Fisioterapia na cistite intersticial / Physical therapy on interstitial cystitis

Cistite intersticial (CI) é uma síndrome de etiologia desconhecida, multifatorial, que provoca sintomas no trato urinário inferior como aumento na frequência urinária, urgência miccional, noctúria, acompanhada de dor vesical que frequentemente é aliviada após a micção. A prevalência é maior nas mulheres, que podem apresentar dor em região suprapúbica, perineal, vaginal e, não raramente, dispareunia. A conduta terapêutica é difícil, pela baixa eficácia nos tratamentos oferecidos e pelo alto impacto da doença na qualidade de vida dos pacientes. A fisioterapia surge como um tratamento promissor e de papel fundamental na melhora sintomatológica e redução da disfunção do assoalho pélvico, que comumente acometem os portadores dessa síndrome. Apesar da escassez de trabalhos científicos, principalmente no Brasil, utilizando apenas técnicas fisioterapêuticas, esta revisão discutiu o papel da fisioterapia na CI, enfatizando a terapia manual para o assoalho pélvico (massagem de Thiele) e a terapia comportamental como técnicas mais empregadas para alívio dos sintomas e melhoria na qualidade de vida dos pacientes

Interstitial cystitis (IC) is a mulfactorial syndrome with unknown etiology, which causes symptoms on the lower urinary tract characterized by urinary frequency, urgency, nocturia and bladder pain that diminishes with bladder emptying. The prevalence is significantly higher in women who may have suprapubic, vaginal, perineal pains and dyspareunia. The therapeutic is difficult due to the lower efficiency of the treatments offered and the higher impact in the quality of patients' life. The physical therapy appears tobe a promising treatment and has a fundamental part on the symptoms improvement and reduction of pelvic floor dysfunction. In spite of the shortage of scientific articles using only physiotherapeutic techniques, mainly in Brazil, this review discussed the role of physical therapy on the IC, mainly manual therapy of pelvic floor (Thiele massage) and behavior therapy to relieve the symptoms and improve the quality of life

Fisioterapia y personas con discapacidad: papel de la fisioterapia coadyuvante en la discapacidad física y psicosomática causada por la cistopatía intersticial / Physiotherapy and persons with disability: role of coadjuvant physiotherapy in the physical and psychosomatic disability caused by interstitial cystitis

La cistopatía intersticial es un síndrome clínico caracterizado por frecuencia urinaria y/o dolor pelviano de etiología no establecida que excluye otras causas conocidas. Su escaso conocimiento en el ámbito clínico y, en especial, en su repercusión biopsicosocial incentiva hoy en día la realización de estudios específicos entre los que éste aporta una visión terapéutica efectiva mediante biofeedback de suelo pelviano sin electroestimulación partiendo de un protocolo básico de la Asociación Europea de Urología, aplicado a pacientes diagnosticadas de cistopatía intersticial, para producir una mejora en la calidad de vida y una reducción de la discapacidad o de la invalidez temporal en relación con el síndrome(AU)

Interstitial cystitis is a clinical syndrome characterized by urinary frequency and/or pelvic pain with a non-established etiology that excludes any other known causes. The limited knowledge within the clinical fields and especially about its biopsychosocial effects currently encourages the conduction of specific studies. Among these, there are those that provide an effective therapeutic view using pelvic floor biofeedback without electrostimulation, using a basic protocol of the Urology European Association, applied to interstitial cystitis diagnosed patients, that aims to generate an improvement in their quality of life and of reducing the disability or the temporary impairment related to the syndrome(AU)

Posterior tibial nerve stimulation in patients with intractable interstitial cystitis.

OBJECTIVE: To evaluate the efficacy of intermittent percutaneous posterior tibial nerve stimulation (PPTNS) in patients with refractory interstitial cystitis. PATIENTS AND METHODS: One man and 13 women (mean age 58.3 years) with suprapubic or perineal pain were enrolled in a prospective open study, in which they had 10 weekly sessions of PPTNS. Their mean duration of symptoms was 8.3 years. All patients were previously diagnosed as having interstitial cystitis according to the National Institute of Diabetes and Digestive and Kidney Diseases criteria. The response to the treatment were assessed using voiding diary, visual analogue scale diary for a pain index, and the Interstitial Cystitis Problem Index (ICPI), O'Leary/Sant Interstitial Cystitis Symptom Index (ICSI) and the 36-item short-form health survey (SF-36) quality-of-life questionnaire. RESULTS: Of the 14 patients, 13 completed the 10 weeks of treatment with no complications; 12 continued treatment for a short period after the study. There were no statistically significant changes in pain scores, voiding frequency and volumes, or in the ICPI, ICSI and SF-36 scores. However, there was an improvement in some patients, with one having complete resolution of the pain. CONCLUSION: Intermittent PPTNS in patients with refractory interstitial cystitis has no significant clinical effect over 10 weeks of treatment.