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Prevalência de lesões do músculo elevador do ânus em mulheres primíparas após parto e a sua influência nas disfunções do pavimento pélvico: implicações para a fisioterapia (revisão sistemática)

2022Master thesis Open access
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dc.contributor.advisorMota, Patríciapt_PT
dc.contributor.advisorCarvalho, Andreiapt_PT
dc.contributor.authorPessoa, Patrícia de Barros
dc.date.accessioned2022-10-25T12:00:52Z
dc.date.available2022-10-25T12:00:52Z
dc.date.issued2022
dc.descriptionMestrado em Fisioterapia – Área de especialização: Saúde da Mulherpt_PT
dc.description.abstractIntroduction: The levator ani muscle (LAM) is the main muscle of the pelvic floor and studies show a significant association between injuries of the LAM and the first vaginal delivery, which can cause pelvic floor disorders (PFDs). This study aims to identify the prevalence of short and long-term LAM injuries after vaginal delivery in primiparous women and its influence on PFDs. Additionally, this study, it is further intended to discuss the role of physical therapy in the recovery of PFDs. Methodology: A systematic review was conducted according to the PRISMA methodology. The databases used were Pubmed, Cochrane, and PEDro. The quality assessment of the evidence was carried out using the Critical Appraisal Skills Programme (CASP). Both the selection of studies and their evaluation were done by two researchers, and by a third reviewer in cases of disagreement. Data were collected on samples, assessment tools, moments of the assessments, and main results. Results: From the search were gathered 57 articles in total, 19 of which were included for matching the eligibility criteria. The prevalence of avulsion of the LAM was found in association with vaginal delivery between 18% and 25%, more often on the right side. Ballooning was detected in 20% to 37% of women, appearing to be more common when compared to avulsion. Pelvic organ prolapse (POP) was considered the most common disorder associated with injuries of the LAM and there seems to be some connection with sexual dysfunction. An association between urinary incontinence (UI) and anal incontinence (AI) was not sufficiently supported by the studies included. Conclusion: Avulsion of the LAM and ballooning of the hiatal area have a high prevalence in primiparous women after vaginal delivery and have a strong direct relation to the development of POP.pt_PT
dc.description.versionN/Apt_PT
dc.identifier.citationPessoa PB. Prevalência de lesões do músculo elevador do ânus em mulheres primíparas após parto e a sua influência nas disfunções do pavimento pélvico: implicações para a fisioterapia (revisão sistemática) [dissertation]. Lisboa: Escola Superior de Tecnologia da Saúde de Lisboa/Instituto Politécnico de Lisboa; 2022.pt_PT
dc.identifier.tid203012704
dc.identifier.urihttp://hdl.handle.net/10400.21/15044
dc.language.isoporpt_PT
dc.peerreviewedyespt_PT
dc.publisherInstituto Politécnico de Lisboa, Escola Superior de Tecnologia da Saúde de Lisboapt_PT
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/pt_PT
dc.subjectPhysiotherapypt_PT
dc.subjectRehabilitationpt_PT
dc.subjectAvulsionpt_PT
dc.subjectBallooningpt_PT
dc.subjectVaginal deliverypt_PT
dc.subjectPrimiparitypt_PT
dc.subjectPelvic floor disorderspt_PT
dc.titlePrevalência de lesões do músculo elevador do ânus em mulheres primíparas após parto e a sua influência nas disfunções do pavimento pélvico: implicações para a fisioterapia (revisão sistemática)pt_PT
dc.typemaster thesis
dspace.entity.typePublication
rcaap.rightsopenAccesspt_PT
rcaap.typemasterThesispt_PT
thesis.degree.nameFisioterapia

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