Validation and cultural translation for the Brazilian Portuguese version of the Questionnaire for Urinary Incontinence Diagnosis.

INTRODUCTION AND HYPOTHESIS: Short questionnaires are important for validating the clinical diagnosis of urinary incontinence (UI). We sought to validate and culturally translate the Questionnaire for Urinary Incontinence Diagnosis (QUID) for the Brazilian Portuguese language. METHODS: A cross-sectional study with 457 women (330 with urinary incontinence and 127 controls) was performed in a Southeastern Brazilian outpatient clinic. Patients answered a pilot-tested, notarized, six-item questionnaire (QUID) for internal consistency as well as a control questionnaire (ICIQ-SF and ICIQ-OAB) for construct validity. In both groups, floor and ceiling effects were calculated. Within UI women, test-retest (n = 41) and responsiveness to conservative treatment (n = 74) were also analyzed. RESULTS: Internal consistency (Cronbach's alpha) from the QUID was adequate between the UI (0.845-0.850) and control (0.724-0.775) groups. Mean QUID scores were statistically different between UI and control groups (p < 0.05). No ceiling or floor effects were observed in incontinent patients. Test-retest reliability after 4 weeks (intraclass correlation coefficient [ICC]: 0.780-0.814) and responsiveness (0.867-0.889) were also adequate within UI women. Construct validity was adequate at all correlations between QUID and ICIQ-SF and ICIQ-OAB (r: 0.19-0.58; p <0.05). Responsiveness was demonstrated by a statistically significant difference in questions/subscale sores after physical therapy. CONCLUSION: The QUID presented adequate cultural translation, reliability, and good responsiveness to treatment in the Brazilian Portuguese language.

Utilidad del Biofeedback Perineal en las disfunciones del piso pélvico

Objetivo: Evaluar la utilidad del Biofeedback perineal en las disfunciones del piso pélvico. Método: Se realizó una búsqueda bibliográfica en las bases de datos electrónicas Pubmed, Ovid, Elsevier, Interscience, EBSCO, Scopus, SciELO. Resultados: La reeducación de los músculos del suelo pélvico, con técnicas de biofeedback, es el tratamiento conservador más utilizado para las mujeres con síntomas de incontinencia urinaria de esfuerzo o con prolapsos del piso pélvico. El biofeedback ayuda a la realización correcta de los ejercicios, y es especialmente útil en los pacientes que tienen dificultades en la localización de la musculatura perineal. Conclusiones: En el biofeedback los ejercicios musculares del suelo pélvico se realizan, asistidos por un equipo que traduce la contracción muscular en una señal gráfica, acústica o ambas, para que el paciente y el fisioterapeuta perciban el trabajo realizado. La introducción del biofeedback en las técnicas de rehabilitación perineal han mejorado los resultados, siendo hoy por hoy la técnica más eficaz en la recuperación perineal.

Objective: To evaluate the usefulness of perineal Biofeedback in pelvic floor dysfunction. Methods: Ca bibliographic search in electronic databases PubMed, Ovid, Elsevier, Interscience, EBSCO, Scopus, SciELO. Results: The rehabilitation of the pelvic floor muscles with biofeedback techniques, conservative treatment is most commonly used for women with symptoms of urinary incontinence or pelvic floor prolapse. Biofeedback helps the successful completion of the exercises, and is especially useful in patients who have difficulty in locating the perineal musculature. Conclusions: In the biofeedback of pelvic floor muscle exercises are performed assisted by a team that translates muscle contraction in a graphic, sound or signal both to the patient and physiotherapist perceive their work. The introduction of biofeedback in perineal rehabilitation techniques have improved outcomes, still today, the most effective in the perineal recovery technique.

Objetivo: Para avaliar a utilidade da perineal Biofeedback em disfunção do assoalho pélvico. Método: Ca pesquisa bibliográfica em bases de dados eletrônicas PubMed, Ovid, Elsevier, Interscience, EBSCO, Scopus, SciELO. Resultados: A reabilitação dos músculos do assoalho pélvico, técnicas de biofeedback, o tratamento conservador é mais comumente usado para mulheres com sintomas de incontinência urinária ou prolapso do assoalho pélvico. Biofeedback ajuda a conclusão bem sucedida dos exercícios, e é especialmente útil em pacientes que têm dificuldade em localizar os músculos perineais. Conclusões: Em biofeedback os exercícios músculos do pavimento pélvico são realizadas assistida por uma equipa que traduz a contração muscular em um gráfico, sinal acústico ou ambos para o paciente eo terapeuta perceber o trabalho. A introdução de biofeedback em técnicas de reabilitação perineais melhoraram os resultados, sendo hoje o mais eficaz na técnica de recuperação perineal.