Electrical Stimulation and Vaginal Palpation in Pelvic Floor Muscles Awareness
Electrical Stimulation and Vaginal Palpation in Pelvic Floor Muscles Awareness
The purpose of this study is to evaluate the effectiveness of transvaginal electrical
 stimulation, vaginal palpation, and vaginal palpation associated with posterior pelvic tilt
 and contraction of accessory muscles in the acquisition of ability to contract the pelvic
 floor muscles (PFM), as well as to evaluate the sexual function of women studied.
Many women does not know to contract the PFM voluntarily favoring the development of
 disorders such as urinary and fecal incontinence, pelvic organ prolapse and sexual disorders.
 However there are no studies in the literature that address the application of therapeutic
 resources available to improve the PFM awareness. The objective of this study is to evaluate
 the effectiveness of transvaginal electrical stimulation, vaginal palpation, vaginal
 palpation associated with posterior pelvic tilt and contraction of accessory muscles in the
 acquisition of ability to contract the PFM, as well as to evaluate the sexual function of
 women studied. One hundred twenty women with PFM function graded 0 and 1 measured by Oxford
 Modified Scale will be submitted at random to physical therapy with transvaginal electrical
 stimulation, vaginal palpation, vaginal palpation associated with posterior pelvic tilt and
 contraction of accessory muscles (glutes and hip adductors) and the control group who receive
 verbal instructions related to the pelvic floor and its contraction. For the evaluation of
 the sexual function will be applied the Female Sexual Function Index (FSFI).

 The patients will be assessed by vaginal palpation, perineometry and surface electromyography
 before and after the intervention.
Inclusion Criteria:

 Women with age greater than or equal 18 years; Women with pelvic floor muscle function
 graded 0 and 1 measured by Oxford Modified Scale; Women who voluntarily consente to
 participate in research.

 Exclusion Criteria:

 Women with associated neurological pathologies; Women with symptoms of vaginal or urinary
 tract infection; Women with pelvic organs prolapse graded greater than 2; Pregnancy
 suspected or confirmed; Cognitive deficit that impedes or impair the procedure.