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Romão GS, Schreiner L, Laranjeiras CLS, Bella ZIKDJD, Coelho RA, Simões MDCR, Correa Júnior MD, Brito MB, Steiner ML, Trapani Junior A, Barcelos IDES, Zaconeta ACM, Reis FJCD, Abrão KC, Botogoski SR, Fortunato GDG, Damasio LCVDC, Sá MFSD, Fernandes CE, Silva Filho ALD. Medical Residency in Gynecology and Obstetrics in Times of COVID-19: Recommendations of the National Specialized Commission on Medical Residency of FEBRASGO. Rev Bras Ginecol Obstet 2020; 42:411-414. [PMID: 32736392 PMCID: PMC10316831 DOI: 10.1055/s-0040-1715147] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Affiliation(s)
| | - Lucas Schreiner
- Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, RS, Brazil
| | | | | | | | | | | | | | | | - Alberto Trapani Junior
- Hospital Universitário, Universidade Federal de Santa Catarina, Florianópolis, SC, Brazil
| | | | | | | | - Karen Cristina Abrão
- Escola de Ciências da Saúde, Universidade Anhembi Morumbi, São Paulo, SP, Brazil
| | - Sheldon Rodrigo Botogoski
- Pontifícia Universidade Católica do Paraná, Curitiba, PR, Brazil.,Universidade Federal do Paraná, Curitiba, PR, Brazil
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Torelli L, de Jarmy Di Bella ZIK, Rodrigues CA, Stüpp L, Girão MJBC, Sartori MGF. Effectiveness of adding voluntary pelvic floor muscle contraction to a Pilates exercise program: an assessor-masked randomized controlled trial. Int Urogynecol J 2016; 27:1743-1752. [PMID: 27250831 DOI: 10.1007/s00192-016-3037-1] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/18/2015] [Accepted: 05/02/2016] [Indexed: 10/21/2022]
Abstract
INTRODUCTION AND HYPOTHESIS The purpose of this study was to evaluate the effectiveness of adding voluntary pelvic floor muscle contraction (PFMC) to a Pilates exercise program in sedentary nulliparous women. METHODS Fifty-seven healthy nulliparous and physically inactive women were randomized to a Pilates exercise program (PEP) with or without PFMC. Forty-eight women concluded this study (24 participants for each group). Each woman was evaluated before and after the PEP, by a physiotherapist and an urogynecologist (UG). Neither of the professionals was revealed to them. This physiotherapist measured their pelvic floor muscle strength by using both a perineometer (Peritron) and vaginal palpation (Oxford Scale). The UG, who performed 3D perineal ultrasound examinations, collected their data and evaluated the results for pubovisceral muscle thickness and the levator hiatus area (LA). Both professionals were blinded to the group allocation. The protocol for both groups consisted of 24 bi-weekly 1-h individual sessions of Pilates exercises, developed by another physiotherapist who specializes in PFM rehabilitation and the Pilates technique. RESULTS The PEP+ PFMC group showed significantly greater strength improvements than the PEP group when comparing the Oxford scale, vaginal pressure and pubovisceral muscle thickness during contraction measurements at baseline and post-treatment. CONCLUSIONS Our findings suggest that adding a voluntary PFMC to a Pilates exercise program is more effective than Pilates alone in improving PFM strength in sedentary nulliparous women.
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Affiliation(s)
- Luiza Torelli
- Gynecology Department of Federal University of São Paulo, Rua Diogo Jacome 1000 apt 23 Moema, Cep:04512-001, São Paulo, SP, Brazil.
| | | | - Claudinei Alves Rodrigues
- Gynecology Department of Federal University of São Paulo, Rua Diogo Jacome 1000 apt 23 Moema, Cep:04512-001, São Paulo, SP, Brazil
| | - Liliana Stüpp
- Gynecology Department of Federal University of São Paulo, Rua Diogo Jacome 1000 apt 23 Moema, Cep:04512-001, São Paulo, SP, Brazil
| | | | - Marair Gracio Ferreira Sartori
- Gynecology Department of Federal University of São Paulo, Rua Diogo Jacome 1000 apt 23 Moema, Cep:04512-001, São Paulo, SP, Brazil
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