title: [Impact of global postural reeducation for treatment of female stress urinary incontinence].
abstract: OBJECTIVE
  To evaluate the effect of global postural reeducation (GPR) on stress urinary incontinence (SUI) and quality of life in SUI female patients
  
  
  METHODS
  The study design was a prospective non-randomized clinical trial. Twenty-six patients with symptoms of SUI were selected from the Urogynecology Outpatient Clinics of the State University of Campinas (Unicamp), state of São Paulo, Brazil. Age ranged from 23 to 72 years old (mean 50.8). All women were submitted to anamnesis, physical exam, postural evaluation and urodynamic testing. Patients were treated by the GPR in individual 50 minute sessions weekly for three months and twice a month for the next three months. All patients were re-evaluated at the end of treatment and six months later by means of General Impression of Improvement, Incontinence Impact, General Perception of Health, Functional Evaluation of the Pelvic Floor, Number of Leaking Episodes and Pad Use.
  
  
  RESULTS
  At the end of treatment 4 (16%) of the patients were cured, 18 (72%) had improved significantly and 3 (12%) failed. At 6 months, 6 (24%) were cured, 16 (64%) improved and 3 (12%) failed (p<0.001). Quality of Life questionnaires presented significant improvement (p<0.05) in all domains, with emphasis on General Perception of Health, Incontinence Impact and number of leaking episodes. The Functional Evaluation of the Pelvic Floor and Pad Use also presented significant (p<0.001) improvement.
  
  
  CONCLUSIONS
  These results may demonstrate that GPR is an efficient alternative for treatment of stress urinary incontinence.
authors.affiliation: Universidade Estadual de Campinas, Campinas, Campinas, SP, Brazil.
authors.forename: Maria Celina Martins
authors.initials: MC
authors.lastname: Fozzatti
authors.forename: Paulo
authors.initials: P
authors.lastname: Palma
authors.forename: Viviane
authors.initials: V
authors.lastname: Herrmann
authors.forename: Miriam
authors.initials: M
authors.lastname: Dambros
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D016496:Incontinence Pads; D008875:Middle Aged; D052580:Muscle Stretching Exercises / Q000379:methods* / Q000592:standards*; D017060:Patient Satisfaction / Q000706:statistics & numerical data; D017773:Pelvic Floor / Q000502:physiology; D011187:Posture / Q000502:physiology*; D011446:Prospective Studies; D011788:Quality of Life; D016896:Treatment Outcome; D014550:Urinary Incontinence, Stress / Q000523:psychology / Q000628:therapy*