Publicação
Telerehabilitation interventions to manage postpartum urinary incontinence: scoping review
| Resumo: | Introduction: Urinary incontinence is a common condition in the postpartum period, with a significant impact on quality of life. Pelvic floor muscle training (PFMT) is the first-line treatment; however, adherence to conventional interventions is often limited. Telerehabilitation has emerged as a promising strategy to improve access to and adherence to PFMT through digital technologies. Despite growing evidence of its effectiveness, gaps remain regarding the standardization of interventions for postpartum women. Objective: This scoping review aims to map and analyze telerehabilitation interventions for PFMT in the management of postpartum urinary incontinence (UI). Methods: A scoping review was conducted following the Joanna Briggs Institute framework for scoping reviews. A comprehensive search was performed across multiple databases, including Medline Complete, CINAHL Complete, PubMed, Cochrane, Scopus, Web of Science, and BASE, as well as relevant professional associations such as ICS, FIGO, EAU, SPG, APNUG, FSPOG, and APU. No time restrictions were applied. Studies involving postpartum adults in a home setting, focusing on telerehabilitation interventions for urinary incontinence management, available in open access and full text, and with different study designs were considered for inclusion. Results: Seven studies were included in this review, identifying seven different telerehabilitation approaches for PFMT aimed at managing postpartum UI. These interventions primarily utilized mobile applications, biofeedback devices, and remote monitoring tools to enhance adherence, provide education, and improve pelvic floor muscle strength. Conclusion: This review highlights the efficacy and feasibility of telerehabilitation interventions in postpartum UI management, supported by high-quality evidence from randomized controlled trials. Telerehabilitation enhances adherence to PFMT, provides interactive educational resources, and offers cost-effective, accessible solutions for postpartum care. Future research should focus on the long-term effects of these interventions, the integration of emerging technologies such as artificial intelligence, and cultural adaptability to ensure widespread accessibility and effectiveness. As digital health continues to evolve, telerehabilitation is expected to become a fundamental component of postpartum rehabilitation, offering innovative and scalable solutions for UI management. |
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| Autores principais: | Braga, Marta |
| Outros Autores: | Ferreira, Salomé; Manuel, Tânia; Guerra, Maria João; Almeida, Armando; Alves, Paulo |
| Assunto: | Telerehabilitation Urinary Incontinence Pelvic Floor Muscle Training Postpartum Period Telerreabilitação Incontinência Urinária Treino dos Músculos do Pavimento Pélvico Pós-Parto Telerrehabilitación Incontinencia Urinaria Entrenamiento de los Músculos del Suelo Pélvico Posparto |
| Ano: | 2026 |
| País: | Portugal |
| Tipo de documento: | artigo |
| Tipo de acesso: | unknown |
| Instituição associada: | Associação Portuguesa dos Enfermeiros de Reabilitação |
| Idioma: | português |
| Origem: | Revista Portuguesa de Enfermagem de Reabilitação |
| Resumo: | Introduction: Urinary incontinence is a common condition in the postpartum period, with a significant impact on quality of life. Pelvic floor muscle training (PFMT) is the first-line treatment; however, adherence to conventional interventions is often limited. Telerehabilitation has emerged as a promising strategy to improve access to and adherence to PFMT through digital technologies. Despite growing evidence of its effectiveness, gaps remain regarding the standardization of interventions for postpartum women. Objective: This scoping review aims to map and analyze telerehabilitation interventions for PFMT in the management of postpartum urinary incontinence (UI). Methods: A scoping review was conducted following the Joanna Briggs Institute framework for scoping reviews. A comprehensive search was performed across multiple databases, including Medline Complete, CINAHL Complete, PubMed, Cochrane, Scopus, Web of Science, and BASE, as well as relevant professional associations such as ICS, FIGO, EAU, SPG, APNUG, FSPOG, and APU. No time restrictions were applied. Studies involving postpartum adults in a home setting, focusing on telerehabilitation interventions for urinary incontinence management, available in open access and full text, and with different study designs were considered for inclusion. Results: Seven studies were included in this review, identifying seven different telerehabilitation approaches for PFMT aimed at managing postpartum UI. These interventions primarily utilized mobile applications, biofeedback devices, and remote monitoring tools to enhance adherence, provide education, and improve pelvic floor muscle strength. Conclusion: This review highlights the efficacy and feasibility of telerehabilitation interventions in postpartum UI management, supported by high-quality evidence from randomized controlled trials. Telerehabilitation enhances adherence to PFMT, provides interactive educational resources, and offers cost-effective, accessible solutions for postpartum care. Future research should focus on the long-term effects of these interventions, the integration of emerging technologies such as artificial intelligence, and cultural adaptability to ensure widespread accessibility and effectiveness. As digital health continues to evolve, telerehabilitation is expected to become a fundamental component of postpartum rehabilitation, offering innovative and scalable solutions for UI management. |
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