Compara????o de diferentes par??metros de um dinam??metro de for??a transvaginal entre mulheres saud??veis e com incontin??ncia urin??ria de esfor??o
Ano de defesa: | 2017 |
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Autor(a) principal: | |
Orientador(a): | |
Banca de defesa: | , , |
Tipo de documento: | Dissertação |
Tipo de acesso: | Acesso aberto |
Idioma: | por |
Instituição de defesa: |
Universidade Nove de Julho
|
Programa de Pós-Graduação: |
Programa de P??s-Gradua????o em Ci??ncias da Reabilita????o
|
Departamento: |
Sa??de
|
País: |
Brasil
|
Palavras-chave em Português: | |
Palavras-chave em Inglês: | |
Área do conhecimento CNPq: | |
Link de acesso: | http://bibliotecatede.uninove.br/handle/tede/1873 |
Resumo: | Changes in pelvic floor muscles (PMF) that occur in stress urinary incontinence (SUI) can be quantified using a transvaginal dynamometer. The objective of this study was to compare and test the accuracy of different parameters obtained by a transvaginal force dynamometer, from contraction of MAP, between healthy and SUI women. Seventeen healthy women (CG) and 17 women with stress urinary incontinence (GSUI) aged 20-60 years were included in this study. The MAP strength was evaluated by means of a transvaginal dynamometer, in a single test session. The data were collected with the patient in lithotomy, and the volunteers were instructed to perform a maximal contraction of the MAP and resist until exhaustion. The test was repeated three times with a 1 minute interval between tests. The dynamometric parameters used to evaluate the MAPs were: peak time (time at which the peak force occurred from the beginning of the MAP contraction), baseline (passive force), maximum force value of MAP contraction, contraction and mean contraction force of the MAP and endurance. The covariance analysis (ANCOVA) with Bonferrone's post hoc test showed that only the endurance variable was different between the groups (F=4.87, P=0.03; ???p2= 0.14). The accuracy of endurance to identify women with SUI was verified by the receiver operating characteristic curve (ROC). The area on the curve was 0.76 and the sensitivity and specificity were 76.60% for both conditions. In this study it was possible to verify that only the variable muscular resistance has moderate accuracy to identify women with stress urinary incontinence. |
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Politti, FabianoBiasotto-Gonzalez, Daniela AparecidaPolitti, FabianoLanza, Fernanda de CordobaAmorim, C??sar Ferreirahttp://lattes.cnpq.br/9471167139220086Amorim, Karina Moyano2018-07-19T17:34:53Z2017-12-18Amorim, Karina Moyano. Compara????o de diferentes par??metros de um dinam??metro de for??a transvaginal entre mulheres saud??veis e com incontin??ncia urin??ria de esfor??o. 2017. 54 f. Disserta????o( Programa de P??s-Gradua????o em Ci??ncias da Reabilita????o) - Universidade Nove de Julho, S??o Paulo.http://bibliotecatede.uninove.br/handle/tede/1873Changes in pelvic floor muscles (PMF) that occur in stress urinary incontinence (SUI) can be quantified using a transvaginal dynamometer. The objective of this study was to compare and test the accuracy of different parameters obtained by a transvaginal force dynamometer, from contraction of MAP, between healthy and SUI women. Seventeen healthy women (CG) and 17 women with stress urinary incontinence (GSUI) aged 20-60 years were included in this study. The MAP strength was evaluated by means of a transvaginal dynamometer, in a single test session. The data were collected with the patient in lithotomy, and the volunteers were instructed to perform a maximal contraction of the MAP and resist until exhaustion. The test was repeated three times with a 1 minute interval between tests. The dynamometric parameters used to evaluate the MAPs were: peak time (time at which the peak force occurred from the beginning of the MAP contraction), baseline (passive force), maximum force value of MAP contraction, contraction and mean contraction force of the MAP and endurance. The covariance analysis (ANCOVA) with Bonferrone's post hoc test showed that only the endurance variable was different between the groups (F=4.87, P=0.03; ???p2= 0.14). The accuracy of endurance to identify women with SUI was verified by the receiver operating characteristic curve (ROC). The area on the curve was 0.76 and the sensitivity and specificity were 76.60% for both conditions. In this study it was possible to verify that only the variable muscular resistance has moderate accuracy to identify women with stress urinary incontinence.As altera????es dos m??sculos do assoalho p??lvico (MAP) que ocorrem na incontin??ncia urin??ria por esfor??o (IUE) podem ser quantificadas por meio de dinam??metro transvaginal. O objetivo deste estudo foi comparar e testar a acur??cia de diferentes par??metros obtidos por um dinam??metro de for??a transvaginal, a partir da contra????o dos MAP, entre mulheres saud??veis e com IUE. Fizeram parte desse estudo, 17 mulheres saud??veis (GC) e 17 com incontin??ncia urin??ria por esfor??o (GIUE) com faixa et??ria de 20 a 60 anos. A avalia????o da for??a dos MAP foi realizada por meio de um dinam??metro transvaginal, em uma ??nica sess??o de teste. Os dados foram coletados com a paciente em litotomia, sendo as volunt??rias instru??das a realizar uma contra????o m??xima dos MAP e resistir at?? a exaust??o. O teste foi repetido por tr??s vezes com intervalo de 1 minuto entre as coletas. Os par??metros dinamom??tricos utilizados para avaliar os MAP foram: tempo do pico (tempo em que ocorreu o pico de for??a a partir do in??cio da contra????o dos MAP), linha base (for??a passiva), valor de for??a m??xima da contra????o dos MAP, impulso de contra????o e for??a m??dia da contra????o dos MAP e endurance. A an??lise de covari??ncia (ANCOVA) com teste post hoc de Bonferrone, demonstrou que somente a vari??vel endurance foi diferente entre os grupos (F=4.87, P=0.03; ???p2= 0.14). A acur??cia do endurance para identificar mulheres com IUE foi verificada pela curva de caracter??stica de opera????o do receptor (ROC). A ??rea sobre a curva foi de 0.76 sendo a sensibilidade e especificidade de 76.60% para ambas as condi????es. Nesse estudo foi poss??vel verificar que somente a vari??vel endurance possui acur??cia moderada para identificar mulheres com incontin??ncia urin??ria por esfor??o.Submitted by Nadir Basilio (nadirsb@uninove.br) on 2018-07-19T17:34:53Z No. of bitstreams: 1 Karina Moyano Amorim.pdf: 916717 bytes, checksum: 2524cea0e3065649a660dc46e7c08c81 (MD5)Made available in DSpace on 2018-07-19T17:34:53Z (GMT). No. of bitstreams: 1 Karina Moyano Amorim.pdf: 916717 bytes, checksum: 2524cea0e3065649a660dc46e7c08c81 (MD5) Previous issue date: 2017-12-18application/pdfporUniversidade Nove de JulhoPrograma de P??s-Gradua????o em Ci??ncias da Reabilita????oUNINOVEBrasilSa??defisioterapiam??sculos do assoalho p??lvicodinam??metroincontin??ncia urin??ria por esfor??oqualidade de vidaphysiotherapypelvic floor musclesdynamometerstress urinary incontinencequality of lifeCIENCIAS DA SAUDECompara????o de diferentes par??metros de um dinam??metro de for??a transvaginal entre mulheres saud??veis e com incontin??ncia urin??ria de esfor??oComparison of different parameters of a transvaginal force dynamometer among healthy women with stress urinary incontinenceinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesis8765449414823306929600info:eu-repo/semantics/openAccessreponame:Biblioteca Digital de Teses e Dissertações da Uninoveinstname:Universidade Nove de Julho (UNINOVE)instacron:UNINOVEORIGINALKarina Moyano Amorim.pdfKarina Moyano Amorim.pdfapplication/pdf916717http://localhost:8080/tede/bitstream/tede/1873/2/Karina+Moyano+Amorim.pdf2524cea0e3065649a660dc46e7c08c81MD52LICENSElicense.txtlicense.txttext/plain; charset=utf-82165http://localhost:8080/tede/bitstream/tede/1873/1/license.txtbd3efa91386c1718a7f26a329fdcb468MD51tede/18732018-07-19 14:34:53.083oai:localhost:tede/1873Tk9UQTogQ09MT1FVRSBBUVVJIEEgU1VBIFBSPz9QUklBIExJQ0VOPz9BCkVzdGEgbGljZW4/P2EgZGUgZXhlbXBsbyA/PyBmb3JuZWNpZGEgYXBlbmFzIHBhcmEgZmlucyBpbmZvcm1hdGl2b3MuCgpMSUNFTj8/QSBERSBESVNUUklCVUk/Pz8/TyBOPz9PLUVYQ0xVU0lWQQoKQ29tIGEgYXByZXNlbnRhPz8/P28gZGVzdGEgbGljZW4/P2EsIHZvYz8/IChvIGF1dG9yIChlcykgb3UgbyB0aXR1bGFyIGRvcyBkaXJlaXRvcyBkZSBhdXRvcikgY29uY2VkZSA/PyBVbml2ZXJzaWRhZGUgClhYWCAoU2lnbGEgZGEgVW5pdmVyc2lkYWRlKSBvIGRpcmVpdG8gbj8/by1leGNsdXNpdm8gZGUgcmVwcm9kdXppciwgIHRyYWR1emlyIChjb25mb3JtZSBkZWZpbmlkbyBhYmFpeG8pLCBlL291IApkaXN0cmlidWlyIGEgc3VhIHRlc2Ugb3UgZGlzc2VydGE/Pz8/byAoaW5jbHVpbmRvIG8gcmVzdW1vKSBwb3IgdG9kbyBvIG11bmRvIG5vIGZvcm1hdG8gaW1wcmVzc28gZSBlbGV0cj8/bmljbyBlIAplbSBxdWFscXVlciBtZWlvLCBpbmNsdWluZG8gb3MgZm9ybWF0b3MgPz91ZGlvIG91IHY/P2Rlby4KClZvYz8/IGNvbmNvcmRhIHF1ZSBhIFNpZ2xhIGRlIFVuaXZlcnNpZGFkZSBwb2RlLCBzZW0gYWx0ZXJhciBvIGNvbnRlPz9kbywgdHJhbnNwb3IgYSBzdWEgdGVzZSBvdSBkaXNzZXJ0YT8/Pz9vIApwYXJhIHF1YWxxdWVyIG1laW8gb3UgZm9ybWF0byBwYXJhIGZpbnMgZGUgcHJlc2VydmE/Pz8/by4KClZvYz8/IHRhbWI/P20gY29uY29yZGEgcXVlIGEgU2lnbGEgZGUgVW5pdmVyc2lkYWRlIHBvZGUgbWFudGVyIG1haXMgZGUgdW1hIGM/P3BpYSBhIHN1YSB0ZXNlIG91IApkaXNzZXJ0YT8/Pz9vIHBhcmEgZmlucyBkZSBzZWd1cmFuPz9hLCBiYWNrLXVwIGUgcHJlc2VydmE/Pz8/by4KClZvYz8/IGRlY2xhcmEgcXVlIGEgc3VhIHRlc2Ugb3UgZGlzc2VydGE/Pz8/byA/PyBvcmlnaW5hbCBlIHF1ZSB2b2M/PyB0ZW0gbyBwb2RlciBkZSBjb25jZWRlciBvcyBkaXJlaXRvcyBjb250aWRvcyAKbmVzdGEgbGljZW4/P2EuIFZvYz8/IHRhbWI/P20gZGVjbGFyYSBxdWUgbyBkZXA/P3NpdG8gZGEgc3VhIHRlc2Ugb3UgZGlzc2VydGE/Pz8/byBuPz9vLCBxdWUgc2VqYSBkZSBzZXUgCmNvbmhlY2ltZW50bywgaW5mcmluZ2UgZGlyZWl0b3MgYXV0b3JhaXMgZGUgbmluZ3U/P20uCgpDYXNvIGEgc3VhIHRlc2Ugb3UgZGlzc2VydGE/Pz8/byBjb250ZW5oYSBtYXRlcmlhbCBxdWUgdm9jPz8gbj8/byBwb3NzdWkgYSB0aXR1bGFyaWRhZGUgZG9zIGRpcmVpdG9zIGF1dG9yYWlzLCB2b2M/PyAKZGVjbGFyYSBxdWUgb2J0ZXZlIGEgcGVybWlzcz8/byBpcnJlc3RyaXRhIGRvIGRldGVudG9yIGRvcyBkaXJlaXRvcyBhdXRvcmFpcyBwYXJhIGNvbmNlZGVyID8/IFNpZ2xhIGRlIFVuaXZlcnNpZGFkZSAKb3MgZGlyZWl0b3MgYXByZXNlbnRhZG9zIG5lc3RhIGxpY2VuPz9hLCBlIHF1ZSBlc3NlIG1hdGVyaWFsIGRlIHByb3ByaWVkYWRlIGRlIHRlcmNlaXJvcyBlc3Q/PyBjbGFyYW1lbnRlIAppZGVudGlmaWNhZG8gZSByZWNvbmhlY2lkbyBubyB0ZXh0byBvdSBubyBjb250ZT8/ZG8gZGEgdGVzZSBvdSBkaXNzZXJ0YT8/Pz9vIG9yYSBkZXBvc2l0YWRhLgoKQ0FTTyBBIFRFU0UgT1UgRElTU0VSVEE/Pz8/TyBPUkEgREVQT1NJVEFEQSBURU5IQSBTSURPIFJFU1VMVEFETyBERSBVTSBQQVRST0M/P05JTyBPVSAKQVBPSU8gREUgVU1BIEFHPz9OQ0lBIERFIEZPTUVOVE8gT1UgT1VUUk8gT1JHQU5JU01PIFFVRSBOPz9PIFNFSkEgQSBTSUdMQSBERSAKVU5JVkVSU0lEQURFLCBWT0M/PyBERUNMQVJBIFFVRSBSRVNQRUlUT1UgVE9ET1MgRSBRVUFJU1FVRVIgRElSRUlUT1MgREUgUkVWSVM/P08gQ09NTyAKVEFNQj8/TSBBUyBERU1BSVMgT0JSSUdBPz8/P0VTIEVYSUdJREFTIFBPUiBDT05UUkFUTyBPVSBBQ09SRE8uCgpBIFNpZ2xhIGRlIFVuaXZlcnNpZGFkZSBzZSBjb21wcm9tZXRlIGEgaWRlbnRpZmljYXIgY2xhcmFtZW50ZSBvIHNldSBub21lIChzKSBvdSBvKHMpIG5vbWUocykgZG8ocykgCmRldGVudG9yKGVzKSBkb3MgZGlyZWl0b3MgYXV0b3JhaXMgZGEgdGVzZSBvdSBkaXNzZXJ0YT8/Pz9vLCBlIG4/P28gZmFyPz8gcXVhbHF1ZXIgYWx0ZXJhPz8/P28sIGFsPz9tIGRhcXVlbGFzIApjb25jZWRpZGFzIHBvciBlc3RhIGxpY2VuPz9hLgo=Biblioteca Digital de Teses e Dissertaçõeshttp://bibliotecatede.uninove.br/PRIhttp://bibliotecatede.uninove.br/oai/requestbibliotecatede@uninove.br||bibliotecatede@uninove.bropendoar:2018-07-19T17:34:53Biblioteca Digital de Teses e Dissertações da Uninove - Universidade Nove de Julho (UNINOVE)false |
dc.title.por.fl_str_mv |
Compara????o de diferentes par??metros de um dinam??metro de for??a transvaginal entre mulheres saud??veis e com incontin??ncia urin??ria de esfor??o |
dc.title.alternative.eng.fl_str_mv |
Comparison of different parameters of a transvaginal force dynamometer among healthy women with stress urinary incontinence |
title |
Compara????o de diferentes par??metros de um dinam??metro de for??a transvaginal entre mulheres saud??veis e com incontin??ncia urin??ria de esfor??o |
spellingShingle |
Compara????o de diferentes par??metros de um dinam??metro de for??a transvaginal entre mulheres saud??veis e com incontin??ncia urin??ria de esfor??o Amorim, Karina Moyano fisioterapia m??sculos do assoalho p??lvico dinam??metro incontin??ncia urin??ria por esfor??o qualidade de vida physiotherapy pelvic floor muscles dynamometer stress urinary incontinence quality of life CIENCIAS DA SAUDE |
title_short |
Compara????o de diferentes par??metros de um dinam??metro de for??a transvaginal entre mulheres saud??veis e com incontin??ncia urin??ria de esfor??o |
title_full |
Compara????o de diferentes par??metros de um dinam??metro de for??a transvaginal entre mulheres saud??veis e com incontin??ncia urin??ria de esfor??o |
title_fullStr |
Compara????o de diferentes par??metros de um dinam??metro de for??a transvaginal entre mulheres saud??veis e com incontin??ncia urin??ria de esfor??o |
title_full_unstemmed |
Compara????o de diferentes par??metros de um dinam??metro de for??a transvaginal entre mulheres saud??veis e com incontin??ncia urin??ria de esfor??o |
title_sort |
Compara????o de diferentes par??metros de um dinam??metro de for??a transvaginal entre mulheres saud??veis e com incontin??ncia urin??ria de esfor??o |
author |
Amorim, Karina Moyano |
author_facet |
Amorim, Karina Moyano |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Politti, Fabiano |
dc.contributor.advisor-co1.fl_str_mv |
Biasotto-Gonzalez, Daniela Aparecida |
dc.contributor.referee1.fl_str_mv |
Politti, Fabiano |
dc.contributor.referee2.fl_str_mv |
Lanza, Fernanda de Cordoba |
dc.contributor.referee3.fl_str_mv |
Amorim, C??sar Ferreira |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/9471167139220086 |
dc.contributor.author.fl_str_mv |
Amorim, Karina Moyano |
contributor_str_mv |
Politti, Fabiano Biasotto-Gonzalez, Daniela Aparecida Politti, Fabiano Lanza, Fernanda de Cordoba Amorim, C??sar Ferreira |
dc.subject.por.fl_str_mv |
fisioterapia m??sculos do assoalho p??lvico dinam??metro incontin??ncia urin??ria por esfor??o qualidade de vida |
topic |
fisioterapia m??sculos do assoalho p??lvico dinam??metro incontin??ncia urin??ria por esfor??o qualidade de vida physiotherapy pelvic floor muscles dynamometer stress urinary incontinence quality of life CIENCIAS DA SAUDE |
dc.subject.eng.fl_str_mv |
physiotherapy pelvic floor muscles dynamometer stress urinary incontinence quality of life |
dc.subject.cnpq.fl_str_mv |
CIENCIAS DA SAUDE |
description |
Changes in pelvic floor muscles (PMF) that occur in stress urinary incontinence (SUI) can be quantified using a transvaginal dynamometer. The objective of this study was to compare and test the accuracy of different parameters obtained by a transvaginal force dynamometer, from contraction of MAP, between healthy and SUI women. Seventeen healthy women (CG) and 17 women with stress urinary incontinence (GSUI) aged 20-60 years were included in this study. The MAP strength was evaluated by means of a transvaginal dynamometer, in a single test session. The data were collected with the patient in lithotomy, and the volunteers were instructed to perform a maximal contraction of the MAP and resist until exhaustion. The test was repeated three times with a 1 minute interval between tests. The dynamometric parameters used to evaluate the MAPs were: peak time (time at which the peak force occurred from the beginning of the MAP contraction), baseline (passive force), maximum force value of MAP contraction, contraction and mean contraction force of the MAP and endurance. The covariance analysis (ANCOVA) with Bonferrone's post hoc test showed that only the endurance variable was different between the groups (F=4.87, P=0.03; ???p2= 0.14). The accuracy of endurance to identify women with SUI was verified by the receiver operating characteristic curve (ROC). The area on the curve was 0.76 and the sensitivity and specificity were 76.60% for both conditions. In this study it was possible to verify that only the variable muscular resistance has moderate accuracy to identify women with stress urinary incontinence. |
publishDate |
2017 |
dc.date.issued.fl_str_mv |
2017-12-18 |
dc.date.accessioned.fl_str_mv |
2018-07-19T17:34:53Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/masterThesis |
format |
masterThesis |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
Amorim, Karina Moyano. Compara????o de diferentes par??metros de um dinam??metro de for??a transvaginal entre mulheres saud??veis e com incontin??ncia urin??ria de esfor??o. 2017. 54 f. Disserta????o( Programa de P??s-Gradua????o em Ci??ncias da Reabilita????o) - Universidade Nove de Julho, S??o Paulo. |
dc.identifier.uri.fl_str_mv |
http://bibliotecatede.uninove.br/handle/tede/1873 |
identifier_str_mv |
Amorim, Karina Moyano. Compara????o de diferentes par??metros de um dinam??metro de for??a transvaginal entre mulheres saud??veis e com incontin??ncia urin??ria de esfor??o. 2017. 54 f. Disserta????o( Programa de P??s-Gradua????o em Ci??ncias da Reabilita????o) - Universidade Nove de Julho, S??o Paulo. |
url |
http://bibliotecatede.uninove.br/handle/tede/1873 |
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por |
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por |
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8765449414823306929 |
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Programa de P??s-Gradua????o em Ci??ncias da Reabilita????o |
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UNINOVE |
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Universidade Nove de Julho |
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