Banca de QUALIFICAÇÃO: CHRISTIANE KELEN LUCENA DA COSTA

Uma banca de QUALIFICAÇÃO de DOUTORADO foi cadastrada pelo programa.
DISCENTE: CHRISTIANE KELEN LUCENA DA COSTA
DATA: 28/04/2016
HORA: 09:00
LOCAL: Sala de Reuniões do CONSEC/CCS
TÍTULO:

CORRELAÇÃO DA FORÇA DO ASSOALHO PÉLVICO COM QUALIDADE DE VIDA SEXUAL DE MULHERES JOVENS SEXUALMENTE ATIVAS


PALAVRAS-CHAVES:

Pelvic Floor Muscles; Physical Therapy; Dyspareunia; Orgasm; FSSI; SQ-F; GRISS


PÁGINAS: 11
GRANDE ÁREA: Ciências da Saúde
ÁREA: Medicina
RESUMO:

Aim. Pelvic floor muscle (PFM) force seems to be associated to better performance in sexual response in women. However, the benefits for a short intervention using training program for FPM on sexual response of young healthy women are not yet demonstrated. Therefore, the aim of this study was to evaluate the sexual response in young healthy women before and 4 and 8-weeks after a training program of pelvic floor muscles (PFM) evaluated by three psychometric instruments.

Methods. Thirty –one in young healthy women were Training program includes 4 contexts (bipedal, dorsal laying, quadrupedal and seated postures) but participants best performed bipedal exercises (adherence varies from 100% to 54%) and only this type was considered for analysis. Data for pelvic musculature was collected using PERFECT method in the initial and final sessions, and analyzed by T-paired test. Sexual response questionnaires, FSFI, SQ-F and GRISS, were completed before and after 4 and 8 weeks the introduction of training program and tested by ANOVA, for both individual domains and total scores. For the three instruments were also analyzed the accuracy measured by the area under the ROC curve (AUC) for individual domains within each questionnaire as well as to estimate the cross accuracy, two-by-two, for the three instruments.

Results. Participants showed a better performance in PERFECT after 8- week’s period of training program comparing to initial performance, for both fast and slow switch fibers (T-Value= -15.39, p< 0.001; T-Value= -4.23; p < 0.001). They also showed a positive impact on the sexual function (ANOVA, p<0.02; FSSI: desire, excitation and orgasm/SQ-F: sexual interest, preliminaries/GRISS: orgasm). All three questionnaires showed a fair-good-optimal accuracy (ROC analysis) in assessing the domains (IFSF:AUC = 0,74-0,891 in six domains; GRISS:AUC=  0,706- 0,933 in seven domains and SQ-F:AUC = 0,882-0,821, but poor agreement for two domains= 0.594 and 0.580. ROC curve to compare the predictive value for one instrument in relation to the other show the best accuracy for FSFI x SQ-F (AUC= 0.891). 

Conclusion.  Many evidences are available showing a growing body of data to support the involvement of PFM in the improvement of sexual female response. This study shows the positive impact of a training program for PFM with the increase of force in both fast and slow switch perineal muscle fibers although performed during 8-weeks period. Also, the program also improved some scores evaluated by the  three different instruments (FSSI, SQF-F and GRISS) analysis showing significant differences associate to optimal- good accuracy across the monitoring. These data are promising to build short-term physical therapy Programs to young healthy women contributing for increase their pelvic functions, and quality of life.

Key Words.; Pelvic Floor Muscles; Physical Therapy; Dyspareunia; Orgasm; FSSI; SQ-F; GRISS


MEMBROS DA BANCA:
Externo à Instituição - ANA CRISTINA DA NÓBREGA MARINHO TORRES LEITE - UNIPÊ
Presidente - 6346130 - MARIA BERNARDETE CORDEIRO DE SOUSA
Externo ao Programa - 2786809 - MARIA THEREZA ALBUQUERQUE BARBOSA CABRAL MICUSSI
Notícia cadastrada em: 27/04/2016 17:16
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