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  • THE EFFECTS OF RESISTANCE E...
    Moreira, Evelyn Myelle Farias; Neto, João Simão de Melo

    Revista brasileira de fisioterapia (São Carlos (São Paulo, Brazil)), April 2024, 2024-04-00, Letnik: 28
    Journal Article

    The literature on exercise linked to electrical stimulation of the upper pelvic floor muscles in the treatment of urinary incontinence after radical prostatectomy is scarce and reports different techniques for the treatment of urinary incontinence. In this context of care for cancer patients, functional exercises and electrostimulation can act as additional therapies. Studies show positive effects of functional pelvic floor training in patients with urinary incontinence after prostate surgery. In addition, as a second treatment option is electrostimulation that can be used together with functional training or separately (LATORRE, 2020). Electrostimulation facilitates the contraction of the periurethral striated muscles by inhibiting the detrusor muscle and activating the sphincter (KAKIHARA CT, 2007). The structure that maintains urinary continence is the external urinary sphincter, urinary incontinence is a consequence of sphincter injuries of the less favorable urethrovesical junction to maintain urinary continence, generating greater demand for the external urethral sphincter. To improve the effectiveness of the urethral sphincter, physical therapy treatment is recommended, which includes pelvic muscle training; functional electrostimulation together with indo-anal electrode; the two methods can be executed together or separately (KAKIHARA CT, 2007). To verify the effects of resistance exercise and electrical stimulation on clinical outcomes and quality of life of cancer patients undergoing prostatectomy. The present study sought to analyze scientific articles based on a systematic literature review. The research focused on analyzing articles that addressed the terms involved in the construction of the study. They were consulted in the electronic databases SciElo, PubMed, Cochrane, Bvs for selection and review of articles originally published in English and Portuguese. Twenty published studies were summarized. Most studies demonstrate physiological and quality of life benefits. However, most of these studies have limitations because they are not randomized clinical trials or use small samples. This initial evidence involving a small sample size suggests that properly applied, designed, and supervised resistance exercise may be safe and well tolerated by patients with prostate cancer and may lead to improvements in physical function, physical activity levels, and weight gain. muscle mass. Future trials involving larger samples are needed to expand on these preliminary findings. Future trials involving larger samples are needed to expand on these preliminary findings. Knowing that the planned exercise has benefits in the quality of life of these patients.