Pelvic Floor Function Laboratory, Department of Health Sciences, Ribeirão Preto Medical School, University of São Paulo (USP), Ribeirão Preto, SP, Brazil.
Women's Health Research Laboratory, Physical Therapy Department, Federal University of São Carlos (UFSCar), São Carlos, SP, Brazil.
Int Urogynecol J. 2021 Jan;32(1):203-210. doi: 10.1007/s00192-020-04542-8. Epub 2020 Sep 28.
Physiotherapy in urogynecology faces challenges to safely continuing its work, considering the adoption of social distancing measures during the COVID-19 pandemic. Some guidelines have already been published for urogynecology; however, no specific documents have been produced on physiotherapy in urogynecology. This article aimed to offer guidance regarding physiotherapy in urogynecology during the COVID-19 pandemic.
A group of experts in physiotherapy in women's health performed a literature search in the Pubmed, PEDro, Web of Science and Embase databases and proposed a clinical guideline for physiotherapy management of urogynecological disorders during the COVID-19 pandemic. This document was reviewed by other physiotherapists and a multidisciplinary panel, which analyzed the suggested topics and reached consensus. The recommendations were grouped according to their similarities and allocated into categories.
Four categories of recommendations (ethics and regulation issues, assessment of pelvic floor muscle function and dysfunction, health education and return to in-person care) were proposed. Telephysiotherapy and situations that need in-person care were also discussed. Regionalization is another topic that was considered.
This study provides some guidance for continuity of the physiotherapist's work in urogynecology during the COVID-19 pandemic, considering the World Health Organization recommendations and the epidemiological public health situation of each region. Telephysiotherapy can also be used to provide continuity of the care in this area during the COVID-19 pandemic, opening new perspectives for physiotherapy in urogynecology.
考虑到在 COVID-19 大流行期间采取社会隔离措施，尿失禁医学领域的物理治疗面临着安全继续工作的挑战。已经为泌尿科发布了一些指南；然而，在尿失禁医学领域没有专门的文件。本文旨在为 COVID-19 大流行期间的尿失禁医学物理治疗提供指导。
一组女性健康物理治疗专家在 Pubmed、PEDro、Web of Science 和 Embase 数据库中进行了文献检索，并为 COVID-19 大流行期间尿失禁医学管理提出了物理治疗临床指南。该文件由其他物理治疗师和多学科小组进行了审查，他们分析了建议的主题并达成了共识。建议根据其相似性进行分组，并分配到类别中。
提出了四个类别的建议（伦理和监管问题、评估盆底肌肉功能和功能障碍、健康教育和恢复面对面护理）。还讨论了远程物理治疗和需要面对面护理的情况。区域化也是一个被考虑的话题。
本研究根据世界卫生组织的建议和每个地区的流行病学公共卫生状况，为 COVID-19 大流行期间尿失禁医学领域物理治疗师工作的连续性提供了一些指导。在 COVID-19 大流行期间，远程物理治疗也可用于提供该领域的护理连续性，为尿失禁医学领域的物理治疗开辟了新的前景。
