This clinical trial aims to provide evidence about the effectiveness of the Pilates method on stress urinary incontinence (SUI), as well as to elucidate the effects of photobiomodulation therapy associated with static magnetic field (PBMT/sMF) alone or associated with the Pilates Method on Pelvic floor muscle (PFM) in women affected by SUI. For that, a three-arm, parallel randomized, double-blinded, placebo-controlled trial was conducted (NCT05096936). We recruited thirty-three women diagnosed with SUI, randomly allocated to three groups: placebo PBMT/sMF plus method Pilates, PBMT/sMF active plus method Pilates and only PBMT/sMF active. The evaluation consisted of anamnesis and physical examination, muscle strength, completion of the ICIQ-SF questionnaire, and urinary loss. The evaluation of muscle strength and filling the ICIQ-SF were performed on the first and last days, while the Pad test was applied in baseline, one month, two months, and three months of intervention. We observed an increase in strength (p < 0.01), tone (p < 0.01), and quality of life (p < 0.01), in addition to a decrease in urinary lost (p < 0.01) for all groups comparing the pre and post-intervention. The PBMT/sMF alone, the Pilates, and the combination of the two therapies proved to be effective in improving the signs and symptoms of women with SUI.
Journal of clinical medicine. 2023 Jan 31*** epublish ***
Thiago De Marchi, João Vitor Ferlito, Ariane Cristina Turra, Sheila Flamia, Franciele de Bispo Magro, Maribel Luiza Pavelecini Donida, Michele Dilkin, Djéssica da Silva, Vanessa Massia Ribas, Ernesto Cesar Pinto Leal Junior
Laboratory of Phototherapy and Innovative Technologies in Health (LaPIT), Postgraduate Program in Rehabilitation Sciences, Universidade Nove de Julho (UNINOVE), São Paulo 03155-000, SP, Brazil., Oxidative Stress and Antioxidant Laboratory, Postgraduate Program in Biotechnology, University of Caxias do Sul, Caxias do Sul 95070-560, RS, Brazil., School Clinic of Physical Therapy, University Center CNEC of Bento Gonçalves (UNICNEC), Bento Gonçalves 95700-000, RS, Brazil., Physiotherapy Department, University Center CNEC of Bento Gonçalves (UNICNEC), Bento Gonçalves 95700-000, RS, Brazil.