Clinical Trial: Electrical Stimulation and Vaginal Palpation in Pelvic Floor Muscles Awareness

Study Status: Completed
Recruit Status: Unknown status
Study Type: Interventional

Official Title: Electrical Stimulation and Vaginal Palpation in the Pelvic Floor Muscles Awareness: a Randomized Controlled Trial

Brief Summary: The purpose of this study is to evaluate the effectiveness of transvaginal electrical stimulation, vaginal palpation, and vaginal palpation associated with posterior pelvic tilt and contraction of accessory muscles in the acquisition of ability to contract the pelvic floor muscles (PFM), as well as to evaluate the sexual function of women studied.

Detailed Summary:

Many women does not know to contract the PFM voluntarily favoring the development of disorders such as urinary and fecal incontinence, pelvic organ prolapse and sexual disorders. However there are no studies in the literature that address the application of therapeutic resources available to improve the PFM awareness. The objective of this study is to evaluate the effectiveness of transvaginal electrical stimulation, vaginal palpation, vaginal palpation associated with posterior pelvic tilt and contraction of accessory muscles in the acquisition of ability to contract the PFM, as well as to evaluate the sexual function of women studied. One hundred twenty women with PFM function graded 0 and 1 measured by Oxford Modified Scale will be submitted at random to physical therapy with transvaginal electrical stimulation, vaginal palpation, vaginal palpation associated with posterior pelvic tilt and contraction of accessory muscles (glutes and hip adductors) and the control group who receive verbal instructions related to the pelvic floor and its contraction. For the evaluation of the sexual function will be applied the Female Sexual Function Index (FSFI).

The patients will be assessed by vaginal palpation, perineometry and surface electromyography before and after the intervention.


Sponsor: University of Sao Paulo

Current Primary Outcome: Change from baseline in the PFM awareness [ Time Frame: Baseline, two months ]

The transvaginal electrical stimulation, vaginal palpation, and vaginal palpation associated with posterior pelvic tilt and contraction of accessory muscles improve the results in the acquisition of contraction capacity of PFM when compared to controls that receive verbal instructions related to the PFM. The improvement will be assessed through the increase of the grade of vaginal palpation measured by Oxford Modified Scale and through the increase of values of the perineometry and surface eletromyography.


Original Primary Outcome: Same as current

Current Secondary Outcome: Change from baseline in the sexual function [ Time Frame: Baseline, two months ]

The improvement of PFM awareness will increase the sexual function of the women studied measured by the increase the score index of FSFI.


Original Secondary Outcome: Same as current

Information By: University of Sao Paulo

Dates:
Date Received: February 1, 2014
Date Started: March 2013
Date Completion: December 2014
Last Updated: February 11, 2014
Last Verified: February 2014