Anatomía Digital

Psychosocial factors of the primary caregiver of people with motor disabilities

Ana Lucía Pilamunga Peralta, Viviana del Rocio Mera Herrera — Thu, 06 Feb 2025 00:00:00 +0000

Introduction. The figure of the main caregiver for people with motor disabilities is vital, not only for the direct assistance provided, but also for the role they play in the general well-being of the person with this condition. Aim. To analyze the psychosocial factors of the main caregiver of people with motor disabilities. Methodology. This investigative work will be developed by applying the observational, descriptive, non-experimental methodology, through a documentary review, of high-impact scientific documents. Results. Some similarities were found regarding the psychosocial burden experienced by caregivers of people with various disabling conditions or chronic illnesses. A consistent finding is the elevated level of stress and emotional exhaustion among primary caregivers. Conclusion. synthesize and efficiently organize the existing scientific evidence in relation to the psychosocial factors of the main caregiver of people with motor disabilities, from a comprehensive vision. General study area: Health Specific study area. Public Health Type of study: Original article.

Pelvic floor strengthening exercise program for women with sexual dysfunction

Fri, 21 Feb 2025 00:00:00 +0000

Introduction: Female sexual dysfunction is one of the gynecological consultations with the highest demand, being dyspareunia one of the disorders that afflict the female population in 26%. Pelvic floor muscle training exercises are a treatment to mitigate the adverse effects on sexual function. Some of the sexual health programs in physiotherapy are multimodal, integrating exercises with sexual education. Objective: To analyze physiotherapeutic programs aimed at pelvic floor muscle strengthening through literature reviews to mitigate female sexual dysfunction. Methodology: It is of bibliographic type with documentary design, inductive method, with data collected since 2017 from the following databases: PubMed, ProQuest, ScienceDirect, EBSCO, Semantic Scholar, SPRINGER LINK and Em Saúde. We were able to identify, filter and pre-analyze randomized clinical trials with the help of Boolean operators (AND, OR and NOT), along with inclusion, exclusion criteria and the Physiotherapy Evidence Database scale. Results: It started with a population of 112 articles, after analyzing a sample of 27 articles was obtained, covering pelvic floor strengthening programs in female sexual dysfunction, starting by raising awareness of pelvic muscle contraction, along with instruments, sex education, partner support and self-directed work, being effective in dyspareunia and sexual dysfunction disorders. Conclusions: It was demonstrated the effectiveness of multimodal programs in training the hypotonic pelvic floor musculature, increasing sexual desire, lubrication, orgasm, sexual satisfaction, and pain reduction in women with sexual dysfunction. General Area of Study: Physical therapy. Specific area of study: Pelvic floor. Type of study: Bibliography Review.

Urinary incontinence and strengthening of pelvic muscles to improve quality of life in women

Wed, 26 Feb 2025 00:00:00 +0000

Introduction. Urinary incontinence (UI) is a social problem that is faced in a higher percentage of women with an affectation ratio of 1:4 suffering from UI. A UI is the involuntary loss of urine, affecting the productivity and quality of life of those who suffer from it, accompanied by depression, anxiety, and an increase in lower urinary tract infections. It is estimated that between 25% and 45% of the factors in women are due to aging, pregnancy, and vaginal births; The types of urinary incontinence are: stress urinary incontinence (SUI), urgency urinary incontinence (UUI) and mixed urinary incontinence (MUI). Work to strengthen the pelvic floor muscles (PFM) has become a first-line conservative treatment for rehabilitation against this pathology. Aim. Explain the generalities of Urinary Incontinence, and the influence of strengthening the pelvic floor muscles and how it intervenes in the quality of life of women. Methodology. A narrative review of the literature was carried out, in the first instance a search was carried out in the databases; PubMed (69), Embase (407), Pedro (25) and Trip (0), finding a total of 501 articles, of which a first selection was made by title with the keywords “exercise and training and incontinence and quality of life”, 10 articles were respectively selected to carry out this study. Results and Conclusion: Strengthening the pelvic floor muscles is necessary to reduce episodes of urinary incontinence. Group-directed programs generate better benefits and results compared to individual work, due to the joint support between groups of women, improving quality of life. In a total of 2,449 women who underwent surgery in the studies reviewed, strengthening the pelvic floor, both in groups and individually, obtained results at 6 and 12 weeks, the intervention was conducted between 2 to 3 times a week with a duration of 40 to 50 minutes per session. General area of study: Physiotherapy. Specific study area: Pelvic floor. Type of study: Original articles.