RESUMO
BACKGROUND: Urinary incontinence (UI) is one of the most common public health problems among older women. Despite conservative treatment being recommended as the first treatment option, the effects of physical therapy in older women with UI is unclear. OBJECTIVE: This study aimed to systematically review the evidence about the effects of physical therapy on urinary symptoms in older women with UI. METHOD: The literature search for studies evaluating conservative treatment for incontinent in elderly women was conducted on Pubmed/Medline, Lilacs, Scielo, ISI Web of Knowledge and PEDro. We selected clinical trials published in English and Portuguese after the year 2000. The methodological quality of the studies was assessed using the PEDro scale. The results were analyzed using a critical review method. RESULTS: Six studies were reviewed in full revealing that pelvic floor muscle training was the treatment option in most studies. Five of the six selected studies were classified as having high methodological quality. There was significant improvement in urinary symptoms after treatment in five of the six selected studies. CONCLUSIONS: It was concluded that physical therapy treatment seems to be effective to decrease urinary incontinence symptoms in older women. However, the small number of studies and the use of concurrent interventions limit the conclusions on this issue.
CONTEXTUALIZAÇÃO: A incontinência urinária (IU) é um dos mais comuns problemas de saúde pública entre as mulheres idosas. Apesar de o tratamento conservador ser recomendado como a primeira opção de tratamento, os efeitos do tratamento fisioterapêutico em mulheres idosas com IU não está esclarecido. OBJECTIVO: Sistematizar as evidências científicas sobre os efeitos do tratamento fisioterapêutico sobre os sintomas miccionais de mulheres idosas com IU. MÉTODO: A busca de publicações sobre os efeitos de modalidades de tratamento fisioterapêutico em mulheres idosas com IU foi realizada nas bases de dados ISI Web of Knowlegde, Medline/Pubmed, Lilacs, Scielo e PEDro. Foram selecionados ensaios clínicos publicados nas línguas inglesa e portuguesa após o ano de 2000. A qualidade metodológica dos estudos foi avaliada pela Escala PEDro, e a análise dos resultados dos estudos foi realizada por meio de revisão crítica dos conteúdos. RESULTADOS: Seis estudos foram revisados na íntegra, revelando-se que os exercícios de fortalecimento da musculatura do assoalho pélvico foram o tratamento de escolha na maioria dos estudos. Cinco dos seis estudos selecionados foram classificados como de alta qualidade metodológica. Houve melhora significativa dos sintomas miccionais após o tratamento proposto em cinco dos seis estudos selecionados. CONCLUSÕES: Conclui-se que o tratamento fisioterapêutico parece ser efetivo para a redução dos sintomas miccionais em mulheres idosas com IU. No entanto, o pequeno número de estudos e a aplicação de técnicas em conjunto limita as conclusões sobre o tema.
Assuntos
Idoso , Feminino , Humanos , Modalidades de Fisioterapia , Incontinência Urinária/terapiaRESUMO
BACKGROUND: Urinary incontinence (UI) is one of the most common public health problems among older women. Despite conservative treatment being recommended as the first treatment option, the effects of physical therapy in older women with UI is unclear. OBJECTIVE: This study aimed to systematically review the evidence about the effects of physical therapy on urinary symptoms in older women with UI. METHOD: The literature search for studies evaluating conservative treatment for incontinent in elderly women was conducted on Pubmed/Medline, Lilacs, Scielo, ISI Web of Knowledge and PEDro. We selected clinical trials published in English and Portuguese after the year 2000. The methodological quality of the studies was assessed using the PEDro scale. The results were analyzed using a critical review method. RESULTS: Six studies were reviewed in full revealing that pelvic floor muscle training was the treatment option in most studies. Five of the six selected studies were classified as having high methodological quality. There was significant improvement in urinary symptoms after treatment in five of the six selected studies. CONCLUSIONS: It was concluded that physical therapy treatment seems to be effective to decrease urinary incontinence symptoms in older women. However, the small number of studies and the use of concurrent interventions limit the conclusions on this issue.