Effects of Physiotherapy in the Treatment of Neurogenic Bladder in Patients Infected With Human T-Lymphotropic Virus 1

dc.creatorAndrade, Rosana Cristina Pereira de
dc.creatorA. Neto, José
dc.creatorAndrade, Luciana
dc.creatorOliveira, Tatiane S.
dc.creatorSantos, Dislene Nascimento
dc.creatorOliveira, Cassius José Vitor de
dc.creatorPrado, Márcio J.
dc.creatorCarvalho Filho, Edgar Marcelino
dc.date2016-06-22T13:49:12Z
dc.date2016-07-07T11:39:50Z
dc.date2016-06-22T13:49:12Z
dc.date2016-07-07T11:39:50Z
dc.date2016
dc.date.accessioned2023-09-26T23:01:07Z
dc.date.available2023-09-26T23:01:07Z
dc.identifierANDRADE, Rosana Cristina Pereira de et al. Effects of Physiotherapy in the Treatment of Neurogenic Bladder in Patients Infected With Human T-Lymphotropic Virus 1. Urology, v. 89, p. 33-39, 2016.
dc.identifier0090-4295
dc.identifierhttps://www.arca.fiocruz.br/handle/icict/14579
dc.identifier10.1016/j.urology.2015.09.036
dc.identifier.urihttps://repositorioslatinoamericanos.uchile.cl/handle/2250/8885896
dc.descriptionOBJECTIVE: To evaluate the efficacy of physiotherapy for urinary manifestations in patients with human T-lymphotropic virus 1–associated lower urinary tract dysfunction. METHODS Open clinical trial was conducted with 21 patients attending the physiotherapy clinic of the Hospital Universitário, Bahia, Brazil. Combinations of behavioral therapy, perineal exercises, and intravaginal or intra-anal electrical stimulation were used. RESULTS: The mean age was 54 ± 12 years and 67% were female. After treatment, there was an improvement in symptoms of urinary urgency, frequency, incontinence, nocturia, and in the sensation of incomplete emptying (P < .001). There was also a reduction in the overactive bladder symptom score from 10 ± 4 to 6 ± 3 (P < .001) and an increase in the perineal muscle strength (P <.001). The urodynamic parameters improved, with reduction in the frequency of patients with detrusor hyperactivity from 57.9% to 42.1%, detrusor-sphincter dyssynergia from 31.6% to 5.3%, detrusor hypocontractility from 15.8% to 0%, and detrusor areflexia from 10.5% to 0%, with positive repercussions in the quality of life in all patients. CONCLUSION Physiotherapy was effective in cases of human T-lymphotropic virus 1–associated neurogenic bladder, reducing symptoms, increasing perineal muscle strength, and improving urodynamic parameters and quality of life.
dc.formatapplication/pdf
dc.languageeng
dc.publisherElsevier Inc
dc.rightsopen access
dc.subjectUrinary Bladder, neurogenic
dc.subjectUrodynamics
dc.subjectNocturia
dc.subjectHuman T-lymphotropic virus 1
dc.subjectUrinary Bladder Diseases
dc.subjectUrinary Incontinence
dc.subjectUrination Disorders
dc.subjectMuscle Strength
dc.subjectPhysical Therapy Modalities
dc.subjectElectrical Stimulation
dc.subjectHuman
dc.subjectFemale
dc.titleEffects of Physiotherapy in the Treatment of Neurogenic Bladder in Patients Infected With Human T-Lymphotropic Virus 1
dc.typeArticle


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