Artigo Assoalho Pélvico

Nesta sessão estão listados os principais artigos publicados pelo LAMU relacionados à avaliação e intervenção fisioterapêutica na função e disfunção do assoalho pélvico feminino..

Dedicação AC, Saldanha MES, Haddad M, Driusso P. Comparação da qualidade de vida nos diferentes tipos de incontinência urinária. Revista Brasileira de Fisioterapia. 2009,13(2):116-22 

Aveiro MC, Garcia APU, Driusso P. Efetividade de intervenções fisioterapêuticas para o vaginismo: uma revisão da literatura. Revista Fisioterapia e Pesquisa. 2009,16: 279-83

Castro AP, Pereira VS, Serrão PRMS, Driusso P. Eficácia do biofeedback para o tratamento da incontinência urinária de esforço: uma revisão sistemática. Scientia medica. 2010;20:257-63 

Pereira VS, Correia GN, Driusso P. Individual and group pelvic floor muscle training versus no treatment in female stress urinary incontinence: a randomized controlled pilot study. Eur J Obstet Gynecol Reprod Biol. 2011 Dec;159(2):465-71. doi: 10.1016/j.ejogrb.2011.09.003.

Pereira VS, Santos JY, Correia GN, Driusso P. Tradução e validação para a língua portuguesa de um questionário para avaliação da gravidade da incontinência urinária [Translation and validation into Portuguese of a questionnaire to evaluate the severity of urinary incontinence]. Rev Bras Ginecol Obstet. 2011 Apr;33(4):182-7. Portuguese. doi: 10.1590/s0100-72032011000400006.

Correia GN, Bossini PS, Driusso P. Eletroestimulação intravaginal para o tratamento da incontinência urinária de esforço: revisão sistemática. Femina. 2011;39:223-30.

Toledo DD, Dedicação AC, Saldanha MES, Haddad M, Driusso P. Physical therapy treatment in incontinent women provided by a Public Health Service. Fisioterapia em Movimento. 2011;24:327-35.

Pereira VS, Escobar AC, Driusso P. Effects of physical therapy in older women with urinary incontinence: a systematic review. Rev Bras Fisioter. 2012 Nov-Dec;16(6):463-8. English, Portuguese. doi: 10.1590/s1413-35552012005000050.

Pereira VS, Bonioti L, Correia GN, Driusso P. Efectos de la electroestimulación superficial en las mujeres mayores con incontinencia urinaria de esfuerzo: estudio piloto aleatorio controlado. Actas Urol Esp. 2012 Sep;36(8):491-6. doi: 10.1016/j.acuro.2011.11.016.

Nascimento-Correia G, Santos-Pereira V, Tahara N, Driusso P. Efectos del fortalecimiento del suelo pélvico en la calidad de vida de un grupo de mujeres con incontinencia urinaria: estudio aleatorizado controlado. Actas Urol Esp. 2012 Apr;36(4):216-21. doi: 10.1016/j.acuro.2011.07.007

Pereira VS, de Melo MV, Correia GN, Driusso P. Vaginal cone for postmenopausal women with stress urinary incontinence: randomized, controlled trial. Climacteric. 2012 Feb;15(1):45-51. doi: 10.3109/13697137.2011.593211 

Correia GN, Ferreira CHJ, Aveiro MC, Pereira VS, Driusso P. Pelvic floor muscle training decreases hip adductors isometric peak torque in incontinent women: an exploratory study. Fisioterapia em Movimento. 2013;26:183-90

Pereira VS, de Melo MV, Correia GN, Driusso P. Long-term effects of pelvic floor muscle training with vaginal cone in post-menopausal women with urinary incontinence: a randomized controlled trial. Neurourol Urodyn. 2013 Jan;32(1):48-52. doi: 10.1002/nau.22271.

Correia GN, Pereira VS, Hirakawa HS, Driusso P. Effects of surface and intravaginal electrical stimulation in the treatment of women with stress urinary incontinence: randomized controlled trial. Eur J Obstet Gynecol Reprod Biol. 2014 Feb;173:113-8. doi: 10.1016/j.ejogrb.2013.11.023.

Pereira VS, Hirakawa HS, Oliveira AB, Driusso P. Relationship among vaginal palpation, vaginal squeeze pressure, electromyographic and ultrasonographic variables of female pelvic floor muscles. Braz J Phys Ther. 2014 Sep-Oct;18(5):428-34. doi: 10.1590/bjpt-rbf.2014.0038.

de Menezes Franco M, Driusso P, Bø K, Carvalho de Abreu DC, da Silva Lara LA, de Sá Rosa E Silva ACJ, Ferreira CHJ. Relationship between pelvic floor muscle strength and sexual dysfunction in postmenopausal women: a cross-sectional study. Int Urogynecol J. 2017 Jun;28(6):931-936. doi: 10.1007/s00192-016-3211-5.

Jürgensen SP, Borghi-Silva A, Bastos AMFG, Correia GN, Pereira-Baldon VS, Cabiddu R, Catai AM, Driusso P. Relationship between aerobic capacity and pelvic floor muscles function: a cross-sectional study. Braz J Med Biol Res. 2017 Sep 21;50(11):e5996. doi: 10.1590/1414-431X20175996.

Barbosa AMP, Parizotto NA, Pedroni CR, Avila MA, Liebano RE, Driusso P. How to report electrotherapy parameters and procedures for pelvic floor dysfunction. Int Urogynecol J. 2018 Dec;29(12):1747-1755. doi: 10.1007/s00192-018-3743-y.

de Andrade RL, Bø K, Antonio FI, Driusso P, Mateus-Vasconcelos ECL, Ramos S, Julio MP, Ferreira CHJ. An education program about pelvic floor muscles improved women's knowledge but not pelvic floor muscle function, urinary incontinence or sexual function: a randomised trial. J Physiother. 2018 Apr;64(2):91-96. doi: 10.1016/j.jphys.2018.02.010.

Mateus-Vasconcelos ECL, Brito LGO, Driusso P, Silva TD, Antônio FI, Ferreira CHJ. Effects of three interventions in facilitating voluntary pelvic floor muscle contraction in women: a randomized controlled trial. Braz J Phys Ther. 2018 Sep-Oct;22(5):391-399. doi: 10.1016/j.bjpt.2017.12.006.

Bocardi DAS, Pereira-Baldon VS, Ferreira CHJ, Avila MA, Beleza ACS, Driusso P. Pelvic floor muscle function and EMG in nulliparous women of different ages: a cross-sectional study. Climacteric. 2018 Oct;21(5):462-466. doi: 10.1080/13697137.2018.1453493.

Furtado-Albanezi D, Jürgensen SP, Avila MA, Correia GN, Driusso P. Effects of two nonpharmacological treatments on the sleep quality of women with nocturia: a randomized controlled clinical trial. Int Urogynecol J. 2019 Feb;30(2):279-286. doi: 10.1007/s00192-018-3584-8.

Pereira-Baldon VS, Avila MA, Dalarmi CB, de Oliveira AB, Driusso P. Effects of different regimens for pelvic floor muscle training in young continent women: Randomized controlled clinical trial. J Electromyogr Kinesiol. 2019 Feb;44:31-35. doi: 10.1016/j.jelekin.2018.11.008.

Padilha JF, da Silva JB, Seidel EJ, Driusso P. Intra- and inter-rater reliability of post-void residual bladder volume with ultrasound. Int Urogynecol J. 2020 May;31(5):973-979. doi: 10.1007/s00192-019-04045-1.

Carvalho C, da Silva Serrão PRM, Beleza ACS, Driusso P. Pelvic floor dysfunctions in female cheerleaders: a cross-sectional study. Int Urogynecol J. 2020 May;31(5):999-1006. doi: 10.1007/s00192-019-04074-w.

Silva JBD, Sato TO, Rocha APR, Driusso P. "Comparative intra- and inter-rater reliability of maximal voluntary contraction with unidigital and bidigital vaginal palpation and construct validity with Peritron manometer". Neurourol Urodyn. 2020 Feb;39(2):721-731. doi: 10.1002/nau.24263.

de Figueiredo VB, Ferreira CHJ, da Silva JB, de Oliveira Esmeraldo GND, Brito LGO, do Nascimento SL, Driusso P. Responsiveness of Pelvic Floor Distress Inventory (PFDI-20) and Pelvic Floor Impact Questionnaire (PFIQ-7) after pelvic floor muscle training in women with stress and mixed urinary incontinence. Eur J Obstet Gynecol Reprod Biol. 2020 Dec;255:129-133. doi: 10.1016/j.ejogrb.2020.10.039.

Rúbio Alem ME, Chaves TC, de Figueiredo VB, do Nascimento SL, Sartorato Beleza AC, Driusso P. Cross-cultural adaptation to Brazilian Portuguese and assessment of the measurement properties of the Questionnaire for Urinary Incontinence Diagnosis (QUID). Eur J Obstet Gynecol Reprod Biol. 2020 Dec;255:111-117. doi: 10.1016/j.ejogrb.2020.10.005.

Barros FC, Driusso P, Roberto F, Batistão M, Correa MS, Sato TO. Activation of pelvic floor, lumbar and abdominal musculature during a simulated manual material handling task? a cross-sectional study. Revista Fisioterapia e Pesquisa. 2020;27:335-44.

Bastos AMG, Catai AM, Jürgensen SP, Correia GN, Pereira-Baldon VS, Perseguini N, Borghi-Silva A, Driusso P. Cardiovascular responses to pelvic floor muscle contraction in healthy women: Prospective study. Eur J Obstet Gynecol Reprod Biol. 2020 Sep;252:36-42. doi: 10.1016/j.ejogrb.2020.05.050 .

Figueiredo VB, Nascimento SL, Martínez RFL, Lima CTS, Ferreira CHJ, Driusso P. Effects of individual pelvic floor muscle training vs individual training progressing to group training vs group training alone in women with stress urinary incontinence: A randomized clinical trial. Neurourol Urodyn. 2020 Jun;39(5):1447-1455. doi: 10.1002/nau.24370.

Pereira-Baldon VS, de Oliveira AB, Padilha JF, Degani AM, Avila MA, Driusso P. Reliability of different electromyographic normalization methods for pelvic floor muscles assessment. Neurourol Urodyn. 2020 Apr;39(4):1145-1151. doi: 10.1002/nau.24332.

Padilha JF, Avila MA, Seidel EJ, Driusso P. Different electrode positioning for transcutaneous electrical nerve stimulation in the treatment of urgency in women: a study protocol for a randomized controlled clinical trial. Trials. 2020 Feb 11;21(1):166. doi: 10.1186/s13063-020-4096-7.

Silva JBD, Szkudlarek AC, Gallo RBS, Valadão APM, Avila MA, Driusso P, Korelo RIG. Verbal and Visual Feedback Immediately Affect the Electromyographic Activity of Female Pelvic Floor Muscles. J Manipulative Physiol Ther. 2021 Nov-Dec;44(9):743-750. doi: 10.1016/j.jmpt.2022.03.005.

Reis BM, da Silva JB, Rocha APR, Liebano RE, Driusso P. Intravaginal electrical stimulation associated with pelvic floor muscle training for women with stress urinary incontinence: study protocol for a randomized controlled trial with economic evaluation. Trials. 2021 Nov 20;22(1):823. doi: 10.1186/s13063-021-05781-w .

Saldanha MES, Padula RS, Avila MA, Driusso P. Cross-cultural adaptation for Brazilian Portuguese and measurement properties of sexual function questionnaires for women: a systematic review. Revista Fisioterapia e Pesquisa. 2021;28:1-9.

Falcão Padilha J, Arias Avila M, Driusso P. Parasacral versus tibial transcutaneous electrical stimulation to treat urinary urgency in adult women: Randomized controlled clinical trial. Eur J Obstet Gynecol Reprod Biol. 2021 Dec;267:167-173. doi: 10.1016/j.ejogrb.2021.10.025.

Padilha JF, Silva JB, Passos KKA, Driusso P. Electrostimulation and pelvic floor muscle training: immediate effect after one single session. Fisioterapia em Movimento. 2021;34:1-10.

da Silva JB, Padilha JF, Rocha Rodrigues AP, Reis BM, Driusso P. Is there an association of lifestyle habits, anxiety, and depression between incontinent and continent women during COVID-19 pandemic? Women Health. 2021 Sep;61(8):783-790. doi: 10.1080/03630242.2021.1970081.

Avila MA, Silva JBD, Hirakawa HS, Pereira-Baldon VDS, Driusso P. Obesity and pelvic floor muscle function in young nulligravid: a cross-sectional study. Obes Res Clin Pract. 2021 Jul-Aug;15(4):409-411. doi: 10.1016/j.orcp.2021.06.002.

Fontenele MQS, Moreira MA, de Moura ACR, de Figueiredo VB, Driusso P, Nascimento SL. Pelvic floor dysfunction distress is correlated with quality of life, but not with muscle function. Arch Gynecol Obstet. 2021 Jan;303(1):143-149. doi: 10.1007/s00404-020-05770-5.

Dos Santos Sousa AJ, Padilha JF, da Silva JB, Hirakawa HS, Seidel EJ, Driusso P. Intra- and inter-rater reliability of urethral mobility measurement by ultrasound in women: a cross-section study. Int Urogynecol J. 2021 Jan;32(1):119-125. doi: 10.1007/s00192-020-04381-7.

Ferreira CHJ, Driusso P, Haddad JM, Pereira SB, Fernandes ACNL, Porto D, Reis BM, Mascarenhas LR, Brito LGO, Ferreira EAG. A guide to physiotherapy in urogynecology for patient care during the COVID-19 pandemic. Int Urogynecol J. 2021 Jan;32(1):203-210. doi: 10.1007/s00192-020-04542-8.

Dantas LO, Carvalho C, Santos BLJ, Ferreira CHJ, Bø K, Driusso P. Mobile health technologies for the management of urinary incontinence: A systematic review of online stores in Brazil. Braz J Phys Ther. 2021 Jul-Aug;25(4):387-395. doi: 10.1016/j.bjpt.2021.01.001.

da Silva JB, de Godoi Fernandes JG, Caracciolo BR, Zanello SC, de Oliveira Sato T, Driusso P. Reliability of the PERFECT scheme assessed by unidigital and bidigital vaginal palpation. Int Urogynecol J. 2021 Dec;32(12):3199-3207. doi: 10.1007/s00192-020-04629-2.

da Silva JB, de Oliveira Sato T, Rocha APR, Driusso P. Inter- and intrarater reliability of unidigital and bidigital vaginal palpation to evaluation of maximal voluntary contraction of pelvic floor muscles considering risk factors and dysfunctions. Neurourol Urodyn. 2021 Jan;40(1):348-357. doi: 10.1002/nau.24566.

da Silva JB, Rocha APR, Sato TO, Driusso P. Is there agreement between the preference of examiner and women for unidigital and bidigital vaginal palpation? A qualitative study. Int Urogynecol J. 2021 Dec;32(12):3293-3299. doi: 10.1007/s00192-021-04935-3.

da Silva JB, de Abreu RM, Padilha JF, Borghi-Silva A, Catai AM, Driusso P. Heart rate variability dynamics in women with urinary incontinence: a systematic review. Int Urogynecol J. 2022 May;33(5):1145-1155. doi: 10.1007/s00192-021-05060-x.

Brusaca LA, Rocha APR, Cardozo L, Oliveira AB, Driusso P. Brazilian version of the King's Health Questionnaire: assessment of the structural validity and internal consistency in female urinary incontinence. Int Urogynecol J. 2022 Nov;33(11):3143-3154. doi: 10.1007/s00192-022-05189-3.

Alem MER, da Silva JB, Beleza ACS, Chaves TC, Driusso P. Cross-cultural adaptation and measurement property analysis of the Brazilian Portuguese version of the Three Incontinence Questionnaire. Int Urogynecol J. 2022 Nov;33(11):3053-3060. doi: 10.1007/s00192-021-05036-x.

Alem MER, Chaves TC, de Figueiredo VB, Beleza ACS, Ferreira CHJ, da Silva JB, Driusso P. Cross-cultural adaptation and psychometric evaluation of the Brazilian Portuguese version of the Vulvovaginal Symptoms Questionnaire. Menopause. 2022 Sep 1;29(9):1055-1061. doi: 10.1097/GME.0000000000002030

Harada BS, De Bortolli TT, Carnaz L, De Conti MHS, Hijaz A, Driusso P, Marini G. Diastasis recti abdominis and pelvic floor dysfunction in peri- and postmenopausal women: a cross-sectional study. Physiother Theory Pract. 2022 Oct;38(10):1538-1544. doi: 10.1080/09593985.2020.1849476.

Bø K, Driusso P, Jorge CH. Can you breathe yourself to a better pelvic floor? A systematic review. Neurourol Urodyn. 2023 Aug;42(6):1261-1279. doi: 10.1002/nau.25218.

Fabricio AMF, Sato TO, Gomes da Silva S, Poli GG, de Araujo Silva CM, Padovez RFCM, Rodrigues de Souza DP, Driusso P, Beleza ACS. Prevalence and factors associated with sexual dysfunction in brazilian women: a cross-sectional study. Int Urogynecol J. 2023 Oct;34(10):2507-2511. doi: 10.1007/s00192-023-05562-w.

de Araujo Silva CM, Driusso P, Poli GG, Fabricio AMF, Venancio MG, Jorge CH, de Fátima Carreira Moreira Padovez R, Beleza ACS. The Brazilian Portuguese version of the ICIQ-FLUTSsex: cross-cultural adaptation and measurement property analysis. Int Urogynecol J. 2023 Oct;34(10):2547-2555. doi: 10.1007/s00192-023-05563-9.

Martinez RFL, Sato TO, Silva JB, Figueiredo VB, Avila MA, Driusso P. Pelvic floor muscle activity during coughing and valsalva maneuver in continent women and women with stress urinary incontinence: a systematic review. Physical Therapy Reviews. 2023; 28(1):39-48. doi: 10.1080/10833196.2022.2145444.

Barbosa-Silva J, Sato TO, Homsi Jorge C, Armijo-Olivo S, Driusso P. What are the cut-off points for vaginal manometry to differentiate women with a weak from those with a strong pelvic floor muscle contraction?: Vaginal manometry to classify a pelvic floor muscle contraction. Braz J Phys Ther. 2023 Nov-Dec;27(6):100572. doi: 10.1016/j.bjpt.2023.100572.

Mendes PCS, Fretta TB, Camargo MFC, Driusso P, Homsi Jorge C. Effect of pelvic floor muscle training on reports of urinary incontinence in obese women undergoing a low-calorie diet before bariatric surgery - protocol of a randomized controlled trial. Trials. 2023 Jun 5;24(1):376. doi: 10.1186/s13063-023-07347-4.

Rocha APR, Brusaca LA, Sousa AJDS, Oliveira AB, Driusso P. Should the Preference-Based Index Set of Values Be Country or Disease Specific? An Analysis Using Data From Women With Symptoms of Overactive Bladder. Value Health Reg Issues. 2023 Nov;38:1-8. doi: 10.1016/j.vhri.2023.05.007

Jorge CH, Bø K, Chiazuto Catai C, Oliveira Brito LG, Driusso P, Kolberg Tennfjord M. Pelvic floor muscle training as treatment for female sexual dysfunction: a systematic review and meta-analysis. Am J Obstet Gynecol. 2024 Jan 6:S0002-9378(24)00006-1. doi: 10.1016/j.ajog.2024.01.001

Dos Santos Sousa AJ, Cordeiro Rodrigues J, Falcão Padilha J, Garcia Godoy A, Menezes Degani A, Danna-Santos A, Driusso P. Effects of health education on women with urinary incontinence: systematic review and meta-analysis. Int Urogynecol J. 2024 Feb;35(2):273-289. doi: 10.1007/s00192-023-05693-0

Figueiredo PAO, Costa TSLM, Lima MDA, Magalhães AG, Bezerra IFD, Driusso P, de Sousa VPS. Self-Perception of Sexual Dysfunction of Adult Brazilian Women of Reproductive Age: A Cross-Sectional Study. J Multidiscip Healthc. 2024 May 7;17:2165-2173. doi: 10.2147/JMDH.S442074

Fabricio AMF, de Fátima Carreira Moreira Padovez R, Poli GG, Venancio MG, de Araujo Silva CM, Jorge CH, Driusso P, Beleza ACS. Cross-Cultural Adaptation and Measurement Properties Analysis of the Brazilian Portuguese Version of the ICIQ-VS. Int Urogynecol J. 2024 Mar;35(3):703-712. doi: 10.1007/s00192-024-05747-x

Barbosa-Silva J, Calixtre LB, Von Piekartz D, Driusso P, Armijo-Olivo S. The minimal important difference of patient-reported outcome measures related to female urinary incontinence: a systematic review. BMC Med Res Methodol. 2024 Mar 8;24(1):60. doi: 10.1186/s12874-024-02188-4

Barbosa-Silva J, Zanello SC, Jorge CH, Driusso P. Do young women have an accurate perception about their pelvic floor muscle contraction? An agreement study about self-perception and physical evaluation of the pelvic muscle contraction by the PERFECT scheme. Journal of Bodywork & Movement Therapies. 2024 Oct; 40:411-416. doi: 10.1016/j.jbmt.2024.04.054 

Vilela IDC, Silva NMB, Pinto RMC, Driusso P, Pereira-Baldon VS. Effects of using a mobile application on pelvic floor training in women with stress urinary incontinence: A randomized controlled clinical study. Neurourol Urodyn. 2024 Nov;43(8):1997-2004. doi: 10.1002/nau.25522

Pasqualotto L, Driusso P, Dos Reis FJJ, Rodrigues JC, Catai CC, Riccetto C, Jorge CH, Botelho S. Low-Value Practices for Pelvic Floor Dysfunction-Choosing Wisely Recommendations from the Brazilian Association of Physiotherapy in Women's Health: Observational Study. Int Urogynecol J. 2024 Jul;35(7):1495-1502. doi: 10.1007/s00192-024-05828-x

Silva JB, Padilha JF, Rocha APR, Alem MER, Driusso P. Validação de vídeos educativos que versam sobre incontinência urinária. Revista Brasileira em Promoção da Saúde. 2024;37:14325. doi: 10.5020/18061230.2024.14325 

Albanezi DF, Jorge CH, Carro DF, Ferreira EAG, Driusso P. Cross-Cultural Adaptation and Psychometric Evaluation of the Brazilian Portuguese Version of the Nocturia Quality-of-Life Questionnaire. Int Urogynecol J. 2024 Sep;35(9):1927-1934. doi: 10.1007/s00192-024-05905-1

Dos Santos Sousa AJ, Mattiello SM, Driusso P. Relationship of female pelvic floor muscle function and body composition: cross-sectional study. Arch Gynecol Obstet. 2024 Dec;310(6):3297-3303. doi: 10.1007/s00404-024-07848-w

Barbosa-Silva J, Driusso P, Ferreira EA, de Abreu RM. Exploring the Efficacy of Artificial Intelligence: A Comprehensive Analysis of CHAT-GPT's Accuracy and Completeness in Addressing Urinary Incontinence Queries. Neurourol Urodyn. 2025 Jan;44(1):153-164. doi: 10.1002/nau.25603

de Figueiredo VB, Moreira MA, Sousa AJS, do Nascimento SL, Driusso P. Self-efficacy assessment of women with stress urinary incontinence undergoing pelvic muscle training. Journal of Women’s & Pelvic Health Physical Therapy. 2025 Jan;49(1):45-52. doi: 10.1097/JWH.0000000000000319

Driusso P, Jorge CH, Sousa AJDS, Carro DF, de Freitas LM, Botelho S, Brito LGO, Bortolini MAT, Haddad JM, Volpato MP, Riccetto C, Pitangui ACR, de Oliveira NFF, Ferreira EA. A Brazilian Association of Women´s Health Physical Therapy (ABRAFISM) guideline on the terminology of pelvic floor muscle function and assessment. Braz J Phys Ther. 2025 Feb 4;29(2):101173. doi: 10.1016/j.bjpt.2025.101173 

Sousa AJS, Rocha APR, Silva JB, Driusso P. Presence of symptoms after COVID-19 infection may explain the onset of female urinary incontinence: A cross-sectional study. ABCS Health Sciences. 2025;50:e025221. doi: 10.7322/abcshs.2023161.2452 

Sousa AJS, Pedroso MG, Mattiello SM, Driusso P. Dual energy X-ray absorptiometry (DXA) reliability of women’s pelvic body composition measurements: a cross-section study. Fisioterapia & Saúde Funcional. 2025;12(1), 134–143. doi: 10.36517/rfsf.v12i1.95200 

Dos Santos Sousa AJ, Mattiello SM, Rodrigues Rocha AP, Danna-Dos-Santos A, Driusso P. Which body region's fat accumulation increase the risk of stress urinary incontinence? Eur J Obstet Gynecol Reprod Biol. 2026 Mar;319:114957. doi: 10.1016/j.ejogrb.2026.114957.