Resumen
Este estudio analizó la función sensorial y muscular del suelo pélvico en mujeres con endometriosis.
Los resultados mostraron que el 93,3% de las mujeres tenían dolor y el 75% tenía aumento de tono en el músculo elevador del ano.
Además, el 50,4% tenía disfunción en la relajación del suelo pélvico, con una fuerza mediana de 3 en la escala de Oxford y una resistencia de solo 2 segundos.
Se sugiere que las pacientes con endometriosis sean remitidas a un fisioterapeuta especializado en suelo pélvico para prevenir y tratar las disfunciones musculares del suelo pélvico.
Fisioterapia y suelo pélvico en pacientes con endometriosis
La endometriosis es una afección que afecta a muchas mujeres, generando dolor y problemas en la función del suelo pélvico. La fisioterapia se presenta como una herramienta efectiva en la evaluación y tratamiento de estos casos. Integrar el abordaje fisioterapéutico en las clínicas de fisioterapia puede marcar una diferencia significativa en la calidad de vida de las pacientes con endometriosis.
Abstract original
Sensory and muscular functions of the pelvic floor in women with endometriosis - cross-sectional study
Purpose: The aim of this study was to analyze the sensory and muscle functions of the pelvic floor in women with endometriosis, trying to improve overall knowledge/findings regarding pelvic floor muscle functions in patients with endometriosis.
Methods: Sample size calculated as 92 patients with endometriosis, aged between 18 and 45 years, not virgin, without other causes of pain and could not be pregnant. Patients underwent the Pelvic Floor Sensorial and Muscle Function Exam (EFSMAP). Descriptive data were recorded with mean and standard deviation, median (range), and absolute and relative frequency. The Kolmogorov-Smirnov test was used to observe the normality of quantitative variables. The significance level adopted for this study was 5%.
Results: Of 92 women assessed, 93.3% had pain and 75% had increased tone in the levator ani muscle; 50.4% had impaired pelvic floor relaxation with median strength of 3 by the Oxford scale and endurance of 2 s.
Conclusions: The patients had a high prevalence of pain and dysfunction of the pelvic floor muscles, such as low muscle endurance and difficulty to relax. It shows that these patients should be referred to a pelvic floor physiotherapist, as soon as they have the diagnosis of endometriosis, to be assessed to prevent and/or treat pelvic floor impairments.
| Autores | Joyce Pereira da Silva Bianca Maciel de Almeida Renata Santos Ferreira Claudia Regina de Paiva Oliveira Lima Leila Maria Álvares Barbosa Caroline Wanderley Souto Ferreira |
| revista | Arch Gynecol Obstet |
| DOI | 10.1007/s00404-023-07037-1 |