Effectiveness of Pelvic Floor Physiotherapy Techniques in Women with Sequels of Gynecologic Cancer: A Systematic Review
摘要
Gynecological cancer is a leading cause of mortality worldwide and significantly impacts the quality of life of affected women. Pelvic floor physiotherapy emerges as a promising conservative option for comprehensive recovery.
MethodsBibliographic searches were conducted in PubMed, PEDro, Cochrane Library, and ScienceDirect, focusing on publications from the past 10 years. Methodological quality was assessed using the PEDro scale and CASPe. The risk of bias was evaluated using the Cochrane ROBINS-1 and RoB2 tools. Of the 82 articles identified, 10 met the inclusion and exclusion criteria.
ResultsThe most frequently described technique for treating pelvic floor dysfunctions was muscle training, either alone or in combination with other treatment modalities, demonstrating benefits for sexual function, urinary incontinence (UI), increased muscle strength, and health-related quality of life. Meanwhile, therapy with dilators, either alone or combined with sexual education, was shown to reduce complications related to sexual dysfunctions and psychosexual symptoms.
ConclusionsThe findings support the efficacy of pelvic floor physiotherapy in addressing the sequelae of gynecological cancer, contributing to the reduction of physical and psychosexual symptoms and the improvement of quality of life and well-being for affected women.