Monteiro Silvia, Riccetto Cassio, Araújo Angélica, Galo Laryssa, Brito Nathália, Botelho Simone
Pontifical Catholic University of Minas Gerais (Pontifícia Universidade Católica de Minas Gerais- PUC-Minas), Belo Horizonte, Minas Gerais State, Brazil.
State University of Campinas (Universidade Estadual de Campinas - UNICAMP), Campinas, São Paulo State, Brazil.
Int Urogynecol J. 2018 Nov;29(11):1565-1573. doi: 10.1007/s00192-018-3602-x. Epub 2018 Apr 11.
Our objective was to evaluate the effectiveness of pelvic floor muscle training (PFMT) in reducing overactive bladder (OAB) symptoms in women.
Searches were performed at MEDLINE, PubMed, Physiotherapy Evidence Database (PEDro), Scielo, and Central Cochrane Library PubMed until January 2017. Controlled trials were researched by two independent reviewers. Eligible studies were restricted to random and controlled clinical trials that investigated the effectiveness of PFMT in decreasing OAB symptoms. Qualitative methodology was evaluated using the PEDro scale. Data was analyzed and interpreted qualitatively.
The final search retrieved eight studies (n = 1161 women with urgency symptoms), which were published between 2002 and 2016. The methodological scores varied between 4 and 7 in the PEDro scale. PFMT, with the objective of controlling urgent micturition, demonstrated improvements in quality of life in women with OAB. Most data in this revision came from small- to moderate-sized trials, with different and inconsistent outcome measures, which could have impacted the end results.
The literature regarding the effectiveness of PFMT in OAB remains heterogeneous and inconclusive.
我们的目标是评估盆底肌训练（PFMT）对减轻女性膀胱过度活动症（OAB）症状的有效性。
检索了截至2017年1月的MEDLINE、PubMed、物理治疗证据数据库（PEDro）、Scielo和Cochrane图书馆中央对照试验注册库。由两名独立 reviewers 检索对照试验。符合条件的研究仅限于调查PFMT减轻OAB症状有效性的随机对照临床试验。使用PEDro量表评估定性方法。对数据进行定性分析和解释。
最终检索到八项研究（n = 1161名有尿急症状的女性），发表于2002年至2016年之间。在PEDro量表中，方法学得分在4至7分之间。旨在控制急迫性排尿的PFMT显示，OAB女性的生活质量有所改善。本次综述中的大多数数据来自中小型试验，结局测量方法不同且不一致，这可能影响了最终结果。
关于PFMT治疗OAB有效性的文献仍然存在异质性且尚无定论。
