Pelvic floor muscle training for treatment of pelvic organ prolapse: an assessor-blinded randomized controlled trial
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2011-10-01
Autores
Stuepp, Liliana 
Magalhaes Resende, Ana Paula
Oliveira, Emerson
Castro, Rodrigo Aquino
Batista Castello Girao, Manoel Joao
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This pilot study aimed to investigate the effectiveness of pelvic floor muscle training (PFMT) for the treatment of pelvic organ prolapse.Thirty-seven women with stage II prolapse were randomized to either the intervention group (n = 21) or the control group (n = 16). the evaluation included assessments of pelvic floor muscle function and surface electromyography at baseline and post 14 weeks of treatment. the severity of prolapse was quantified by the POP-Q method and symptoms by P-QoL questionnaire.The intervention group showed significantly greater anatomic improvements in the anterior and posterior vaginal wall prolapses than did the control group (P < 0.001 and 0.025, respectively) and a decrease of symptoms. in addition, the intervention group had greater improvements in muscle strength (P < 0.001), endurance (P < 0.001), and electromyography parameters (P = 0.008) compared to the control group.PFMT is effective in the treatment of pelvic organ prolapse.
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International Urogynecology Journal. London: Springer London Ltd, v. 22, n. 10, p. 1233-1239, 2011.