Cargando…

What Influences Women to Adhere to Pelvic Floor Exercises after Physiotherapy Treatment? A Qualitative Study for Individualized Pelvic Health Care

Conservative treatment of pelvic floor dysfunction (PFD) includes therapeutic exercise for pelvic floor muscle (PFM) training or other complementary exercise modalities, such as hypopressive exercises. However, the long-term effectiveness of the conservative treatment depends on a patient’s adherenc...

Descripción completa

Detalles Bibliográficos
Autores principales: Navarro-Brazález, Beatriz, Vergara-Pérez, Fernando, Prieto-Gómez, Virginia, Sánchez-Sánchez, Beatriz, Yuste-Sánchez, María José, Torres-Lacomba, María
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8706048/
https://www.ncbi.nlm.nih.gov/pubmed/34945840
http://dx.doi.org/10.3390/jpm11121368
_version_ 1784622097572560896
author Navarro-Brazález, Beatriz
Vergara-Pérez, Fernando
Prieto-Gómez, Virginia
Sánchez-Sánchez, Beatriz
Yuste-Sánchez, María José
Torres-Lacomba, María
author_facet Navarro-Brazález, Beatriz
Vergara-Pérez, Fernando
Prieto-Gómez, Virginia
Sánchez-Sánchez, Beatriz
Yuste-Sánchez, María José
Torres-Lacomba, María
author_sort Navarro-Brazález, Beatriz
collection PubMed
description Conservative treatment of pelvic floor dysfunction (PFD) includes therapeutic exercise for pelvic floor muscle (PFM) training or other complementary exercise modalities, such as hypopressive exercises. However, the long-term effectiveness of the conservative treatment depends on a patient’s adherence to the exercises and the integration of professional health advice into their daily life. The objective of this study was to establish the adherence experience of women with diagnosed PFD in home-based exercises after an intensive face-to-face physiotherapy treatment. A qualitative study from an interpretive paradigm was developed. Semi-structured individual and group interviews were performed 6 months after finishing individual physiotherapy treatment. The interviews were recorded, fully transcribed and analyzed thematically by creating categories. Thirty-one women were interviewed. The women reported that their adherence to home PFM exercises depended on the exercise program itself, its efficacy, their personal experiences with the exercises, intrinsic factors such as self-awareness or beliefs, and extrinsic factors, such as professional or instrumental feedback. Thus, therapeutic adherence could be more likely with effective physiotherapy programs that include mutually agreed home exercises and simple movements women can build into their daily lives. Improving awareness and knowledge of the pelvic region and the importance of PFM treatment as well as consideration for potential worsening of PFD will also encourage women to adhere to the exercises.
format Online
Article
Text
id pubmed-8706048
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-87060482021-12-25 What Influences Women to Adhere to Pelvic Floor Exercises after Physiotherapy Treatment? A Qualitative Study for Individualized Pelvic Health Care Navarro-Brazález, Beatriz Vergara-Pérez, Fernando Prieto-Gómez, Virginia Sánchez-Sánchez, Beatriz Yuste-Sánchez, María José Torres-Lacomba, María J Pers Med Article Conservative treatment of pelvic floor dysfunction (PFD) includes therapeutic exercise for pelvic floor muscle (PFM) training or other complementary exercise modalities, such as hypopressive exercises. However, the long-term effectiveness of the conservative treatment depends on a patient’s adherence to the exercises and the integration of professional health advice into their daily life. The objective of this study was to establish the adherence experience of women with diagnosed PFD in home-based exercises after an intensive face-to-face physiotherapy treatment. A qualitative study from an interpretive paradigm was developed. Semi-structured individual and group interviews were performed 6 months after finishing individual physiotherapy treatment. The interviews were recorded, fully transcribed and analyzed thematically by creating categories. Thirty-one women were interviewed. The women reported that their adherence to home PFM exercises depended on the exercise program itself, its efficacy, their personal experiences with the exercises, intrinsic factors such as self-awareness or beliefs, and extrinsic factors, such as professional or instrumental feedback. Thus, therapeutic adherence could be more likely with effective physiotherapy programs that include mutually agreed home exercises and simple movements women can build into their daily lives. Improving awareness and knowledge of the pelvic region and the importance of PFM treatment as well as consideration for potential worsening of PFD will also encourage women to adhere to the exercises. MDPI 2021-12-14 /pmc/articles/PMC8706048/ /pubmed/34945840 http://dx.doi.org/10.3390/jpm11121368 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Navarro-Brazález, Beatriz
Vergara-Pérez, Fernando
Prieto-Gómez, Virginia
Sánchez-Sánchez, Beatriz
Yuste-Sánchez, María José
Torres-Lacomba, María
What Influences Women to Adhere to Pelvic Floor Exercises after Physiotherapy Treatment? A Qualitative Study for Individualized Pelvic Health Care
title What Influences Women to Adhere to Pelvic Floor Exercises after Physiotherapy Treatment? A Qualitative Study for Individualized Pelvic Health Care
title_full What Influences Women to Adhere to Pelvic Floor Exercises after Physiotherapy Treatment? A Qualitative Study for Individualized Pelvic Health Care
title_fullStr What Influences Women to Adhere to Pelvic Floor Exercises after Physiotherapy Treatment? A Qualitative Study for Individualized Pelvic Health Care
title_full_unstemmed What Influences Women to Adhere to Pelvic Floor Exercises after Physiotherapy Treatment? A Qualitative Study for Individualized Pelvic Health Care
title_short What Influences Women to Adhere to Pelvic Floor Exercises after Physiotherapy Treatment? A Qualitative Study for Individualized Pelvic Health Care
title_sort what influences women to adhere to pelvic floor exercises after physiotherapy treatment? a qualitative study for individualized pelvic health care
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8706048/
https://www.ncbi.nlm.nih.gov/pubmed/34945840
http://dx.doi.org/10.3390/jpm11121368
work_keys_str_mv AT navarrobrazalezbeatriz whatinfluenceswomentoadheretopelvicfloorexercisesafterphysiotherapytreatmentaqualitativestudyforindividualizedpelvichealthcare
AT vergaraperezfernando whatinfluenceswomentoadheretopelvicfloorexercisesafterphysiotherapytreatmentaqualitativestudyforindividualizedpelvichealthcare
AT prietogomezvirginia whatinfluenceswomentoadheretopelvicfloorexercisesafterphysiotherapytreatmentaqualitativestudyforindividualizedpelvichealthcare
AT sanchezsanchezbeatriz whatinfluenceswomentoadheretopelvicfloorexercisesafterphysiotherapytreatmentaqualitativestudyforindividualizedpelvichealthcare
AT yustesanchezmariajose whatinfluenceswomentoadheretopelvicfloorexercisesafterphysiotherapytreatmentaqualitativestudyforindividualizedpelvichealthcare
AT torreslacombamaria whatinfluenceswomentoadheretopelvicfloorexercisesafterphysiotherapytreatmentaqualitativestudyforindividualizedpelvichealthcare