Banca de DEFESA: JOYCE MARIA PEREIRA DE OLIVEIRA

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
STUDENT : JOYCE MARIA PEREIRA DE OLIVEIRA
DATE: 25/02/2026
TIME: 10:00
LOCAL: Sala de Aulas II GEP/MEJC
TITLE:

Impact of a Semi-Supervised Exercise Protocol Via Telemonitoring on the Pelvic Floor Muscle Strength of Diabetic Pregnant Women

KEY WORDS:

Pelvic Floor; Exercise; Pregnant Women; Telemedicine.

PAGES: 65
BIG AREA: Ciências da Saúde
AREA: Fisioterapia e Terapia Ocupacional
SUMMARY:

Introduction: Pelvic floor disorders (PFDs) are common during pregnancy, and the metabolic stress associated with Gestational Diabetes Mellitus (GDM) may worsen this condition. Supervised pelvic floor muscle training (PFMT) is effective in treating PFDs. Although the effectiveness of semi-supervised telerehabilitation for this population remains unexplored, this model has emerged as a promising alternative to overcome barriers to access to standard care. Therefore, this study aimed to evaluate the effects of a semi-supervised exercise program delivered via telerehabilitation on pelvic floor function in pregnant women with GDM. Methods: This was a randomized, controlled, parallel, single-blind clinical trial including 40 pregnant women aged 18 to 45 years diagnosed with GDM, conducted between October 2024 and May 2025. Participants were allocated into two groups: the Exercise Group (EG; n = 20) and the Control Group (CG; n = 20). The EG performed an exercise protocol (aerobic, global strengthening, and specific pelvic floor muscle exercises) for 10–20 weeks, depending on gestational age at recruitment, with telemonitoring via smartphone through a team member referred to as “Rosa.” The CG received an educational booklet during the same period. Before and after the intervention, clinical, sociodemographic, and obstetric data were collected, and pelvic floor muscle function was assessed using the Modified Oxford Scale and vaginal manometry. PFD symptoms and impacts were evaluated using the Pelvic Floor Distress Inventory (PFDI), Pelvic Floor Impact Questionnaire–Short Form (PFIQ-7), and the International Consultation on Incontinence Questionnaire–Short Form (ICIQ-SF). Sexual function was assessed using the Female Sexual Function Index (FSFI). The Patient Global Impression of Change (PGI-C) scale was applied at the end of the study. The intervention lasted a minimum of 10 weeks and a maximum of 20 weeks, according to gestational age at recruitment (between 14 and 25 weeks), up to a maximum of 36 weeks of gestation. Reassessment followed the same procedures and included the PGI-C. Results: Stratified analysis of participants with urinary incontinence (UI) at baseline revealed a significant interaction between group, time, and incontinence (p = 0.007). In this subgroup, the EG showed a significant reduction in urinary distress (UDI) and a protective effect against progression of UI severity compared to the CG. Conclusion: A semi-supervised telerehabilitation program was effective in reducing and preventing progression of urinary symptoms in pregnant women with GDM and pre-existing UI.

COMMITTEE MEMBERS:
Externa à Instituição - PAULA CLARA RIBEIRO SANTOS
Externa ao Programa - 1242804 - ADRIANA GOMES MAGALHAES - nullPresidente - 2786809 - MARIA THEREZA ALBUQUERQUE BARBOSA CABRAL MICUSSI