O enfraquecimento dos músculos do períneo resulta em deficiências dos sistemas ginecológico, urinário e gastrointestinal. As mulheres passam por algumas alterações denominadas de disfunções sexuais, gerando incomodo e insatisfação. A reabilitação e o fortalecimento desses músculos pélvicos possuem efeito positivo na vida sexual das mulheres. Foi nosso objetivo analisar a função muscular do assoalho pélvico e os seus efeitos nas disfunções sexuais femininas. Participaram da pesquisa 34 mulheres com idade de 20 a 40 anos. O estudo foi realizado numa clínica em Fortaleza- CE. As voluntárias responderam um questionário de avaliação e outro questionário denominado Quociente Sexual - Versão Feminina (QS - F). Realizou-se uma avaliação da função ou força dos músculos do assoalho pélvico, utilizando equipamento PERINA 996-2®. Com relação a função sexual das mulheres pelo QS - F, observou-se que 62% possuem desempenho de regular a bom e que quanto maior a função ou força muscular do AP, melhor a percepção e o grau de satisfação sexual. Há uma correlação direta entre a função ou força muscular do assoalho pélvico e o grau de satisfação da atividade sexual das mulheres que participaram da pesquisa.

Weakening of perineal muscles results in disorders of gynecological, urinary and gastrointestinal systems. Women often undergo changes labeled as sexual disfunctions, generating discomfort and dissatisfaction. Rehabilitation and strengthening of these muscles have a positive effect in the sexual life of women. It was our objective to investigate the strength of pelvic floor and its effects in female sexual disfunctions. 34 women aged from 20 to 40 years old volunteered. The study was performed in a private clinic in the city of F Fortaleza- CE. The volunteers replied to a Sexual Quocient questionnaire - female version (QS - F). It was performed an assessment of the strength of the pelvic floor muscles with the use of a PERINA 996-2® device. It was found that 62% of women reported a regular to good sexual performance; and that the higher the strength of the perineal muscles the better the sexual satisfactionThere is a direct correlation between muscle strength of the pelvic floor muscles and the degree of sexual satisfaction of women.

INTRODUÇÃO: A hemiparesia após o acidente vascular encefálico (AVE) é a sequela mais frequente, prejudicando a velocidade de execução dos movimentos automáticos, diminuindo a autonomia do indivíduo e gerando incapacidade. OBJETIVOS: Analisar o efeito da espasticidade nos padrões lineares de marcha (PLM) em indivíduos hemiparéticos. MÉTODOS: Foram estudados dois grupos: 20 indivíduos com AVE (G1) e 20 indivíduos sadios, destros, sem sequela neurológica (G2), com média de idade de 54,2 e 52,6 anos respectivamente. Foram avaliados os PLM pelo protocolo de Nagazaki, o tônus muscular pela escala de Ashworth modificada e o arco de movimento por goniometria. Foi feita comparação dos parâmetros nos dois grupos pelo teste t de Student e correlação de Spearman com nível de significância de 5%. RESULTADOS: A média da distância foi de 14,52 m e 32,16 m, e o tempo foi de 23,75 s e 19,02 s no G1 e G2 respectivamente (p < 0,0001). Na comparação entre os grupos, a amplitude média de passo e a velocidade média foram estatisticamente significantes (p < 0,05) e a cadência não mostrou significância (p = 0,1936). Quando os PLM foram comparados com o grau de espasticidade dos músculos gastrocnêmio e sóleo, mostraram associação negativa com distância, amplitude de passo e velocidade e associação positiva com o tempo (p < 0,05). CONCLUSÃO: Quanto maior o grau de espasticidade dos músculos gastrocnêmio e sóleo, menores serão os parâmetros lineares de marcha do indivíduo com sequela de hemiparesia pós-AVE.

INTRODUCTION: The hemiparesy after the stroke is the most common sequelae hampering the speed of execution of automatic movements, reducing the autonomy of the individual and causing disability. OBJECTIVES: To analyze the effect of spasticity in linear patterns of movement (PLM) in hemiparetic subjects. METHODS: Two groups were studied: 20 individuals with stroke (G1) and 20 healthy subjects (G2) with a mean age of 54.2 and 52.6 respectively. Were evaluated by the PLM protocol Nagasaki, muscle tone by modified Ashworth scale and range of motion by goniometry. All parameters were compared in two groups by Student t test and Spearman correlation with a significance level p < 0,05. RESULTS: The mean distance was 14.52 m and 32.16 m, and time was 23.75 s and 19.02 s for G1 and G2 respectively (p < 0.0001). Comparing the groups average amplitude and average speed step were statistically significant (p < 0.05) and cadence was not significant (p = 0.1936). When the PLM were compared with the degree of spasticity of the gastrocnemius and soleus muscles showed a negative association with distance, speed and step amplitude and positive association with time (p < 0.05). CONCLUSION: The higher the degree of spasticity of the gastrocnemius and soleus muscles, the smaller the linear parameters of the gait of individuals with hemiparesis post stroke sequelae.

OBJECTIVE: This study aimed to compare the pelvic floor muscle strength of nulliparous and primiparous women. METHODS: A total of 100 women were prospectively distributed into two groups: Group 1 (G1) (n = 50) included healthy nulliparous women, and Group 2 (G2) (n = 50) included healthy primiparous women. Pelvic floor muscle strength was subjectively evaluated using transvaginal digital palpation. Pelvic floor muscle strength was objectively assessed using a portable perineometer. All of the parameters were evaluated simultaneously in G1 and were evaluated in G2 during the 20th and 36th weeks of pregnancy and 45 days after delivery. RESULTS: In G2, 14 women were excluded because they left the study before the follow-up evaluation. The median age was 23 years in G1 and 22 years in G2; there was no significant difference between the groups. The average body mass index was 21.7 kg/m² in G1 and 25.0 kg/m² in G2; there was a significant difference between the groups (p = 0.0004). In G2, transvaginal digital palpation evaluation showed significant impairments of pelvic floor muscle strength at the 36th week of pregnancy (p = 0.0006) and 45 days after vaginal delivery (p = 0.0001) compared to G1. Objective evaluations of pelvic floor muscle strength in G2 revealed a significant decrease 45 days after vaginal delivery compared to nulliparous patients. CONCLUSION: Pregnancy and vaginal delivery may cause weakness of the pelvic floor muscles.