Treinamento do assoalho pélvico com ou sem eletroterapia no tratamento dos sintomas da hiperatividade do detrusor em mulheres com esclerose múltipla e mielopatia associada ao HTLV-I (HAM/TSP): um ensaio clí­nico randomizado

Detalhes bibliográficos
Autor(a) principal: Bottini, Dayane Aparecida Moises Caetano
Data de Publicação: 2019
Outros Autores: Assis, Peterson Vieira de, Salgado, Pedro Rippel, Domingos, João Américo, Christofoletti, Gustavo, Pegorare, Ana Beatriz Gomes de Souza
Tipo de documento: Artigo
Idioma: por
Título da fonte: Repositório Institucional da UFMS
Texto Completo: https://repositorio.ufms.br/handle/123456789/4912
https://doi.org/10.33233/fb.v20i4.2555
Resumo: Introdução: A esclerose múltipla (EM) é a mais comum das doenças desmielinizantes, caracterizada pela localização de múltiplas placas de desmielinização na substância branca encefálica e medular. A mielopatia associada ao HTLV-I (HAM/TSP) é uma doença neurodegenerativa progressiva cuja resposta imune é exacerbada. Objetivo: Avaliar o efeito da eletroterapia na musculatura do assoalho pélvico (MAP) sobre os sintomas hiperatividade detrusora em mulheres com EM e HTLV-1. Métodos: Ensaio clí­nico randomizado e controlado com 4 meses de acompanhamento, no qual 20 mulheres em estágio moderado de EM ou HTLV-1 submetidas a um programa de treinamento da MAP associado ou não í eletroterapia. As variáveis analisadas foram: sintomas de bexiga hiperativa (BH) pelo questionário validado OAB v8, contração perineal pelo esquema PERFECT e í­ndice de qualidade de vida por meio do questionário Qualiveen. Divididas em dois grupos, grupo controle (G2) e grupo tratamento (G1) que foi submetido a um protocolo de treinamento da MAP, realizado duas vezes por semana por 20 sessões e após este perí­odo de tempo todas as mulheres foram reavaliadas. Resultados: Sob-homogeneidade inicial observada nas variáveis pessoais e clí­nicas, o protocolo a que o grupo tratamento (G1) foi submetido resultou na melhora da contração voluntária (p ≤ 0,001), teste de esforço (p ≤ 0,001), reflexo cutâneo-anal (p ≤ 0,001), força de contração (p ≤ 0,001), sustentação (p ≤ 0,001), contrações rápidas (p ≤ 0,001), contrações lentas (p ≤ 0,001) e nos sintomas de bexiga hiperativa (p ≤ 0,001), em relação í comparação inicial. Os resultados comprovam a eficácia de exercí­cios de fortalecimento da MAP acompanhados por um fisioterapeuta e o uso de correntes eletroterápicas de média frequência para o tratamento da BH na Esclerose Múltipla e na mielopatia associada ao HTLV-1. Conclusão: O protocolo de eletroestimulação mostrou-se benéfico em pacientes com EM e HTLV-1, promovendo melhora da BH e grau de contração perineal.
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spelling 2022-07-09T18:17:36Z2019-04-302019-04-30Milanlioglu A, Ozdemir PG, Cilingir V, Gülec TÇ, Aydin MN, Tombul T. Coping strategies and mood profiles in patients with multiple sclerosis. Arq Neuropsiquiatr 2014;72(7):490-5. https://dx.doi.org/10.1590/0004-282X20140089 Bromstrom S, Frederiksen JL, Jennum P, Lose G. Motor evoked potentials from the pelvic floor in patients with multiple sclerosis. J Neurol Neurosurg Psychiatry 2003;74(4):498-500. https://doi.org/10.1136/jnnp.74.4.498 Wang T, Huang W, Zhang Y. Clinical characteristics and urodynamic analysis of urinary dysfunction in multiple sclerosis. Chin Med J (Engl) 2016;129(6):645-50. https://doi.org/10.4103/0366-6999.177970 Rojas JI, Romano M, Patrucco L, Cristiano E. A Systematic review about the epidemiology of primary progressive multiple sclerosis in Latin America and the Caribbean. Mult Scler Relat Disord 2018;24;22:1-7. https://doi.org/10.1016/j.msard.2018.02.024 Hollsberg P. Pathogenesis of chronic progressive myelopathy associated with human T-cell lymphotropic virus type I. Acta Neurol Scand Suppl 1997;169:86-93. Enose-Akahata Y, Vellucci A, Jacobson S. Role of HTLV-1 Tax and HBZ in the pathogenesis of HAM/TSP. Front Microbiol 2017;8:2563. https://doi.org/10.3389/fmicb.2017.02563 Souza A, Tanajura D, Toledo-Cornell C, Santos S, Carvalho EM. Immunopathogenesis and neurological manifestations associated to HTLV-1 infection. Revista da Sociedade Brasileira de Medicina Tropical 2012;45(5):545-52. https://doi.org/10.1590/S0037-86822012000500002 Araujo AQ. Update on Neurological Manifestations of HTLV-1 Infection. Curr Infect Dis Rep 2015;17(2):459. https://doi.org/10.1007/s11908-014-0459-0 Troisgros O, Barnay JL, Darbon-Naghibzadeh F, Olive P, René-Corail P. Retrospective clinic and urodynamic study in the neurogenic bladder dysfunction caused by human T cell lymphotrophic virus type 1 associated myelopathy/tropical spastic paraparesis (HAM/TSP). Neurourol Urodyn 2017;36(2):449-452. https://doi.org/10.1002/nau.22952 Nakamura T, Matsuo T. Human T-lymphotropic virus type I-associated myelopathy. Brain Nerve 2015;67(7):845-58. https://doi.org/10.11477/mf.1416200223 Nardulli R, Losavio E, Ranieri M, Fiore P, Megna G, Bellomo RG et al. Combined antimuscarinics for treatment of neurogenic overactive bladder. Int J Immunopathol Pharmacol 2012;25(1 Suppl):35S-41S. Pereira CMA, Castiglione M, Kasawara KT. Effects of physiotherapy treatment for urinary incontinence in patient with multiple sclerosis. J Phys Ther Sci 2017;29(7):1259-63. https://doi.org/10.1589/jpts.28.1259 Ferreira AP, Pegorare AB, Salgado PR, Casafus FS, Christofoletti G. impact of a pelvic floor training program among women with multiple sclerosis: a controlled clinical trial. Am J Phys Med Rehabil 2016;95(1):1-8. https://doi.org/10.1097/PHM.0000000000000302 Lúcio A, D´ancona CA, Perissinotto MC, McLean L, Damasceno BP, Moraes Lopes MH. Pelvic floor muscle training with and without electrical stimulation in the treatment of lower urinary tract symptoms in women with multiple sclerosis. J Wound Ostomy Continence Nurs 2016;43(4):414-9. https://doi.org/10.1097/WON.0000000000000223 Olivera CK, Meriwether K, El-Nashar S, Grimes CL, Chen CC, Orejuela F, et al. Nonantimuscarinic treatment for overactive bladder: a systematic review. Am J Obstet Gynecol 2016;215(1):34-57. https://doi.org/10.1016/j.ajog.2016.01.156 Kurtzke JF. Rating neurologic impairment in multiple sclerosis: an expanded disability status scale (EDSS). Neurology 1983;33(11):1444-52. https://doi.org/10.1212/wnl.33.11.1444 Bonniaud V, Bryant D, Parratte B, Gallien P, Guyatt G. Qualiveen: a urinary disorder-specific instrument for use in clinical trials in multiple sclerosis. Arch Phys Med Rehabil. 2006;87(12):1661-3. https://doi.org/10.1016/j.apmr.2006.08.345 Acquadro C, Kopp Z, Coyne KS, Corcos J, Tubaro A, Choo MS, Oh SJ. Translating overactive bladder questionnaires in 14 languages. Urology 2006;67(3):536-40. https://doi.org/10.1016/j.urology.2005.09.035 Laycock J, Jerwood D. Pelvic floor muscle assessment: The PERFECT Scheme. Physiotherapy 2001;87(12):631-42. https://doi.org/10.1016/S0031-9406(05)61108-X Zecca C, Riccitelli GC, Disanto G, Singh A, Digesu GA, Panicari L et al. Urinary incontinence in multiple sclerosis: prevalence, severity and impact on patients quality of life. Eur J Neurol 2016;23(7):1228-34. https://doi.org/10.1111/ene.13010 Rodrigues RF, Silva EB. Intracavitary electrical stimulation as treatment for overactive bladder: systematic review. Fisioter. Mov 2016;29(4):813-20. https://doi.org/10.1590/1980-5918.029.004.ao18 Schreiner L, Santos TG, Souza ABA, Nygaard CC, Silva. Filho IG. Electrical stimulation for urinary incontinence in women: a systematic review. Int Braz J Urol 2013;39(4):454-64. https://doi.org/10.1590/S1677-5538.IBJU.2013.04.02 Greer JA, Smith AL, Arya LA. Pelvic floor muscle training for urgency urinary incontinence in women: a systematic review. Int Urogynecol J 2012;23(6):687-97. https://doi.org/10.1007/s00192-011-1651-5 Berghmans LC, Hendriks HJ, De Bie RA, van Waalwijk van Doorn ES, Bø K, van Kerrebroeck PE. Conservative treatment of urge urinary incontinence in women: a systematic review of randomized clinical trials. BJU Int 2000;85(3):254-63. Brubaker L. Electrical stimulation in overactive bladder. Urology 2000;55(5A Suppl):17-23;discussion 31-2. https://doi.org/ 10.1016/s0090-4295(99)00488-4 Ferreira APS, de Souza Pegorare ABG, Junior AM, Salgado PR, Medola FO, Christofoletti G. A controlled clinical trial on the effects of exercise on lower urinary tract symptoms in women with multiple sclerosis. Am J Phys Med Rehabil 2019;98(9):777-82. https://doi.org/ 10.1097/PHM.0000000000001189 Shafik A. A study on the continent mechanism of the external urethral sphincter with identification of the “voluntary urinary inhibition reflexâ€. J Urol 1999;162:1967-71. https://doi.org/10.1016/s0022-5347(05)68080-9 López-García K, Mariscal-Tovar S, Serrano-Meneses MA, Castelán F, Martínez-Gómez M, Jiménez-Estrada I. Fiber type composition of pubococcygeus and bulbospongiosus striated muscles is modified by multiparity in the rabbit. Neurourol Urodyn 2017;36(6):1456-63. https://doi.org/ 10.1002/nau.23143 Vermandel A1, De Wachter S, Beyltjens T, D'Hondt D, Jacquemyn Y, Wyndaele JJ. Pelvic floor awareness and the positive effect of verbal instructions in 958 women early postdelivery. Int Urogynecol J Pelvic Floor Dysfunct 2015;26:223-28. https://doi.org/10.1007/s00192-014-2483-x Andrade RC, Neto JA, Andrade L, Oliveira TS, Santos DN, Oliveira CJ et al. Effects of physiotherapy in the treatment of neurogenic bladder in patients infected with human t-lymphotropic virus 1. Urology 2016;89:33-8. https://doi.org/10.1016/j.urology.2015.09.0362526-9747https://repositorio.ufms.br/handle/123456789/4912https://doi.org/10.33233/fb.v20i4.2555Introdução: A esclerose múltipla (EM) é a mais comum das doenças desmielinizantes, caracterizada pela localização de múltiplas placas de desmielinização na substância branca encefálica e medular. A mielopatia associada ao HTLV-I (HAM/TSP) é uma doença neurodegenerativa progressiva cuja resposta imune é exacerbada. Objetivo: Avaliar o efeito da eletroterapia na musculatura do assoalho pélvico (MAP) sobre os sintomas hiperatividade detrusora em mulheres com EM e HTLV-1. Métodos: Ensaio clí­nico randomizado e controlado com 4 meses de acompanhamento, no qual 20 mulheres em estágio moderado de EM ou HTLV-1 submetidas a um programa de treinamento da MAP associado ou não í eletroterapia. As variáveis analisadas foram: sintomas de bexiga hiperativa (BH) pelo questionário validado OAB v8, contração perineal pelo esquema PERFECT e í­ndice de qualidade de vida por meio do questionário Qualiveen. Divididas em dois grupos, grupo controle (G2) e grupo tratamento (G1) que foi submetido a um protocolo de treinamento da MAP, realizado duas vezes por semana por 20 sessões e após este perí­odo de tempo todas as mulheres foram reavaliadas. Resultados: Sob-homogeneidade inicial observada nas variáveis pessoais e clí­nicas, o protocolo a que o grupo tratamento (G1) foi submetido resultou na melhora da contração voluntária (p ≤ 0,001), teste de esforço (p ≤ 0,001), reflexo cutâneo-anal (p ≤ 0,001), força de contração (p ≤ 0,001), sustentação (p ≤ 0,001), contrações rápidas (p ≤ 0,001), contrações lentas (p ≤ 0,001) e nos sintomas de bexiga hiperativa (p ≤ 0,001), em relação í comparação inicial. Os resultados comprovam a eficácia de exercí­cios de fortalecimento da MAP acompanhados por um fisioterapeuta e o uso de correntes eletroterápicas de média frequência para o tratamento da BH na Esclerose Múltipla e na mielopatia associada ao HTLV-1. Conclusão: O protocolo de eletroestimulação mostrou-se benéfico em pacientes com EM e HTLV-1, promovendo melhora da BH e grau de contração perineal.Introduction: Multiple sclerosis (MS) is the most common of demyelinating diseases, characterized by multiple demyelination plaques in white brain and spinal cord. Myelopathy associated with HTLV-I (HAM/TSP) is a progressive neurodegenerative disease whose immune response is exacerbated. Objective: To evaluate the effect of electrotherapy in the pelvic floor muscles (MAP) on the symptoms of overactive bladder in women with MS and HTLV-1. Methods: Randomized, controlled clinical trial with 4 months of follow-up, in which 20 women in the moderate stage of MS or HTLV-1 performed a MAP training program associated or not with electrotherapy. The variables analyzed were: overactive bladder, validated OAB v8 questionnaire, perineal contraction by PERFECT scheme, and quality of life index using the Qualiveen questionnaire. Divided into two groups, control group (G2) and treatment group (G1) who underwent a MAP training protocol, performed twice a week for 20 sessions and after this time period all the women were re-evaluated. Results: Under initial homogeneity observed in the personal and clinical variables, the protocol to which the treatment group (G1) was submitted resulted in the improvement of the voluntary contraction (p = 0.001), stress test (p ≤ 0.001), pudendo-anal reflex (p ≤ 0.001), contraction force (p ≤ 0.001), sustentation (p ≤ 0.001), rapid contractions (p ≤ 0.001), slow contractions (p ≤ 0.001) and symptoms of overactive bladder (p ≤ 0.001) compared to the initial controle. The results demonstrate the effectiveness of MAP strengthening exercises followed by a physiotherapist and the use of medium frequency electrotherapy currents for the treatment of BH in multiple sclerosis and HTLV-1 associated myelopathy. Conclusion: The protocol of electrostimulation was beneficial in patients with MS and HTLV-1, promoting improvement of overactive bladder and degree of perineal contraction.porFisioterapia BrasilAttribution 3.0 Brazilhttp://creativecommons.org/licenses/by/3.0/br/info:eu-repo/semantics/openAccessFisioterapia e Terapia Ocupacionalbexiga hiperativamodalidades de fisioterapiaassoalho pélvicoTreinamento do assoalho pélvico com ou sem eletroterapia no tratamento dos sintomas da hiperatividade do detrusor em mulheres com esclerose múltipla e mielopatia associada ao HTLV-I (HAM/TSP): um ensaio clí­nico randomizadoPelvic floor training with or without electrotherapy in the treatment of detrusor overactivity symptoms in women with multiple sclerosis e myelopathy associated with HTLV-I (HAM/TSP): a randomized controlled trialinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article204500508Bottini, Dayane Aparecida Moises CaetanoAssis, Peterson Vieira deSalgado, Pedro RippelDomingos, João AméricoChristofoletti, GustavoPegorare, Ana Beatriz Gomes de SouzaBrasilreponame:Repositório Institucional da UFMSinstname:Universidade Federal de Mato Grosso do Sul (UFMS)instacron:UFMSLICENSElicense.txtlicense.txttext/plain; charset=utf-82031https://repositorio.ufms.br/bitstream/123456789/4912/3/license.txt9671aa5ac42cb06edaf75013367dfe04MD53CC-LICENSElicense_rdflicense_rdfapplication/rdf+xml; charset=utf-8914https://repositorio.ufms.br/bitstream/123456789/4912/2/license_rdf4d2950bda3d176f570a9f8b328dfbbefMD52ORIGINALFisioterapia Brasil.pdfFisioterapia Brasil.pdfArticleapplication/pdf280559https://repositorio.ufms.br/bitstream/123456789/4912/1/Fisioterapia%20Brasil.pdf1389bfc3ce27adba0ae6a94fc9d5a3b9MD51123456789/49122022-07-09 14:17:36.721oai:repositorio.ufms.br:123456789/4912TElDRU7Dh0EgREUgRElTVFJJQlVJw4fDg08gTsODTyBFWENMVVNJVkEKCkFvIGFzc2luYXIgZSBlbnZpYXIgZXN0YSBsaWNlbsOnYSwgdm9jw6ogKG8ocykgYXV0b3IoZXMpIG91IHByb3ByaWV0w6FyaW8gZG8gZGlyZWl0byBhdXRvcmFsKSBjb25jZWRlIMOgIEZ1bmRhw6fDo28gVW5pdmVyc2lkYWRlIEZlZGVyYWwgZGUgTWF0byBHcm9zc28gZG8gU3VsIG8gZGlyZWl0byBuw6NvIGV4Y2x1c2l2byBkZSByZXByb2R1emlyLCB0cmFkdXppciAoY29uZm9ybWUgZGVmaW5pZG8gYWJhaXhvKSwgZS9vdSBkaXN0cmlidWlyIHN1YSBzdWJtaXNzw6NvIChpbmNsdWluZG8gbyByZXN1bW8pIGVtIHRvZG8gbyBtdW5kbyBlbSBmb3JtYXRvIGltcHJlc3NvIGUgZWxldHLDtG5pY28gZSBlbSBxdWFscXVlciBtZWlvLCBpbmNsdWluZG8sIG1hcyBuw6NvIGxpbWl0YWRvIGEgw6F1ZGlvIG91IHbDrWRlby4KClZvY8OqIGNvbmNvcmRhIHF1ZSBhIEZ1bmRhw6fDo28gVW5pdmVyc2lkYWRlIEZlZGVyYWwgZGUgTWF0byBHcm9zc28gZG8gU3VsIHBvZGUsIHNlbSBhbHRlcmFyIG8gY29udGXDumRvLCB0cmFkdXppciBvIHN1Ym1pc3PDo28gYSBxdWFscXVlciBtZWlvIG91IGZvcm1hdG8gcGFyYSBmaW5zIGRlIHByZXNlcnZhw6fDo28uCgpWb2PDqiB0YW1iw6ltIGNvbmNvcmRhIHF1ZSBhIEZ1bmRhw6fDo28gVW5pdmVyc2lkYWRlIEZlZGVyYWwgZGUgTWF0byBHcm9zc28gZG8gU3VsIHBvZGUgbWFudGVyIG1haXMgZGUgdW1hIGPDs3BpYSBkZXN0ZSBlbnZpbyBwYXJhIGZpbnMgZGUgc2VndXJhbsOnYSwgYmFja3VwIGUgcHJlc2VydmHDp8Ojby4KClZvY8OqIGRlY2xhcmEgcXVlIGEgc3VibWlzc8OjbyDDqSBzZXUgdHJhYmFsaG8gb3JpZ2luYWwgZSBxdWUgdm9jw6ogdGVtIG8gZGlyZWl0byBkZSBjb25jZWRlciBvcyBkaXJlaXRvcyBjb250aWRvcyBuZXN0YSBsaWNlbsOnYS4gVm9jw6ogdGFtYsOpbSByZXByZXNlbnRhIHF1ZSBhIHN1YSBzdWJtaXNzw6NvIG7Do28gaW5mcmluZ2UsIG5vIG1lbGhvciBkZSBzZXUgY29uaGVjaW1lbnRvLCBxdWFscXVlciB1bSBkb3MgZGlyZWl0b3MgYXV0b3JhaXMuCgpTZSBhIGFwcmVzZW50YcOnw6NvIGNvbnRpdmVyIG1hdGVyaWFsIHBhcmEgbyBxdWFsIHZvY8OqIG7Do28gcG9zc3VpIGRpcmVpdG9zIGF1dG9yYWlzLCB2b2PDqiBkZWNsYXJhIHF1ZSBvYnRldmUgYSBwZXJtaXNzw6NvIGlycmVzdHJpdGEgZG8gcHJvcHJpZXTDoXJpbyBkb3MgZGlyZWl0b3MgYXV0b3JhaXMgcGFyYSBjb25jZWRlciDDoCBGdW5kYcOnw6NvIFVuaXZlcnNpZGFkZSBGZWRlcmFsIGRlIE1hdG8gR3Jvc3NvIGRvIFN1bCBvcyBkaXJlaXRvcyBleGlnaWRvcyBwb3IgZXN0YSBsaWNlbsOnYSwgZSBtYXRlcmlhbCBkZSBwcm9wcmllZGFkZSBkZSB0ZXJjZWlyb3Mgw6kgY2xhcmFtZW50ZSBpZGVudGlmaWNhZG8gZSByZWNvbmhlY2lkbyBkZW50cm8gZG8gdGV4dG8gb3UgY29udGXDumRvIGRhIHN1Ym1pc3PDo28uCgpTRSBBIFNVQk1JU1PDg08gRVNUSVZFUiBCQVNFQURBIEVNIFRSQUJBTEhPIFFVRSBGT0kgUEFUUk9DSU5BRE8gT1UgQVBPSUFETyBQT1IgVU1BIEFHw4pOQ0lBIE9VIE9SR0FOSVpBw4fDg08gUVVFIE7Dg08gQSBGVU5EQcOHw4NPIFVOSVZFUlNJREFERSBGRURFUkFMIERFIE1BVE8gR1JPU1NPIERPIFNVTCwgVk9Dw4ogUkVQUkVTRU5UQSBRVUUgVEVNIENVTVBSSURPIFFVQUxRVUVSIERJUkVJVE8gREUgUkVWSVPDg08gT1UgT1VUUkFTIE9CUklHQcOHw5VFUyBSRVFVRVJJREFTIFBPUiBUQUlTIENPTlRSQVRPIE9VIEFDT1JETy4KCkEgRnVuZGHDp8OjbyBVbml2ZXJzaWRhZGUgRmVkZXJhbCBkZSBNYXRvIEdyb3NzbyBkbyBTdWwgaWRlbnRpZmljYXLDoSBjbGFyYW1lbnRlIHNldSAocykgbm9tZSAocykgY29tbyBhdXRvciAoZXMpIG91IHByb3ByaWV0w6FyaW8gKHMpIGRhIHN1Ym1pc3PDo28sIGUgbsOjbyBmYXLDoSBuZW5odW1hIGFsdGVyYcOnw6NvLCBhIG7Do28gc2VyIGNvbW8gcGVybWl0aWRvIHBvciBlc3RlIGxpY2Vuw6dhLCBwYXJhIG8gc2V1IGVudmlvLgoKRepositório InstitucionalPUBhttps://repositorio.ufms.br/oai/requestri.prograd@ufms.bropendoar:21242022-07-09T18:17:36Repositório Institucional da UFMS - Universidade Federal de Mato Grosso do Sul (UFMS)false
dc.title.pt_BR.fl_str_mv Treinamento do assoalho pélvico com ou sem eletroterapia no tratamento dos sintomas da hiperatividade do detrusor em mulheres com esclerose múltipla e mielopatia associada ao HTLV-I (HAM/TSP): um ensaio clí­nico randomizado
dc.title.alternative.pt_BR.fl_str_mv Pelvic floor training with or without electrotherapy in the treatment of detrusor overactivity symptoms in women with multiple sclerosis e myelopathy associated with HTLV-I (HAM/TSP): a randomized controlled trial
title Treinamento do assoalho pélvico com ou sem eletroterapia no tratamento dos sintomas da hiperatividade do detrusor em mulheres com esclerose múltipla e mielopatia associada ao HTLV-I (HAM/TSP): um ensaio clí­nico randomizado
spellingShingle Treinamento do assoalho pélvico com ou sem eletroterapia no tratamento dos sintomas da hiperatividade do detrusor em mulheres com esclerose múltipla e mielopatia associada ao HTLV-I (HAM/TSP): um ensaio clí­nico randomizado
Bottini, Dayane Aparecida Moises Caetano
Fisioterapia e Terapia Ocupacional
bexiga hiperativa
modalidades de fisioterapia
assoalho pélvico
title_short Treinamento do assoalho pélvico com ou sem eletroterapia no tratamento dos sintomas da hiperatividade do detrusor em mulheres com esclerose múltipla e mielopatia associada ao HTLV-I (HAM/TSP): um ensaio clí­nico randomizado
title_full Treinamento do assoalho pélvico com ou sem eletroterapia no tratamento dos sintomas da hiperatividade do detrusor em mulheres com esclerose múltipla e mielopatia associada ao HTLV-I (HAM/TSP): um ensaio clí­nico randomizado
title_fullStr Treinamento do assoalho pélvico com ou sem eletroterapia no tratamento dos sintomas da hiperatividade do detrusor em mulheres com esclerose múltipla e mielopatia associada ao HTLV-I (HAM/TSP): um ensaio clí­nico randomizado
title_full_unstemmed Treinamento do assoalho pélvico com ou sem eletroterapia no tratamento dos sintomas da hiperatividade do detrusor em mulheres com esclerose múltipla e mielopatia associada ao HTLV-I (HAM/TSP): um ensaio clí­nico randomizado
title_sort Treinamento do assoalho pélvico com ou sem eletroterapia no tratamento dos sintomas da hiperatividade do detrusor em mulheres com esclerose múltipla e mielopatia associada ao HTLV-I (HAM/TSP): um ensaio clí­nico randomizado
author Bottini, Dayane Aparecida Moises Caetano
author_facet Bottini, Dayane Aparecida Moises Caetano
Assis, Peterson Vieira de
Salgado, Pedro Rippel
Domingos, João Américo
Christofoletti, Gustavo
Pegorare, Ana Beatriz Gomes de Souza
author_role author
author2 Assis, Peterson Vieira de
Salgado, Pedro Rippel
Domingos, João Américo
Christofoletti, Gustavo
Pegorare, Ana Beatriz Gomes de Souza
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Bottini, Dayane Aparecida Moises Caetano
Assis, Peterson Vieira de
Salgado, Pedro Rippel
Domingos, João Américo
Christofoletti, Gustavo
Pegorare, Ana Beatriz Gomes de Souza
dc.subject.cnpq.fl_str_mv Fisioterapia e Terapia Ocupacional
topic Fisioterapia e Terapia Ocupacional
bexiga hiperativa
modalidades de fisioterapia
assoalho pélvico
dc.subject.por.fl_str_mv bexiga hiperativa
modalidades de fisioterapia
assoalho pélvico
description Introdução: A esclerose múltipla (EM) é a mais comum das doenças desmielinizantes, caracterizada pela localização de múltiplas placas de desmielinização na substância branca encefálica e medular. A mielopatia associada ao HTLV-I (HAM/TSP) é uma doença neurodegenerativa progressiva cuja resposta imune é exacerbada. Objetivo: Avaliar o efeito da eletroterapia na musculatura do assoalho pélvico (MAP) sobre os sintomas hiperatividade detrusora em mulheres com EM e HTLV-1. Métodos: Ensaio clí­nico randomizado e controlado com 4 meses de acompanhamento, no qual 20 mulheres em estágio moderado de EM ou HTLV-1 submetidas a um programa de treinamento da MAP associado ou não í eletroterapia. As variáveis analisadas foram: sintomas de bexiga hiperativa (BH) pelo questionário validado OAB v8, contração perineal pelo esquema PERFECT e í­ndice de qualidade de vida por meio do questionário Qualiveen. Divididas em dois grupos, grupo controle (G2) e grupo tratamento (G1) que foi submetido a um protocolo de treinamento da MAP, realizado duas vezes por semana por 20 sessões e após este perí­odo de tempo todas as mulheres foram reavaliadas. Resultados: Sob-homogeneidade inicial observada nas variáveis pessoais e clí­nicas, o protocolo a que o grupo tratamento (G1) foi submetido resultou na melhora da contração voluntária (p ≤ 0,001), teste de esforço (p ≤ 0,001), reflexo cutâneo-anal (p ≤ 0,001), força de contração (p ≤ 0,001), sustentação (p ≤ 0,001), contrações rápidas (p ≤ 0,001), contrações lentas (p ≤ 0,001) e nos sintomas de bexiga hiperativa (p ≤ 0,001), em relação í comparação inicial. Os resultados comprovam a eficácia de exercí­cios de fortalecimento da MAP acompanhados por um fisioterapeuta e o uso de correntes eletroterápicas de média frequência para o tratamento da BH na Esclerose Múltipla e na mielopatia associada ao HTLV-1. Conclusão: O protocolo de eletroestimulação mostrou-se benéfico em pacientes com EM e HTLV-1, promovendo melhora da BH e grau de contração perineal.
publishDate 2019
dc.date.available.fl_str_mv 2019-04-30
dc.date.issued.fl_str_mv 2019-04-30
dc.date.accessioned.fl_str_mv 2022-07-09T18:17:36Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.citation.fl_str_mv Milanlioglu A, Ozdemir PG, Cilingir V, Gülec TÇ, Aydin MN, Tombul T. Coping strategies and mood profiles in patients with multiple sclerosis. Arq Neuropsiquiatr 2014;72(7):490-5. https://dx.doi.org/10.1590/0004-282X20140089 Bromstrom S, Frederiksen JL, Jennum P, Lose G. Motor evoked potentials from the pelvic floor in patients with multiple sclerosis. J Neurol Neurosurg Psychiatry 2003;74(4):498-500. https://doi.org/10.1136/jnnp.74.4.498 Wang T, Huang W, Zhang Y. Clinical characteristics and urodynamic analysis of urinary dysfunction in multiple sclerosis. Chin Med J (Engl) 2016;129(6):645-50. https://doi.org/10.4103/0366-6999.177970 Rojas JI, Romano M, Patrucco L, Cristiano E. A Systematic review about the epidemiology of primary progressive multiple sclerosis in Latin America and the Caribbean. Mult Scler Relat Disord 2018;24;22:1-7. https://doi.org/10.1016/j.msard.2018.02.024 Hollsberg P. Pathogenesis of chronic progressive myelopathy associated with human T-cell lymphotropic virus type I. Acta Neurol Scand Suppl 1997;169:86-93. Enose-Akahata Y, Vellucci A, Jacobson S. Role of HTLV-1 Tax and HBZ in the pathogenesis of HAM/TSP. Front Microbiol 2017;8:2563. https://doi.org/10.3389/fmicb.2017.02563 Souza A, Tanajura D, Toledo-Cornell C, Santos S, Carvalho EM. Immunopathogenesis and neurological manifestations associated to HTLV-1 infection. Revista da Sociedade Brasileira de Medicina Tropical 2012;45(5):545-52. https://doi.org/10.1590/S0037-86822012000500002 Araujo AQ. Update on Neurological Manifestations of HTLV-1 Infection. Curr Infect Dis Rep 2015;17(2):459. https://doi.org/10.1007/s11908-014-0459-0 Troisgros O, Barnay JL, Darbon-Naghibzadeh F, Olive P, René-Corail P. Retrospective clinic and urodynamic study in the neurogenic bladder dysfunction caused by human T cell lymphotrophic virus type 1 associated myelopathy/tropical spastic paraparesis (HAM/TSP). Neurourol Urodyn 2017;36(2):449-452. https://doi.org/10.1002/nau.22952 Nakamura T, Matsuo T. Human T-lymphotropic virus type I-associated myelopathy. Brain Nerve 2015;67(7):845-58. https://doi.org/10.11477/mf.1416200223 Nardulli R, Losavio E, Ranieri M, Fiore P, Megna G, Bellomo RG et al. Combined antimuscarinics for treatment of neurogenic overactive bladder. Int J Immunopathol Pharmacol 2012;25(1 Suppl):35S-41S. Pereira CMA, Castiglione M, Kasawara KT. Effects of physiotherapy treatment for urinary incontinence in patient with multiple sclerosis. J Phys Ther Sci 2017;29(7):1259-63. https://doi.org/10.1589/jpts.28.1259 Ferreira AP, Pegorare AB, Salgado PR, Casafus FS, Christofoletti G. impact of a pelvic floor training program among women with multiple sclerosis: a controlled clinical trial. Am J Phys Med Rehabil 2016;95(1):1-8. https://doi.org/10.1097/PHM.0000000000000302 Lúcio A, D´ancona CA, Perissinotto MC, McLean L, Damasceno BP, Moraes Lopes MH. Pelvic floor muscle training with and without electrical stimulation in the treatment of lower urinary tract symptoms in women with multiple sclerosis. J Wound Ostomy Continence Nurs 2016;43(4):414-9. https://doi.org/10.1097/WON.0000000000000223 Olivera CK, Meriwether K, El-Nashar S, Grimes CL, Chen CC, Orejuela F, et al. Nonantimuscarinic treatment for overactive bladder: a systematic review. Am J Obstet Gynecol 2016;215(1):34-57. https://doi.org/10.1016/j.ajog.2016.01.156 Kurtzke JF. Rating neurologic impairment in multiple sclerosis: an expanded disability status scale (EDSS). Neurology 1983;33(11):1444-52. https://doi.org/10.1212/wnl.33.11.1444 Bonniaud V, Bryant D, Parratte B, Gallien P, Guyatt G. Qualiveen: a urinary disorder-specific instrument for use in clinical trials in multiple sclerosis. Arch Phys Med Rehabil. 2006;87(12):1661-3. https://doi.org/10.1016/j.apmr.2006.08.345 Acquadro C, Kopp Z, Coyne KS, Corcos J, Tubaro A, Choo MS, Oh SJ. Translating overactive bladder questionnaires in 14 languages. Urology 2006;67(3):536-40. https://doi.org/10.1016/j.urology.2005.09.035 Laycock J, Jerwood D. Pelvic floor muscle assessment: The PERFECT Scheme. Physiotherapy 2001;87(12):631-42. https://doi.org/10.1016/S0031-9406(05)61108-X Zecca C, Riccitelli GC, Disanto G, Singh A, Digesu GA, Panicari L et al. Urinary incontinence in multiple sclerosis: prevalence, severity and impact on patients quality of life. Eur J Neurol 2016;23(7):1228-34. https://doi.org/10.1111/ene.13010 Rodrigues RF, Silva EB. Intracavitary electrical stimulation as treatment for overactive bladder: systematic review. Fisioter. Mov 2016;29(4):813-20. https://doi.org/10.1590/1980-5918.029.004.ao18 Schreiner L, Santos TG, Souza ABA, Nygaard CC, Silva. Filho IG. Electrical stimulation for urinary incontinence in women: a systematic review. Int Braz J Urol 2013;39(4):454-64. https://doi.org/10.1590/S1677-5538.IBJU.2013.04.02 Greer JA, Smith AL, Arya LA. Pelvic floor muscle training for urgency urinary incontinence in women: a systematic review. Int Urogynecol J 2012;23(6):687-97. https://doi.org/10.1007/s00192-011-1651-5 Berghmans LC, Hendriks HJ, De Bie RA, van Waalwijk van Doorn ES, Bø K, van Kerrebroeck PE. Conservative treatment of urge urinary incontinence in women: a systematic review of randomized clinical trials. BJU Int 2000;85(3):254-63. Brubaker L. Electrical stimulation in overactive bladder. Urology 2000;55(5A Suppl):17-23;discussion 31-2. https://doi.org/ 10.1016/s0090-4295(99)00488-4 Ferreira APS, de Souza Pegorare ABG, Junior AM, Salgado PR, Medola FO, Christofoletti G. A controlled clinical trial on the effects of exercise on lower urinary tract symptoms in women with multiple sclerosis. Am J Phys Med Rehabil 2019;98(9):777-82. https://doi.org/ 10.1097/PHM.0000000000001189 Shafik A. A study on the continent mechanism of the external urethral sphincter with identification of the “voluntary urinary inhibition reflexâ€. J Urol 1999;162:1967-71. https://doi.org/10.1016/s0022-5347(05)68080-9 López-García K, Mariscal-Tovar S, Serrano-Meneses MA, Castelán F, Martínez-Gómez M, Jiménez-Estrada I. Fiber type composition of pubococcygeus and bulbospongiosus striated muscles is modified by multiparity in the rabbit. Neurourol Urodyn 2017;36(6):1456-63. https://doi.org/ 10.1002/nau.23143 Vermandel A1, De Wachter S, Beyltjens T, D'Hondt D, Jacquemyn Y, Wyndaele JJ. Pelvic floor awareness and the positive effect of verbal instructions in 958 women early postdelivery. Int Urogynecol J Pelvic Floor Dysfunct 2015;26:223-28. https://doi.org/10.1007/s00192-014-2483-x Andrade RC, Neto JA, Andrade L, Oliveira TS, Santos DN, Oliveira CJ et al. Effects of physiotherapy in the treatment of neurogenic bladder in patients infected with human t-lymphotropic virus 1. Urology 2016;89:33-8. https://doi.org/10.1016/j.urology.2015.09.036
dc.identifier.uri.fl_str_mv https://repositorio.ufms.br/handle/123456789/4912
dc.identifier.issn.pt_BR.fl_str_mv 2526-9747
dc.identifier.doi.pt_BR.fl_str_mv https://doi.org/10.33233/fb.v20i4.2555
identifier_str_mv Milanlioglu A, Ozdemir PG, Cilingir V, Gülec TÇ, Aydin MN, Tombul T. Coping strategies and mood profiles in patients with multiple sclerosis. Arq Neuropsiquiatr 2014;72(7):490-5. https://dx.doi.org/10.1590/0004-282X20140089 Bromstrom S, Frederiksen JL, Jennum P, Lose G. Motor evoked potentials from the pelvic floor in patients with multiple sclerosis. J Neurol Neurosurg Psychiatry 2003;74(4):498-500. https://doi.org/10.1136/jnnp.74.4.498 Wang T, Huang W, Zhang Y. Clinical characteristics and urodynamic analysis of urinary dysfunction in multiple sclerosis. Chin Med J (Engl) 2016;129(6):645-50. https://doi.org/10.4103/0366-6999.177970 Rojas JI, Romano M, Patrucco L, Cristiano E. A Systematic review about the epidemiology of primary progressive multiple sclerosis in Latin America and the Caribbean. Mult Scler Relat Disord 2018;24;22:1-7. https://doi.org/10.1016/j.msard.2018.02.024 Hollsberg P. Pathogenesis of chronic progressive myelopathy associated with human T-cell lymphotropic virus type I. Acta Neurol Scand Suppl 1997;169:86-93. Enose-Akahata Y, Vellucci A, Jacobson S. Role of HTLV-1 Tax and HBZ in the pathogenesis of HAM/TSP. Front Microbiol 2017;8:2563. https://doi.org/10.3389/fmicb.2017.02563 Souza A, Tanajura D, Toledo-Cornell C, Santos S, Carvalho EM. Immunopathogenesis and neurological manifestations associated to HTLV-1 infection. Revista da Sociedade Brasileira de Medicina Tropical 2012;45(5):545-52. https://doi.org/10.1590/S0037-86822012000500002 Araujo AQ. Update on Neurological Manifestations of HTLV-1 Infection. Curr Infect Dis Rep 2015;17(2):459. https://doi.org/10.1007/s11908-014-0459-0 Troisgros O, Barnay JL, Darbon-Naghibzadeh F, Olive P, René-Corail P. Retrospective clinic and urodynamic study in the neurogenic bladder dysfunction caused by human T cell lymphotrophic virus type 1 associated myelopathy/tropical spastic paraparesis (HAM/TSP). Neurourol Urodyn 2017;36(2):449-452. https://doi.org/10.1002/nau.22952 Nakamura T, Matsuo T. Human T-lymphotropic virus type I-associated myelopathy. Brain Nerve 2015;67(7):845-58. https://doi.org/10.11477/mf.1416200223 Nardulli R, Losavio E, Ranieri M, Fiore P, Megna G, Bellomo RG et al. Combined antimuscarinics for treatment of neurogenic overactive bladder. Int J Immunopathol Pharmacol 2012;25(1 Suppl):35S-41S. Pereira CMA, Castiglione M, Kasawara KT. Effects of physiotherapy treatment for urinary incontinence in patient with multiple sclerosis. J Phys Ther Sci 2017;29(7):1259-63. https://doi.org/10.1589/jpts.28.1259 Ferreira AP, Pegorare AB, Salgado PR, Casafus FS, Christofoletti G. impact of a pelvic floor training program among women with multiple sclerosis: a controlled clinical trial. Am J Phys Med Rehabil 2016;95(1):1-8. https://doi.org/10.1097/PHM.0000000000000302 Lúcio A, D´ancona CA, Perissinotto MC, McLean L, Damasceno BP, Moraes Lopes MH. Pelvic floor muscle training with and without electrical stimulation in the treatment of lower urinary tract symptoms in women with multiple sclerosis. J Wound Ostomy Continence Nurs 2016;43(4):414-9. https://doi.org/10.1097/WON.0000000000000223 Olivera CK, Meriwether K, El-Nashar S, Grimes CL, Chen CC, Orejuela F, et al. Nonantimuscarinic treatment for overactive bladder: a systematic review. Am J Obstet Gynecol 2016;215(1):34-57. https://doi.org/10.1016/j.ajog.2016.01.156 Kurtzke JF. Rating neurologic impairment in multiple sclerosis: an expanded disability status scale (EDSS). Neurology 1983;33(11):1444-52. https://doi.org/10.1212/wnl.33.11.1444 Bonniaud V, Bryant D, Parratte B, Gallien P, Guyatt G. Qualiveen: a urinary disorder-specific instrument for use in clinical trials in multiple sclerosis. Arch Phys Med Rehabil. 2006;87(12):1661-3. https://doi.org/10.1016/j.apmr.2006.08.345 Acquadro C, Kopp Z, Coyne KS, Corcos J, Tubaro A, Choo MS, Oh SJ. Translating overactive bladder questionnaires in 14 languages. Urology 2006;67(3):536-40. https://doi.org/10.1016/j.urology.2005.09.035 Laycock J, Jerwood D. Pelvic floor muscle assessment: The PERFECT Scheme. Physiotherapy 2001;87(12):631-42. https://doi.org/10.1016/S0031-9406(05)61108-X Zecca C, Riccitelli GC, Disanto G, Singh A, Digesu GA, Panicari L et al. Urinary incontinence in multiple sclerosis: prevalence, severity and impact on patients quality of life. Eur J Neurol 2016;23(7):1228-34. https://doi.org/10.1111/ene.13010 Rodrigues RF, Silva EB. Intracavitary electrical stimulation as treatment for overactive bladder: systematic review. Fisioter. Mov 2016;29(4):813-20. https://doi.org/10.1590/1980-5918.029.004.ao18 Schreiner L, Santos TG, Souza ABA, Nygaard CC, Silva. Filho IG. Electrical stimulation for urinary incontinence in women: a systematic review. Int Braz J Urol 2013;39(4):454-64. https://doi.org/10.1590/S1677-5538.IBJU.2013.04.02 Greer JA, Smith AL, Arya LA. Pelvic floor muscle training for urgency urinary incontinence in women: a systematic review. Int Urogynecol J 2012;23(6):687-97. https://doi.org/10.1007/s00192-011-1651-5 Berghmans LC, Hendriks HJ, De Bie RA, van Waalwijk van Doorn ES, Bø K, van Kerrebroeck PE. Conservative treatment of urge urinary incontinence in women: a systematic review of randomized clinical trials. BJU Int 2000;85(3):254-63. Brubaker L. Electrical stimulation in overactive bladder. Urology 2000;55(5A Suppl):17-23;discussion 31-2. https://doi.org/ 10.1016/s0090-4295(99)00488-4 Ferreira APS, de Souza Pegorare ABG, Junior AM, Salgado PR, Medola FO, Christofoletti G. A controlled clinical trial on the effects of exercise on lower urinary tract symptoms in women with multiple sclerosis. Am J Phys Med Rehabil 2019;98(9):777-82. https://doi.org/ 10.1097/PHM.0000000000001189 Shafik A. A study on the continent mechanism of the external urethral sphincter with identification of the “voluntary urinary inhibition reflexâ€. J Urol 1999;162:1967-71. https://doi.org/10.1016/s0022-5347(05)68080-9 López-García K, Mariscal-Tovar S, Serrano-Meneses MA, Castelán F, Martínez-Gómez M, Jiménez-Estrada I. Fiber type composition of pubococcygeus and bulbospongiosus striated muscles is modified by multiparity in the rabbit. Neurourol Urodyn 2017;36(6):1456-63. https://doi.org/ 10.1002/nau.23143 Vermandel A1, De Wachter S, Beyltjens T, D'Hondt D, Jacquemyn Y, Wyndaele JJ. Pelvic floor awareness and the positive effect of verbal instructions in 958 women early postdelivery. Int Urogynecol J Pelvic Floor Dysfunct 2015;26:223-28. https://doi.org/10.1007/s00192-014-2483-x Andrade RC, Neto JA, Andrade L, Oliveira TS, Santos DN, Oliveira CJ et al. Effects of physiotherapy in the treatment of neurogenic bladder in patients infected with human t-lymphotropic virus 1. Urology 2016;89:33-8. https://doi.org/10.1016/j.urology.2015.09.036
2526-9747
url https://repositorio.ufms.br/handle/123456789/4912
https://doi.org/10.33233/fb.v20i4.2555
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dc.relation.ispartof.pt_BR.fl_str_mv Fisioterapia Brasil
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rights_invalid_str_mv Attribution 3.0 Brazil
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