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Prevalence of levator ani muscle injuries in primiparous women after delivery a...

Pessoa, Patrícia; Carvalho, Andreia; Mota, Patrícia

Background: Studies show a significant association between the first vaginal delivery and injuries of the levator ani muscle (LAM), which can cause pelvic floor disorders (PFDs). Objectives: This study aims to identify the prevalence of short and long-term LAM injuries after vaginal delivery in primiparous women and its influence on PFDs. Method: A systematic review was conducted according to the PRISMA methodo...


The Effect of Strengthening of the Upper Limb, on Balance and Gait, in Old Peop...

Figueiredo, Vânia; Carvalho, Andreia; Mota, Patrícia

Introduction: The occurrence of stroke is higher in the elderly population, and 30% to 60% have upper limb (UL) limitations. The decrease of range of motion on the upper limb joints and pendular movement can lead to changes in gait pattern, risk of falling, and balance. Studies refer that UL strengthening benefits gait and functional capacity in patients with stroke sequels. Our aim was to determine the effect ...

Date: 2023   |   Origin: SINAPSE

Alterations of the abdominal wall during pregnancy

Mota, Patrícia

Pregnancy and becoming a mother is one of the most exciting times in a woman’s life. Besides all the hormonal and physiological changes affecting women during this period, probably the most obvious morphological alteration during pregnancy is the increasing weight and dimensions of the uterus, influencing maternal trunk musculoskeletal morphology, particularly the abdominal musculature. Diastasis recti abdomini...


Feasibility study of a 4-week EPI-no® protocol in pregnant women

Mota, Patrícia; Guimarães, Flávia; Homsi-Jorge, Christine

Introduction: The purpose of using the Epi-No device would be to stretch the vaginal wall up to its maximum diameter; once done repeatedly, it would facilitate perineal distension during birth and labor. Objective: To determine the feasibility of a supervised daily four-week Epi-no® protocol in pregnant women. Methods: Pregnant women received a 20-session protocol with daily progression of the balloon diameter ...


On “The impact of hypopressive abdominal exercise on Linea Alba morphology in w...

Mota, Patrícia; Theodorsen, Nina-M.; Gluppe, Sandra; Bø, Kari

Extract - We read the article by Arranz-Martín et al with great interest. However, we are concerned about the theoretical rationale, methodology, and conclusion of this paper. In the Introduction, the authors state: "Linea alba stiffness appears to play an important role in the transmission of muscle forces across the midline to achieve optimal abdominal wall function. The extent of distortion or slackness in t...


A scoping review exploring stigma associated with postpartum urinary incontinence

Cox, Jordyn; Sánchez-Polán, Miguel; Mota, Patrícia; Barakat, Ruben; Nagpal, Taniya

Background: Postpartum urinary incontinence (PUI) occurs in 30–33% of individuals after their pregnancy, and has a detrimental impact on quality of life. Although common, PUI carries social stigma and this can affect patient behaviors, including not revealing symptoms and seeking appropriate care. Purpose: To summarize the causes of PUI stigma and its implications on health behaviors and outcomes. Methods: A sc...


Efeitos do fortalecimento do membro superior, no equilíbrio e na marcha, em ido...

Figueiredo, Vânia; Carvalho, Andreia; Mota, Patrícia

Introdução: A ocorrência de acidente vascular cerebral (AVC) tem uma prevalência elevada na população mais velha, sendo que 30% a 60% destes indivíduos apresentam limitações ao nível do membro superior (MS). A diminuição da amplitude e alteração dos membros superiores podem potenciar alterações ao nível do padrão de marcha, risco de queda e equilíbrio. Estudos referem que fortalecimento dos MS pode melhorar o p...


Technical aspects of inter-recti distance measurement with ultrasonographic ima...

Opala-Berdzik, Agnieszka; Rudek-Zeprzałka, Magdalena; Niesporek, Justyna; Cebula, Maciej; Baron, Jan; Gruszczyńska, Katarzyna; Pascoal, Augusto Gil

Background: Inter-recti distance (IRD) measurement using musculoskeletal USI has been used in physiotherapy research, in particular, to investigate pregnancy-related diastasis recti abdominis (DRA) and to seek its effective treatment methods. Severe and untreated diastasis may result in the formation of umbilical or epigastric hernias. Objective: This study aimed to systematically map physiotherapy-related rese...


Pelvic floor muscle function after grade II tears: surface electromyography tes...

Mota, Patrícia; Costa, Ana; Santos, Diana; Santo, Susana; Barros, Joana G.; Bø, Kari

Background: Vaginal birth is a risk factor for the weakening of the pelvic floor muscles (PFM) and the development of pelvic floor dysfunction (PFD). Perineal tears may decrease PFM function. PFM tone can be assessed with surface EMG (sEMG), but reliability studies of sEMG in women with perineal tears are lacking. The aims of this study were to evaluate the test-retest and intrarater reliability of sEMG and com...


A scoping review exploring stigma associated with postpartum urinary incontinence

Cox, Jordyn M.; Sánchez-Polán, Miguel; Mota, Patrícia; Barakat, Ruben; Nagpal, Taniya S.

Introduction and hypothesis: Postpartum urinary incontinence (UI) is prevalent, yet health-seeking behaviours for prevention and treatment are markedly low. Health-related stigma refers to conditions that may be socially devalued and considered deviating from "expected norms" and is a barrier to equitable health care. It may be plausible that stigma is associated with postpartum UI and leads to avoiding health-...


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