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EFFECTS OF PHYSIOTHERAPY IN THE TREATMENT OF NEUROGENIC BLADDER IN PATIENTS INFECTED WITH HUMAN T-LYMPHOTROPIC VIRUS 1
Urodynamics
Nocturia
Human T-lymphotropic virus 1
Urinary Bladder Diseases
Urinary Incontinence
Urination Disorders
Muscle Strength
Physical Therapy Modalities
Electrical Stimulation
Human
Female
Autor
Afiliación
Universidade Federal da Bahia. Complexo Hospitalar Professor Edgard Santos. Physiotherapy Department. Salvador, BA, Brasil.
Fundação Gonçalo Moniz. Instituto de Pesquisas Gonçalo Moniz. Salvador, BA, Brasil / Institute of Investigation in Immunology-III. Salvador, BA, Brasil.
Fundação Gonçalo Moniz. Instituto de Pesquisas Gonçalo Moniz. Salvador, BA, Brasil.
Universidade Federal da Bahia. Complexo Hospitalar Professor Edgard Santos. Immunology Service. Salvador, BA, Brasil.
Universidade Federal da Bahia. Complexo Hospitalar Professor Edgard Santos. Department of Gynecology. Salvador, BA, Brasil.
National Institute of Science and Technology in Tropical Diseases. Salvador, BA, Brasil / Universidade Federal da Bahia. Salvador, BA, Brasil.
Universidade Federal da Bahia. Faculdade de Medicina. Salvador, BA, Brasil.
Universidade Federal da Bahia. Complexo Hospitalar Professor Edgard Santos. Immunology Service. Salvador, BA, Brasil.
Fundação Gonçalo Moniz. Instituto de Pesquisas Gonçalo Moniz. Salvador, BA, Brasil / Institute of Investigation in Immunology-III. Salvador, BA, Brasil.
Fundação Gonçalo Moniz. Instituto de Pesquisas Gonçalo Moniz. Salvador, BA, Brasil.
Universidade Federal da Bahia. Complexo Hospitalar Professor Edgard Santos. Immunology Service. Salvador, BA, Brasil.
Universidade Federal da Bahia. Complexo Hospitalar Professor Edgard Santos. Department of Gynecology. Salvador, BA, Brasil.
National Institute of Science and Technology in Tropical Diseases. Salvador, BA, Brasil / Universidade Federal da Bahia. Salvador, BA, Brasil.
Universidade Federal da Bahia. Faculdade de Medicina. Salvador, BA, Brasil.
Universidade Federal da Bahia. Complexo Hospitalar Professor Edgard Santos. Immunology Service. Salvador, BA, Brasil.
Resumen en ingles
OBJECTIVE: To evaluate the efficacy of physiotherapy for urinary manifestations in patients with human T-lymphotropic virus 1–associated lower urinary tract dysfunction. METHODS Open clinical trial was conducted with 21 patients attending the physiotherapy clinic of the Hospital Universitário, Bahia, Brazil. Combinations of behavioral therapy, perineal exercises, and intravaginal or intra-anal electrical stimulation were used. RESULTS: The mean age was 54 ± 12 years and 67% were female. After treatment, there was an improvement in symptoms of urinary urgency, frequency, incontinence, nocturia, and in the sensation of incomplete emptying (P < .001). There was also a reduction in the overactive bladder symptom score from 10 ± 4 to 6 ± 3 (P < .001) and an increase in the perineal muscle strength (P <.001). The urodynamic parameters improved, with reduction in the frequency of patients with detrusor hyperactivity from 57.9% to 42.1%, detrusor-sphincter dyssynergia from 31.6% to 5.3%, detrusor hypocontractility from 15.8% to 0%, and detrusor areflexia from 10.5% to 0%, with positive repercussions in the quality of life in all patients.
CONCLUSION Physiotherapy was effective in cases of human T-lymphotropic virus 1–associated neurogenic bladder, reducing symptoms, increasing perineal muscle strength, and improving urodynamic parameters and quality of life.
Palabras clave en ingles
Urinary Bladder, neurogenicUrodynamics
Nocturia
Human T-lymphotropic virus 1
Urinary Bladder Diseases
Urinary Incontinence
Urination Disorders
Muscle Strength
Physical Therapy Modalities
Electrical Stimulation
Human
Female
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