• Arcanjo GN
• Pires JLVR
• Jacinto MEM
• Colares JM
• Belo LMC
• Lima POP
• Vilaça-Alves J

• Affiliation / Estacio of Ceará University Center. Department of Physical Therapy
• Affiliation / Federal University of Ceará
• Affiliation / University of Trás-os-Montes and Alto Douro. Department of Sports Science, Exercise and Health
• Affiliation(G) / Brazil / Ceará / Fortaleza
• Affiliation(G) / Portugal / Vila Real
• Electromyography
• Manipulation, Osteopathic
• Open Access Document
• Pelvic Floor / physiology
• Urinary Incontinence
• Women

Objective: The purpose of this clinical trial was to compare the effects of 4 different interventions on electromyographic activity of the pelvic floor muscles in women with stress urinary incontinence (UI).

Methods: Fifty-one women with stress UI were randomized into 4 groups: a global osteopathic protocol (myofascial, visceral, and articular techniques); 1 manipulation technique (high-velocity, low-amplitude/thrust) of the sacroiliac joint and T10-L2; training of the pelvic floor muscles; and no intervention (control). Electromyographic activity of the pelvic floor muscles was evaluated at 5 different times (baseline, immediately after the procedure, 30 minutes, 1 hour, and 4 weeks after intervention).

Results: Forty women completed the study. There were no immediate or late effects on the myoelectric activity of any type of muscle fiber in any of the groups analyzed.

Conclusion: There were no significant between-groups differences of electromyography in women with symptoms of stress UI.

Author Keywords:  Pelvic Floor; Osteopathic Medicine; Urinary Incontinence

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