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Espitia De La Hoz, F. J., de Andrade Marques, A., & Orozco Gallego, H. (2015). Utilidad del Biofeedback Perineal en las disfunciones del piso pélvico. Revista Investigaciones Andina, 17(31), 1301-1312. https://doi.org/10.33132/01248146.542
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Resumen
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.
Licencia
Los autores deben declarar la no existencia de conflictos de intereses ya sea por motivos de financiación del proyecto del cual es resultado el artículo; así como por motivos intelectuales, académicos, morales e investigativos.
La Revista de Investigaciones Andina se acoge a las normas éticas para publicaciones dadas por el COPE: http://publicationethics.org/resources/code-conduct
Citas
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13 BulletinAP. Episiotomy. Clinical management Guidelines for Obstetrician-Gynecologist. Number 71 2007; 107:957.
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20 Slieker-ten Hove MCP, Vierhout M, Bloembergan H, Schoenmaker G. Distribution of pevic organ prolapse (POP) in the general population: prevalence, severity, etiology and relation with the function of the pelvic floor muscles. International Continence Society, 34th Annual Meeting. 2004.
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28 Sexual dysfunction in the United States; prevalence and predictors. JAMA 1999; 281:537–544. http://dx.doi.org/10.1001/jama.281.6.537
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31 Ponholzer A, Roehlich M, Racz U, Temml C, Madersbacher S. Female sexual dysfunction in a healthy Austrian cohort: prevalence and risk factors. Eur Urol. 2005 Mar; 47(3):366-74. http://dx.doi.org/10.1016/j.eururo.2004.10.005
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68 Lee IS, Choi ES. Pelvic floor muscle exercise by biofeedback and electrical stimulation to reinforce the pelvic floor muscle after normal delivery. Taehan Kanho Hakhoe Chi. 2006; 36(8):1374-1380.
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70 Seo JT, Yoon H, Kim YH. A randomized prospective study comparing new vaginal cone and FES-Biofeedback. Yonsei Med J. 2004;45 (5):879-884. http://dx.doi.org/10.3349/ymj.2004.45.5.879
2 Braekken IH, Majida M, Engh ME, Bø K. Test-retest reliability of pelvic floor muscle contraction measured by 4D ultrasound. Neurourol Urodyn 2009 January; 28(1):68- 73. http://dx.doi.org/10.1002/nau.20618
3 Serra L. Fisioterapia perineal. En: Tratado de reeducación urogineproctológica. Salinas J, Rapáriz M. 263-292. Gráficas Santer SL. Madrid, 1997.
4 Riera C, Avellanet M. Técnicas de rehabilitación integrada en el tratamiento de la incontinencia urinaria. En: Tratado de reducación en uroginecología. Salinas J, Rapaiz M (eds.). Gran Canaria: 1997; 339- 352.
5 Olsen AL, Smith VJ, Bergstrom JO, Colling JC, Clark AL. Epidemiology of surgically managed pelvic organ prolapse and urinary incontinence. Obstet Gynecol. 1997; 89:501- 6. http://dx.doi.org/10.1016/S0029-7844(97)00058-6
6 Management of urinary incontinence in women: scientific review. Holroyd-Leduc JM, Straus SE. JAMA 2004.
7 Virseda M, Salinas J, Martín C. Metaanálisis de la eficacia de la rehabilitación perineal para el tratamiento de la incontinencia urinaria de esfuerzo femenina. Arch Esp Urol 2002; 55:937-42.
8 Kamm MA. Faecal incontinence. BMJ 1998; 316:528-32. http://dx.doi.org/10.1136/bmj.316.7130.528
9 Brubaker L, Handa VL, Bradley CS, Connolly A, Moalli P, Brow MB, et al. Sexual function 6 months after first delivery. Obstet Gynecol 2008 May; 111(5):1040-4. http://dx.doi.org/10.1097/AOG.0b013e318169cdee
10 Zanetti MR, Castro R de A, Rotta AL, Santos PD, Sartori M, Girao MJ. Impact of supervised physiotherapi pelvic floor exercise for treaning female stress urinary incontinence. Sao Paulo Med J 2007; 125:265-9. http://dx.doi.org/10.1590/S1516-31802007000500003
11 Morkved S, Bo K. The effect of postpartum pelvic floor muscle exercise in the prevention and treatment of urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct 1997;8(4):217-22. http://dx.doi.org/10.1007/BF02765817
12 Snoks S, et al. Risks factors in childbirth causing damge to the pelvic floor innervation. Int J Colorectal Dis 1986; 1:20. http://dx.doi.org/10.1007/BF01648831
13 BulletinAP. Episiotomy. Clinical management Guidelines for Obstetrician-Gynecologist. Number 71 2007; 107:957.
14 Handa V, Danielsen BH, Gilbert WM, et al. Obstetrics anal lacerations. Int J Urogynecol J Pelvic Floor Dysfunct 2001; 98:225.
15 Fitzpatrick M, O'Herlihy C. The effects of labour and delivery on the pelvic floor. Best Pract Res Clin Obstet Gynaecol 2001 February; 15(1):63-79. http://dx.doi.org/10.1053/beog.2000.0149
16 Örnö AK, Marsál K, Herbst A. Ultrasonographic anatomy of perineal structures during pregnancy and immediately following obstetric injury. Ultrasound Obstet Gynecol 2008 September; 32(4):527-34. http://dx.doi.org/10.1002/uog.6122
17 Barbosa AMP, Carvalho LR, Martins AMVC, Calderon IMP, Rudge MVC. Efeito da via de parto sobre a força muscular do assoalho pélvico. Rev Bras Ginecol Obstet 2005 novembro; 27(11):677-82. 12. Menta SS, Schirmer J. Relação entre a pressão muscular perineal no puerpério e o tipo de parto. Rev Bras Ginecol Obstet 2006 setembro; 28(9):523-9.
18 Oliveira C, Lopes MAB, Longo e Pereira LCL, Zugaib M. Effects of pelvic floor muscle training during pregnancy. Clinics 2007 JulyAugust; 62(4):439-46.
19 Snooks S, et al. Injury to innervation of pelvic floor sphincter musculature in childbirth. Lancet 1984; 2:546. http://dx.doi.org/10.1016/S0140-6736(84)90766-9
20 Slieker-ten Hove MCP, Vierhout M, Bloembergan H, Schoenmaker G. Distribution of pevic organ prolapse (POP) in the general population: prevalence, severity, etiology and relation with the function of the pelvic floor muscles. International Continence Society, 34th Annual Meeting. 2004.
21 Jelovsek JE, Maher C, Barber MD. Pelvic organ prolapse. Lancet 2007; 369: 1027-38. http://dx.doi.org/10.1016/S0140-6736(07)60462-0
22 Clark AL, Gregory R, Smith VJ, Edwards R. Epidemiologic evaluation of reoperation for surgically treated pelvic organ prolapse and urinary incontinence. Am J Obstet Gynecol 2003; 189: 1261- 67. http://dx.doi.org/10.1067/S0002-9378(03)00829-9
23 MacLennan AH, Taylor AW, Wilson DH, Wilson D. The prevalence of pelvic floor disorders and their relationship to gender, age, parity and mode of delivery. BJOG. 2000; 107:1460-1470. http://dx.doi.org/10.1111/j.1471-0528.2000.tb11669.x
24 Sangalli M. Anal incontinence in women with third o fourth degree perineal tears subsequent vaginal deliveries. Aust N Z J Obstet Gynaecol 2000; 40:27. http://dx.doi.org/10.1111/j.1479-828X.2000.tb03330.x
25 Kammerer-Doak D, Wesol AB, Rogers RG,et al. A prospective cohort study of women after primary repair of obstetric anal sphincter laceration. Am J Obstet Gynecol 1999; 181:1317. http://dx.doi.org/10.1016/S0002-9378(99)70370-4
26 Varma A, Gunn J, Gardiner A, et al. Obstetric anal sphincter injury: porspective evaluation of incidence. Dis Colon Rectum 1999; 42:1537. http://dx.doi.org/10.1007/BF02236202
27 Richter H, Fielding JR, Bradley CS, et al. Endoanal Ultrasound Findings and fecal incontinence Symptoms in women with and without recognized anal sphincters tears. Obstet Gynecol 2006; 108:1394. http://dx.doi.org/10.1097/01.AOG.0000246799.53458.bc
28 Sexual dysfunction in the United States; prevalence and predictors. JAMA 1999; 281:537–544. http://dx.doi.org/10.1001/jama.281.6.537
29 Paul RN, Kleeman SD, Karram MM. Female sexual dysfunction: principles of diagnosis and therapy. Obstet Gynecol Surv. 2005 Mar; 60(3):196-205. http://dx.doi.org/10.1097/01.ogx.0000157978.91721.0f
30 Oksuz E, Malhan S. Prevalence and risk factors for female sexual dysfunction in Turkish women.J Urol. 2006 Feb; 175(2):654- 8; discussion 658. http://dx.doi.org/10.1016/S0022-5347(05)00149-7
31 Ponholzer A, Roehlich M, Racz U, Temml C, Madersbacher S. Female sexual dysfunction in a healthy Austrian cohort: prevalence and risk factors. Eur Urol. 2005 Mar; 47(3):366-74. http://dx.doi.org/10.1016/j.eururo.2004.10.005
32 Achtari C, Dwyer PL. Sexual funtion and pelvic fllor disorders. Best Pract Res Clin Obstet Gynaecol 2005 Dec; 19 (6): 993-1008. http://dx.doi.org/10.1016/j.bpobgyn.2005.08.012
33 Devreese A, Staes F, DeWeerdt W. Clinical evaluation of pelvic floor muscle function in continent and incontinent women. Neurourol Urodynam 2004;23 (3):190-7. http://dx.doi.org/10.1002/nau.20018
34 Bø K, Larsen S, Kvarstein B, Hagen RH. Classification and characterization of responders to pelvic floor muscle exercise for female stress urinary incontinence. Neurourol Urodyn 1990 July; 9(4):395-7.
35 Menta SS, Schirmer J. Relação entre a pressão muscular perineal no puerpério e o tipo de parto. Rev Bras Ginecol Obstet 2006 setembro; 28(9):523-9. http://dx.doi.org/10.1590/S0100-72032006000900004
36 Stephenson RG, O'Connor LJ. Fisioterapia e pacientes do sexo feminino: Avaliação e tratamento. In: Stephenson RG, O'Connor LJ. Fisioterapia aplicada à ginecologia e obstetrícia. 9ª ed. Barueri (SP): Manole; 2004. 65-150.
37 Gunnarsson M, Teleman P, Mattiasson A, Lidfeldt J, Nerbrand C, Samsioe G. Effects of pelvic floor exercises in middle age women with a history naïve urinary incontinence: a population based study. Eur Urol 2002; 41:556-61. http://dx.doi.org/10.1016/S0302-2838(02)00067-2
38 Hay-Smith EJC, Bo K, Berghmans LCM, Hendriks HJM, de Bie RA, van Waalwijk van Doorn ESC. Pelvic floor muscle training for urinary incontinence in women. The Cochrane Library 2003.
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40 Aksac B, Aki S, Karan A, Yalcin O, Isikoglu M, Eskiyurt N. Biofeetback and pelvic floor exercises for the rehabilitation of urinary stress incontinence. Gynecol Obstet Invest 2003; 56:23-7. http://dx.doi.org/10.1159/000072327
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