Radiofrequência microablativa no tratamento de sintomas urinários associados à síndrome geniturinária da menopausa
A Síndrome Geniturinária da Menopausa (GSM) é composta por um conjunto de alterações na região da...
Patrocinado por: University of Sao Paulo
Status de recrutamento
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Sexo
Fase do estudo
O objetivo deste estudo é avaliar e comparar a eficácia de uma sessão presencial versus uma sessão de instrução de fisioterapia à distância sobre a função dos músculos do assoalho pélvico (MAP), incluindo ensinar as mulheres como contrair seus MAP e como perceber uma contração correta dos MAP.
Os participantes do estudo serão designados aleatoriamente para participar de um dos três grupos de estudo: o Grupo 1 receberá instruções face a face, o Grupo 2 receberá instruções remotas em tempo real e o Grupo 3 não receberá nenhuma instrução. A medida de resultado primário é a função GFP avaliada usando a Escala de Oxford modificada.
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Critérios de Exclusão:
Participants of this group will participate in a one 15 minutes face to face session where they will receive information about anatomy, functions and dysfunctions of the pelvic floor. During the session, some teaching materials will be used (an anatomical model, prototype simulator of the functions of the PFM, posters, videos and images), in order to facilitate the learning of women about how to contract their PFM and how to avoid urinary loss by contracting their muscles. At the end of the session, the participants will have time to ask their questions and will receive a home booklet reinforcing the information given during the session including instructions for them to perform a PFM contraction during daily live situations that generate an increased intra-abdominal pressure, such as coughing, sneezing, weight lifting and other activities, as well as strategies to inhibit urge urinary incontinence (UI).
Participants of this group will be referred to a room with a computer (inside the rehabilitation center) to participate in a one 15 minutes real time remote session, where they will receive information about anatomy, functions and dysfunctions of the pelvic floor. During the session, some teaching materials will be used (an anatomical model, prototype simulator of the functions of the PFM, posters, videos and images), in order to facilitate the learning of women about how to contract their PFM and how to avoid urinary loss by contracting their muscles. At the end of the session, the participants will have time to ask their questions and will receive a home booklet reinforcing the information given during the session including instructions for them to perform a PFM contraction during daily live situations that generate an increased intra-abdominal pressure, such as coughing, sneezing, weight lifting and other activities, as well as strategies to inhibit urge UI.
Participants of this group will be assessed in the same time points of the participants of the two other groups. They will not receive any intervention or information about pelvic floor anatomy, functions and dysfunctions of the pelvic floor, however after the last assessment (20 days after) for ethical reasons they will receive the same intervention.
Contato principal: Cristine H Jorge / cristine@fmrp.usp.br
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