Paiva Luciana Laureano, Ferla Lia, Darski Caroline, Catarino Bruna Maciel, Ramos José Geraldo Lopes
Curso de Fisioterapia da Escola de Educação Física, Fisioterapia e Dança da Universidade Federal do Rio Grande do Sul, Porto Alegre, Brasil.
Programa de Pós-Graduação em Ciências da Saúde: Ginecologia e Obstetrícia da Universidade Federal do Rio Grande do Sul, Rua Franklin, 200/408, Itú Sabará, Porto Alegre, RS, Brasil.
Int Urogynecol J. 2017 Mar;28(3):351-359. doi: 10.1007/s00192-016-3133-2. Epub 2016 Sep 9.
Urinary Incontinence (UI) in women is a condition that becomes more common with age. Pelvic floor muscle training (PFMT) is recommended as a first option of treatment for women with symptoms of stress urinary incontinence (SUI), mixed urinary incontinence (MUI), and for some with symptoms of urge urinary incontinence (UUI). PFMT can be performed in groups, individually, and at home, and there is no consensus as to which of the approaches is more efficient for the conservative treatment of UI. The objective was to perform a systematic review comparing the effects of group PFMT vs individual or home training in the treatment of women with UI.
Cochrane's recommendations for systematic reviews were followed. The inclusion criteria were that the studies had been carried out in adult women who suffered from UI and who underwent PFMT in a group.
Ten studies that fit the criteria previously mentioned were included in this systematic review. The meta-analysis showed that there was no difference when comparing PFMT in groups vs individual PFMT. However, when comparing PFMT in groups vs PFMT at home, the group intervention was more efficient in the treatment of UI.
PFMT is an efficient technique for the improvement of the symptoms of female UI. When PFMT was supervised by a physiotherapist, no significant difference was noted when comparing group with individual approaches.
女性尿失禁（UI）是一种随年龄增长而愈发常见的病症。盆底肌训练（PFMT）被推荐为压力性尿失禁（SUI）、混合性尿失禁（MUI）症状女性以及部分急迫性尿失禁（UUI）症状女性的首选治疗方法。PFMT可通过小组、个人以及居家方式进行，然而对于UI保守治疗而言，哪种方式更为有效尚无定论。本研究旨在系统回顾比较小组PFMT与个人或居家训练对UI女性治疗效果的差异。
遵循Cochrane系统评价的建议。纳入标准为研究对象为患有UI且接受小组PFMT的成年女性。
本系统评价纳入了10项符合上述标准的研究。荟萃分析表明，小组PFMT与个人PFMT相比无差异。然而，小组PFMT与居家PFMT相比，小组干预对UI的治疗效果更佳。
PFMT是改善女性UI症状的有效技术。当由物理治疗师监督PFMT时，小组与个人方式相比未发现显著差异。
