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Fisioterapia para consciencia perineal: uma comparacao entre as cinesioterapias com toque digital e com auxilio do biofeedback (Physiotherapy for perineal consciousness: a comparison between pelvic floor muscle training alone and with biofeedback) [Portuguese]
Pinheiro BF, Franco GR, Feitosa SM, Yuaso DR, Castro RA, Girao MJBC
Fisioterapia em Movimento [Physical Therapy in Movement] 2012 Jul-Sep;25(3):639-648
clinical trial
5/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: Yes; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

INTRODUCTION: A significant number of women (around 30 to 50%) are unable to contract correctly their pelvic floor muscles when given a command. OBJECTIVE: This study's objective was to compare pelvic floor muscle training with digital palpation to pelvic floor muscle training with biofeedback for perineal consciousness of women with stress urinary incontinence. METHOD: It was conducted a randomized clinical trial, comprising two groups, each of them formed by five interventional women with stress urinary incontinence and without perineal consciousness. RESULTS: Initially, the biofeedback group was formed by six women and the pelvic floor muscle training group was formed by five women, but one patient was excluded from the biofeedback group during the research. It was observed that there was a statistically significant improvement in both groups for the power, endurance, fast and knowledge of the perineal region, but there was no significant difference between the two groups, ie, both treatments are equally effective. CONCLUSION: Given the results, we conclude that both pelvic floor training with digital palpation and with biofeedback are excellent treatment options to gain perineal awareness.

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