| Author | Andrade, Rosana Cristina Pereira de | |
| Author | A. Neto, José | |
| Author | Andrade, Luciana | |
| Author | Oliveira, Tatiane S. | |
| Author | Santos, Dislene Nascimento dos | |
| Author | Oliveira, Cassius José Vitor de | |
| Author | Prado, Márcio J. | |
| Author | Carvalho Filho, Edgar Marcelino | |
| Access date | 2017-06-08T18:09:30Z | |
| Available date | 2017-06-08T18:09:30Z | |
| Document date | 2016 | |
| Citation | ANDRADE, Rosana Cristina Pereira de et al. Effects of Physiotherapy in the Treatment of Neurogenic Bladder in Patients Infected With Human T-Lymphotropic Virus 1. Urology, v. 89, p. 33-39, 2016. | pt_BR |
| ISSN | 0090-4295 | pt_BR |
| URI | https://www.arca.fiocruz.br/handle/icict/19352 | |
| Language | eng | pt_BR |
| Publisher | Elsevier | pt_BR |
| Rights | open access | pt_BR |
| Subject in Portuguese | HTLV-1 | pt_BR |
| Subject in Portuguese | Bexiga | pt_BR |
| Subject in Portuguese | Fisioterapia | pt_BR |
| Subject in Portuguese | Estimulação Elétrica | pt_BR |
| Subject in Portuguese | Terapia comportamental | pt_BR |
| Title | Effects of Physiotherapy in the Treatment of Neurogenic Bladder in Patients Infected With Human T-Lymphotropic Virus 1 | pt_BR |
| Type | Preprint | pt_BR |
| DOI | 10.1016/j.urology.2015.09.036 | |
| Abstract | 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 with 21 patients attending the physiotherapy clinic of the Hospital Universitário, Bahia, Brazil. Combinations of behavioral therapy, perineal exercises and intravaginal/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<0.001). There was also a reduction in the overactive bladder symptom score from 10±4 to 6±3 (p<0.001) and an increasing in the perineal muscle strength (p<0.001). The urodynamic parameters improved, with reduction in the frequency of patients with detrusor hyperactivity from 57.9% to 42.1%; detrusor-sphincter dyssynergia (DSD) 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 HTLV-1-associated neurogenic bladder, reducing symptoms, increasing perineal muscle strength, improving urodynamic parameters and quality of life. | pt_BR |
| Affilliation | Universidade Federal da Bahia. Complexo Hospitalar Universitário Professor Edgard Santos. Physiotherapy Department. Salvador, BA, Brasil / Federal University of Bahia School of Medicine. Postgraduate Program in Health Sciences. Salvador, BA, Brasil. | pt_BR |
| Affilliation | Universidade Federal da Bahia. Complexo Hospitalar Universitário Professor Edgard Santos. Immunology Service. Salvador, BA, Brasil / Federal University of Bahia School of Medicine. Postgraduate Program in Health Sciences. Salvador, BA, Brasil. | pt_BR |
| Affilliation | Universidade Federal da Bahia. Complexo Hospitalar Universitário Professor Edgard Santos. Physiotherapy Department. Salvador, BA, Brasil. | pt_BR |
| Affilliation | Universidade Federal da Bahia. Complexo Hospitalar Universitário Professor Edgard Santos. Physiotherapy Department. Salvador, BA, Brasil. | pt_BR |
| Affilliation | Universidade Federal da Bahia. Complexo Hospitalar Universitário Professor Edgard Santos. Physiotherapy Department. Salvador, BA, Brasil. | pt_BR |
| Affilliation | Universidade Federal da Bahia. Complexo Hospitalar Universitário Professor Edgard Santos. Immunology Service. Salvador, BA, Brasil / Federal University of Bahia School of Medicine. Postgraduate Program in Health Sciences. Salvador, BA, Brasil. | pt_BR |
| Affilliation | Universidade Federal da Bahia. Complexo Hospitalar Universitário Professor Edgard Santos. Department of Gynecology. Salvador, BA, Brasil. | pt_BR |
| Affilliation | Universidade Federal da Bahia. Complexo Hospitalar Universitário Professor Edgard Santos. Immunology Service. Salvador, BA, Brasil / Fundação Oswaldo Cruz. Centro de Pesquisas Gonçalo Moniz. Salvador, BA, Brasil / National Institute of Science and Technology in Tropical Diseases. São Paulo, SP, Brazil / Federal University of Bahia. School of Medicine. Program in Health Sciences. Salvador, BA, Brazil. | pt_BR |
| Subject | HTLV-1 | pt_BR |
| Subject | Neurogenic Bladde | pt_BR |
| Subject | Kinesiotherapy | pt_BR |
| Subject | Electrical Stimulation | pt_BR |
| Subject | Beavioral Therapy | pt_BR |
| DeCS | HTLV-1 | pt_BR |
| DeCS | Bexiga | pt_BR |
| DeCS | Estimulação Elétrica | pt_BR |
| DeCS | Terapia comportamental | pt_BR |
| DeCS | Fisioterapia | pt_BR |
