Efectos de la estimulación transcraneal por corriente directa y del entrenamiento muscular del suelo pélvico en mujeres: protocolo de un ensayo clínico controlado, aleatorizado y doble ciego
DOI:
https://doi.org/10.1590/1809-2950/e23006224ptPalabras clave:
Suelo pélvico, Estimulación Transcraneal por Corriente Directa (ETCC), Presión Intravaginal, Función Sexual, Calidad de VidaResumen
La debilidad de la musculatura del suelo pélvico puede
provocar incontinencia urinaria, prolapso de órganos pélvicos y
disfunción sexual, y puede minimizarse mediante el entrenamiento
de la musculatura del suelo pélvico (EMSP). Sin embargo, este efecto
no es duradero. En este contexto, una terapia combinada puede ser
prometedora para mejorar la situación. Este estudio tiene por objetivo
evaluar el efecto de la estimulación transcraneal por corriente directa
(ETCC) combinada con EMSP sobre la presión intravaginal, la fuerza
muscular del suelo pélvico (FMSP), la función sexual (FS) y la calidad
de vida (CV) en mujeres sanas. Participarán 32 mujeres, de entre 18
y 45 años, que se someterán a EMSP (contracciones y relajación
del perineo) y a Biofeedback asociado a ETCC activa o ETCC sham
durante 20 minutos, tres veces por semana, durante 4 semanas,
con un total de 12 sesiones. Durante el protocolo, las participantes
también se someterán diariamente a EMSP en casa. El electrodo
anodal de la ETCC se colocará sobre el área motora suplementaria
del hemisferio cortical dominante, y el electrodo catodal sobre la
región supraorbital contralateral, a una intensidad de 2 mA, durante
20 minutos. Se evaluarán la presión intravaginal (manómetro), la FMSP
(palpación digital, esquema Perfect), la FS (Índice de Función Sexual
Femenina) y la CV (cuestionario SF-36) antes y después de las
12 sesiones, así como tras un seguimiento de 30 días.
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Derechos de autor 2024 Fernanda Ishida Corrêa, Ângela Cristina Ledur, João Carlos Ferrari Corrêa, Felipe Fregni
Esta obra está bajo una licencia internacional Creative Commons Atribución-CompartirIgual 4.0.
