Thomaz Rafaela Prusch, Colla Cássia, Darski Caroline, Paiva Luciana Laureano
Physical Therapy Course, School of Physical Education, Physical Therapy and Dance, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil.
Postgraduate Program in Health Sciences: Gynecology and Obstetrics, Faculty of Medicine. Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil.
Int Urogynecol J. 2018 Feb;29(2):197-204. doi: 10.1007/s00192-017-3538-6. Epub 2017 Dec 20.
Stress urinary incontinence (SUI) is the most common urinary complaint among women and is defined by the International Continence Society as any involuntary loss of urine due to physical effort, sneezing or coughing. Many women with SUI state that the loss of urine occurs after performing repetitive movements, which may suggest that it is the result of fatigue of the pelvic floor muscles (PFM). Thus, we performed the systematic review of the literature on the influence of PFM fatigue on the development or worsening of the symptoms of SUI in women.
The PubMed, Scopus, EMBASE, PEDro, LILACS, SciELO, Cochrane Library, Google Scholar, CINAHL and Periódicos CAPES databases were searched for articles using the keywords "fatigue", "pelvic floor", "stress urinary incontinence" and "women", in Portuguese and in English. Methodological quality was assessed using the Downs and Black scale, and the data collected from the studies were analyzed descriptively.
Of the 2,010 articles found, five met the inclusion criteria and were analyzed. They were published between 2004 and 2015, and included a total of 30,320 women with ages ranging from 24 to 53.6 years. Of the studies analyzed, three showed an association between fatigue and SUI, and two did not show such an association.
This study confirmed that PFM fatigue can influence the development and/or worsening of SUI.
压力性尿失禁（SUI）是女性中最常见的泌尿系统问题，国际尿控协会将其定义为因身体用力、打喷嚏或咳嗽导致的任何非自愿性尿液泄漏。许多患有压力性尿失禁的女性表示，尿液泄漏发生在进行重复性动作之后，这可能表明这是盆底肌肉（PFM）疲劳的结果。因此，我们对关于盆底肌肉疲劳对女性压力性尿失禁症状发展或加重影响的文献进行了系统综述。
在PubMed、Scopus、EMBASE、PEDro、LILACS、SciELO、Cochrane图书馆、谷歌学术、CINAHL和Periódicos CAPES数据库中，使用葡萄牙语和英语关键词“疲劳”、“盆底”、“压力性尿失禁”和“女性”搜索文章。使用唐斯和布莱克量表评估方法学质量，并对从研究中收集的数据进行描述性分析。
在找到的2010篇文章中，有5篇符合纳入标准并进行了分析。这些文章发表于2004年至2015年之间，共纳入30320名年龄在24岁至53.6岁之间的女性。在分析的研究中，3项显示疲劳与压力性尿失禁之间存在关联，2项未显示这种关联。
本研究证实盆底肌肉疲劳可影响压力性尿失禁的发展和/或加重。
