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Relato de caso: incontinência fecal
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Orientador(es)
Resumo(s)
O objetivo do estudo foi avaliar a eficácia de um programa de reabilitação dos Músculos do Pavimento Pélvico (MPP) para superar a
Incontinência Fecal (IF). Metodologia: estudo de caso com uma participante de 64 anos, professora, autónoma, com diagnóstico de
IF devido a sequela de cirurgia a prolapso retal. Realizou-se um programa de Treino dos Músculos do Pavimento Pélvico (TMPP), de
uma sessão/semana, durante 16 semanas, supervisionado por Biofeedback anorretal. Cada sessão demorou 45 minutos, dos quais
20 minutos para TMPP e o restante para o exame físico, terapia manual, massagem e ensinos/registos da doente: diário de sintomas,
supervisão da gestão da alimentação, treino intestinal, técnicas/posturas de defecação e suporte emocional. Na primeira sessão (T0)
e na última (T1), foi ainda efetuado a anamnese, Índice de Wexner, Bristol Stool Form Scale (BSFS) e Fecal Incontinence Quality of
Life (FIQL). Os resultados evidenciaram ganhos na força dos MPP, que evoluíram de grau 2 para 4 na escala de Oxford modificada;
na qualidade de vida (QdV), ausência de perdas fecais, as fezes passaram de consistência tipo 2 para 4 na BSFS. Conclusão: o
programa de reabilitação uropélvica, mostrou-se eficaz na reeducação dos MPP e melhorou significativamente a QdV da participante.
PALAVRAS-CHAVE: incontinência fecal; reabilitação pélvica; treino dos músculos do pavimento pélvico.
The aim of the study was to assess the effectiveness of a pelvic floor muscle (PFM) rehabilitation programme in overcoming faecal incontinence (FI). Methodology: a case study of a 64-year-old, self-employed teacher diagnosed with FI because of rectal prolapse surgery. A Pelvic Floor Muscle Training (PFMT) programme was carried out, one session/week for 16 weeks, supervised by anorectal biofeedback. Each session took 45 minutes, of which 20 minutes was for PFMT and the rest for physical examination, manual therapy, massage and patient teaching/recording: symptom diary, supervision of diet management, bowel training, defecation techniques/postures and emotional support. In the first session (T0) and the last (T1), an anamnesis, Wexner Index, Bristol Stool Form Scale (BSFS) and Fecal Incontinence Quality of Life (FIQL) were also taken. The results showed gains in PFM strength, which went from grade 2 to 4 on the modified Oxford scale; in quality of life (QoL), absence of faecal losses, stools went from consistency type 2 to 4 on the BSFS. Conclusion: the uropelvic rehabilitation programme proved to be effective in re-educating the PFM and significantly improved the participant’s QoL. KEYWORDS: fecal incontinence; pelvic floor muscle training; pelvic rehabilitation.
The aim of the study was to assess the effectiveness of a pelvic floor muscle (PFM) rehabilitation programme in overcoming faecal incontinence (FI). Methodology: a case study of a 64-year-old, self-employed teacher diagnosed with FI because of rectal prolapse surgery. A Pelvic Floor Muscle Training (PFMT) programme was carried out, one session/week for 16 weeks, supervised by anorectal biofeedback. Each session took 45 minutes, of which 20 minutes was for PFMT and the rest for physical examination, manual therapy, massage and patient teaching/recording: symptom diary, supervision of diet management, bowel training, defecation techniques/postures and emotional support. In the first session (T0) and the last (T1), an anamnesis, Wexner Index, Bristol Stool Form Scale (BSFS) and Fecal Incontinence Quality of Life (FIQL) were also taken. The results showed gains in PFM strength, which went from grade 2 to 4 on the modified Oxford scale; in quality of life (QoL), absence of faecal losses, stools went from consistency type 2 to 4 on the BSFS. Conclusion: the uropelvic rehabilitation programme proved to be effective in re-educating the PFM and significantly improved the participant’s QoL. KEYWORDS: fecal incontinence; pelvic floor muscle training; pelvic rehabilitation.
Descrição
Palavras-chave
Fecal incontinence Pelvic floor muscle training
Contexto Educativo
Citação
Pires, Telma; Magalhães, Bruno; Rodrigues, Vítor; Barroso, Isabel; Paulo, Marta; Carvalho, Diana; Marques, Maria Helena; Pires, Patrícia (2024). Relato de caso: incontinência fecal. Motricidade. ISSN 1646-107X. 20:1, p. 120-127
Editora
Universidade da Beira Interior