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Correlation of pelvic floor muscle function and inter-rectus distance of abdominal muscles in menopause and climateric women

Abstract

Introduction: Currently, the Brazilian population is undergoing a rapid aging process, and with this the life expectancy has increased significantly. For women, in our culture a major event of female aging is menopause. Among the many physical alterations due to menopause, the increase in rectus abdominis diastasis is very prevalent and, along with these, women present with pelvic floor muscle dysfunction and symptoms of urinary incontinence, fecal incontinence and prolapse of the pelvic organs. Objective: to correlate the function of pelvic floor muscles with inter-rectus abdominal distance in women in climacteric and postmenopausal women. Materials and methods: This is a cross-sectional study with women in the climacteric and post menopause, aged 45 to 75 years, living in the city of Bauru-SP. All participants who sign the informed consent form will respond to sociodemographic and clinical questions, anthropometric measurements and the measurement of the inter-rectal abdominal distance performed with a digital compass. The women will respond to the International Consultation on Incontinence - Short Questionnaire (ICIQ-SF) questionnaire for urinary incontinence; Wexner's scale for fecal incontinence; And the international consultation on the incontinence questionnaire - vaginal symptoms (ICIQ-VS) questionnaire for vaginal symptoms. The physical evaluation will be performed to verify the function of the pelvic floor muscle by the Oxford scale, perineometry apparatus and vaginal dynamometer. The sample calculation was performed with the statistical software G * Power version 3.1.9.2, considering a statistical power of 0.90, effect size of 0.3 and alpha of 0.05, the minimum number of participants in the study will be 88 women. Expected results: It is expected to correlate the values of inter-rectus abdominis distance with pelvic floor dysfunctions, thus suggesting the important interaction between the abdominal and pelvic muscles. Thus, it will be possible to propose better strategies to prevent and treat these complaints and to intervene positively in the quality of life of women in climacteric and postmenopausal women. (AU)

Scientific publications
(References retrieved automatically from Web of Science and SciELO through information on FAPESP grants and their corresponding numbers as mentioned in the publications by the authors)
HARADA, BEATRIZ SOUZA; DE BORTOLLI, THAINA TOLOSA; CARNAZ, LETICIA; SOUZA DE CONTI, MARTA HELENA; HIJAZ, ADONIZ; DRIUSSO, PATRICIA; MARINI, GABRIELA. Diastasis recti abdominis and pelvic floor dysfunction in peri- and postmenopausal women: a cross-sectional study. PHYSIOTHERAPY THEORY AND PRACTICE, DEC 2020. Web of Science Citations: 0.

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