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Physiotherapy for perineal consciousness: a comparison between pelvic floor muscle training alone and with biofeedback

INTRODUCTION: A significant number of women (around 30 to 50%) are unable to contract correctly their pelvic floor muscles when given a command. OBJECTIVE: This study's objective was to compare pelvic floor muscle training with digital palpation to pelvic floor muscle training with biofeedback for perineal consciousness of women with stress urinary incontinence. METHOD: It was conducted a randomized clinical trial, comprising two groups, each of them formed by five interventional women with stress urinary incontinence and without perineal consciousness. RESULTS: Initially, the biofeedback group was formed by six women and the pelvic floor muscle training group was formed by five women, but one patient was excluded from the biofeedback group during the research. It was observed that there was a statistically significant improvement in both groups for the Power, Endurance, Fast and knowledge of the perineal region, but there was no significant difference between the two groups, i.e., both treatments are equally effective. CONCLUSION: Given the results, we conclude that both pelvic floor training with digital palpation and with biofeedback are excellent treatment options to gain perineal awareness.

Pelvic floor; Urinary incontinence; Awareness


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