Driusso Patricia, Jorge Cristine Homsi, Sousa Ana Jéssica Dos Santos, Carro Daniela Fantin, de Freitas Leticia Maciel, Botelho Simone, Brito Luiz Gustavo Oliveira, Bortolini Maria Augusta Tezelli, Haddad Jorge Milhem, Volpato Maria Palharini, Riccetto Cássio, Pitangui Ana Carolina Rodarti, de Oliveira Néville Ferreira Facchini, Ferreira Elizabeth Alves
Women's Health Research Laboratory, Physical Therapy Department, Universidade Federal de São Carlos (UFSCar), São Carlos, SP, Brazil.
Pelvic Floor Function Laboratory, Department of Health Sciences, Ribeirão Preto Medical School, Universidade de São Paulo (USP), Ribeirão Preto, SP, Brazil.
Braz J Phys Ther. 2025 Mar-Apr;29(2):101173. doi: 10.1016/j.bjpt.2025.101173. Epub 2025 Feb 5.
There has been many efforts and updates over the years to develop a consensus for English terminology related to the pelvic floor (PF). There is a similar need to standardize physical therapy related PF terminology in Brazil.
To propose a guideline in Brazilian Portuguese language on the terminology related to the female PF function and assessment.
The Brazilian Association of Physical Therapy in Women's Health (ABRAFISM) established a working group (Steering committee) responsible for conducting a systematic review on PF terminology, propose definitions in Portuguese, and manage the developmental stages. A systematic review of international consensus was conducted and the terms related to the PF were identified, listed, and defined in Portuguese. A Delphi method was used to reach a consensus on the definitions by querying a panel of expert professionals with clinical and research experience in the PF field. This panel included 19 physical therapists from all Brazilian regions and two physicians. The Delphi process included the following steps: evaluation of proposed terms by the panel of experts; review of suggestions made by the panel of experts, modification of terms based on those suggestions, and a new round of evaluation of the modified terms until reaching an 80% agreement.
Two rounds were necessary for terms related to anatomy and signs/symptoms of the PF, while a 90% consensus for terms related to assessment of the PF muscles was achieved in the first round.
A final Brazilian-Portuguese guideline with consensus terminology on anatomy, symptoms, signs, and terms related to assessment of PF muscles was developed.
多年来，人们为制定盆底（PF）相关英文术语的共识付出了诸多努力并不断更新。巴西也有类似需求，即规范与物理治疗相关的盆底术语。
以巴西葡萄牙语提出一份关于女性盆底功能及评估相关术语的指南。
巴西女性健康物理治疗协会（ABRAFISM）成立了一个工作组（指导委员会），负责对盆底术语进行系统综述，用葡萄牙语提出定义，并管理各个发展阶段。对国际共识进行了系统综述，确定、列出了与盆底相关的术语并用葡萄牙语进行了定义。采用德尔菲法，通过向一组在盆底领域有临床和研究经验的专家专业人员咨询，就定义达成共识。该小组包括来自巴西所有地区的19名物理治疗师和两名医生。德尔菲过程包括以下步骤：专家小组对提议的术语进行评估；审查专家小组提出的建议，根据这些建议修改术语，并对修改后的术语进行新一轮评估，直至达成80%的一致意见。
与盆底解剖和体征/症状相关的术语需要两轮，而与盆底肌肉评估相关的术语在第一轮就达成了90%的共识。
制定了一份最终的巴西葡萄牙语指南，其中包含关于盆底解剖、症状、体征以及与盆底肌肉评估相关术语的共识性术语。
