00192-004-1261-6

33. LIEBERGALL M, HOCHNER D, LAVY Y, MANOR O, SHVEIKY D, PALTIEL O . Randomized trial of circular muscle versus pelvic floor training for stress urinary incontinence in women. J. Womens Health 2009; 18: 377-385.

https://doi.org/10.1089/jwh.2008.0950

34. LIEBERGALL M, PALTIEL O, HOCHNER D, LAVY Y, MANOR O, WOLOSKI AC. Sexual function and quality of life of women with stress urinary incontinence: a randomized controlled trial comparing the Paula method (circular muscle exercises) to pelvic floor muscle training (PFMT) exercises. J Sex Med 2012; 9: 1613-1623.

https://doi.org/10.1111/j.1743-6109.2012.02721.x

35. NASCIMENTO G, SANTOS V, TAHARA N, DRIUSSO P. Effects of pelvic floor muscle training on quality of life of a group of women with urinary incontinence: randomized controlled trial. Actas Urol Esp 2012; 36: 216-221.

https://doi.org/10.1016/j.acuroe.2012.07.001

36. PEREIRA VS, CORREIA GN, DRIUSSO P. Individual and group pelvic floor muscle training versus no treatment in female stress urinary incontinence: a randomized controlled pilot study. J Obstet. Gynecol Reprod Biol 2011; 159: 465-471.

https://doi.org/10.1016/j.ejogrb.2011.09.003

37. PEREIRA VS, DE MELO MV, CORREIA GN, DRIUSSO P. Vaginal cone for postmenopausal women with stress urinary incontinence: randomized, controlled trial. Climacteric 2012; 15: 45-51.

https://doi.org/10.3109/13697137.2011.593211

38. RESENDE AP, STÜPP L, BERNARDES BT, OLIVEIRA E, CASTRO RA, GIRÃO MJ. Can hypopressive exercises provide additional benefits to pelvic floor muscle training in women with pelvic organ prolapse? Neurourol Urodyn 2012; 31: 121-125.

https://doi.org/10.1002/nau.21149

39. ROONGSIRISANGRAT S, RANGKLA S, MANCHANA T, TANTISIRIWAT N. Rectal balloon training as an adjunctive method for pelvic floor muscle training in conservative management of stress urinary incontinence: a pilot study. J Med Assoc Thai 2012; 95: 1149-1155.

40. SARI D, KHORSHID L. The effects of pelvic floor muscle training on stress and mixed urinary incontinence and quality of life. J. Wound Ostomy Continence Nurs 2009; 36: 429-435.

https://doi.org/10.1097/WON.0b013e3181aaf539

41. SCHMIDT AP, SANCHES PR, SILVA DP JR, RAMOS JG, NOHAMA P. A new pelvic muscle trainer for the treatment of urinary incontinence. Int J Gynaecol Obstet 2009; 105: 218-222.

https://doi.org/10.1016/j.ijgo.2009.01.013

42. SCHNELLE JF, KAPUR K, ALESSI C, OSTERWEIL D, BECK JG, AL-SAMARRAI NR, et al. Does an exercise and incontinence intervention save healthcare costs in a nursing home population? J Am Geriatr Soc 2003; 51: 161-168.

https://doi.org/10.1046/j.1532-5415.2003.51053.x

43. SHERBURN M, BIRD M, CAREY M, BØ K, GALEA MP. Incontinence improves in older women after intensive pelvic floor muscle training: an assessor-blinded randomized controlled trial. Neurourol Urodyn 2011; 30: 317-324.

https://doi.org/10.1002/nau.20968

44. SRIBOONREUNG T, WONGTRA-NGAN S, EUNGPINICHPONG W, LAOPAIBOON M. Effectiveness of pelvic floor muscle training in incontinent women at Maharaj Nakorn Chiang Mai Hospital: a randomized controlled trial. J Med Assoc Thai 2011; 94: 1-7.

45. SUGAYA K, OWAN T, HATANO T, NISHIJIMA S, MIYAZATO M, MUKOUYAMA H, et al. Device to promote pelvic floor muscle training for stress incontinence. Int J Urol 2003; 10: 416-422.

https://doi.org/10.1046/j.1442-2042.2003.00659.x

46. TAK E, VAN HESPEN, A, VAN DOMMELEN P, HOPMAN M. Does improved functional performance help to reduce urinary incontinence in institutionalized older women? A multicenter randomized clinical trial. BMC Geriatrics 2012; 12-51.

https://doi.org/10.1186/1471-2318-12-51

47. TANG CL, DAI DC, ZHU WF, JIN YY, MEI LF, ZHAO GF . Observation on therapeutic effect of dog-day acupuncture and moxibustion combined with pelvic floor muscle exercises for treatment of female stress urinary. Zhongguo Zhen Jiu 2009; 29: 879-883.

48. TSAI YC, LIU CH. The effectiveness of pelvic floor exercises, digital vaginal palpation and interpersonal support on stress urinary incontinence: an experimental study. Int J Nurs Stud 2009; 46: 1181-1186.

https://doi.org/10.1016/j.ijnurstu.2009.03.003

49. VINSNES AG, HELBOSTAD JL, NYRØNNING S, HARKLESS GE, GRANBO R, SEIM A. Effect of physical training on urinary incontinence. Clin Interv Aging 2012; 7: 45-50.

https://doi.org/10.2147/CIA.S25326

50. WANG AC, WANG YY, CHEN MC. Single-blind, randomized trial of pelvic floor muscle training, biofeedback-assisted pelvic floor muscle training, and electrical stimulation in the management of overactive bladder. Urology 2004; 63: 61-66.

https://doi.org/10.1016/j.urology.2003.08.047

51. WILLIAMS K.S, ASSASSA RP, GILLIES CL, ABRAMS KR, TURNER DA, SHAW C, et al. A randomized controlled trial of the effectiveness of pelvic floor therapies for urodynamic stress and mixed incontinence. BJU Int 2006; 98: 1043-1050.

https://doi.org/10.1111/j.1464-410X.2006.06484.x

52. YOON HS, SONG HH, RO YJ. A comparison of effectiveness of bladder training and pelvic muscle exercise on female urinary incontinence. Int J Nurs Stud 2003; 40: 45-50.

https://doi.org/10.1016/S0020-7489(02)00031-7

53. ZANETTI MR, CASTRO RDE A, ROTTA AL, SANTOS PD, SARTORI M, GIRÃO MJ. Impact of supervised physiotherapeutic pelvic floor exercises for treating female stress urinary incontinence. Sao Paulo Med J 2007; 125: 265-269.

https://doi.org/10.1590/S1516-31802007000500003

54. SHAMLIYAN T, WYMAN J, KANE RL. Non surgical treatments for urinary incontinence in adult women: diagnosis and comparative effectiveness. Comparative Effectiveness Review 2012; 36.

Descargas

Publicado

24-11-2014

Cómo citar

1.
González Sánchez B, Rodríguez Mansilla J, De Toro García A, González López-Arza M. Eficacia del entrenamiento de la musculatura del suelo pélvico en incontinencia urinaria femenina. An Sist Sanit Navar [Internet]. 24 de noviembre de 2014 [citado 21 de diciembre de 2025];37(3):381-400. Disponible en: https://recyt.fecyt.es/index.php/ASSN/article/view/29807

Número

Sección

Revisiones

Artículos más leídos del mismo autor/a

Artículos similares

<< < 21 22 23 24 25 26 27 28 29 30 > >> 

También puede Iniciar una búsqueda de similitud avanzada para este artículo.