<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1817-5996</journal-id>
<journal-title><![CDATA[Revista Cubana de Reumatología]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Cuba Reumatol]]></abbrev-journal-title>
<issn>1817-5996</issn>
<publisher>
<publisher-name><![CDATA[Editorial CIMEQ]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1817-59962023000400005</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Fortalecimiento pélvico en mujeres con incontinencia urinaria]]></article-title>
<article-title xml:lang="en"><![CDATA[Pelvic strengthening in women with urinary incontinence]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González Rivera]]></surname>
<given-names><![CDATA[Sandra Beatriz]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martínez Batista]]></surname>
<given-names><![CDATA[Odette]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Nacional de Chimborazo Hospital Provincial general Docente de Riobamba ]]></institution>
<addr-line><![CDATA[Riobamba Chimborazo]]></addr-line>
<country>Ecuador</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Nacional de Chimborazo  ]]></institution>
<addr-line><![CDATA[Riobamba ]]></addr-line>
<country>Ecuador</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2023</year>
</pub-date>
<volume>25</volume>
<numero>4</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1817-59962023000400005&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1817-59962023000400005&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1817-59962023000400005&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: La incontinencia urinaria es una afección que se presenta principalmente en mujeres de más de 40 años de edad; afecta el estado de salud de las personas; en el caso de las féminas su principal causa son los trastornos del suelo pélvico, por lo que mejorar el estado de la musculatura del suelo pélvico resulta vital para minimizar los efectos de la incontinencia urinaria.  Objetivo: Evaluar la efectividad del tratamiento rehabilitador, basado en la realización de ejercicios orientados al fortalecimiento pélvico, en mujeres con incontinencia urinaria.  Métodos: Investigación básica, descriptiva, retrospectiva y de campo que incluyó como universo un total de 87 mujeres con incontinencia urinaria atendidas en el servicio de rehabilitación del Hospital General Docente de Riobamba durante el año 2022. La muestra quedó constituida por 72 pacientes a las cuales se le aplicaron los ejercicios definidos para fortalecer el suelo pélvico.  Resultados: promedio de edad de 60,57 años, con antecedentes de partos instrumentados y con enfermedades crónicas transmisibles (56,94 %). El 45,83 % de los casos refirió incontinencia moderada en cuanto a la frecuencia y el 48,61 % incontinencia moderada en cuanto a la intensidad. Las molestias vaginales, así como la frecuencia e intensidad de la incontinencia fueron los elementos referidos como de mayor mejora después de realizar los ejercicios del suelo pélvico.  Conclusiones: La rehabilitación física constituye la única elección viable al fortalecimiento de la musculatura del suelo pélvico; solo de esta forma se puede mejorar primeramente y controlar posteriormente la incontinencia urinaria.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction: Urinary incontinence is a condition that occurs mainly in women over 40 years of age; affects people's health status; In the case of women, its main cause is pelvic floor disorders, so improving the state of the pelvic floor muscles is vital to minimize the effects of urinary incontinence.  Objective: To evaluate the effectiveness of rehabilitative treatment, based on performing exercises aimed at pelvic strengthening, in women with urinary incontinence.  Methodology: Basic, descriptive, retrospective and field research that included as a universe a total of 87 women with urinary incontinence treated in the rehabilitation service of the General Teaching Hospital of Riobamba during the year 2022. The sample was made up of 72 patients to whom. The defined exercises were applied to strengthen the pelvic floor.  Results: average age of 60.57 years, with a history of instrumental deliveries and with chronic communicable diseases (56.94 %). 45.83 % of the cases reported moderate incontinence in terms of frequency and 48.61 % reported moderate incontinence in terms of intensity. Vaginal discomfort, as well as the frequency and intensity of incontinence were the elements reported as having the greatest improvement after performing pelvic floor exercises.  Conclusions:  Physical rehabilitation is the only viable option for strengthening the pelvic floor muscles; Only in this way can urinary incontinence be improved first and subsequently controlled.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[calidad de vida]]></kwd>
<kwd lng="es"><![CDATA[incontinencia urinaria]]></kwd>
<kwd lng="es"><![CDATA[rehabilitación]]></kwd>
<kwd lng="es"><![CDATA[suelo pélvico]]></kwd>
<kwd lng="en"><![CDATA[quality of life]]></kwd>
<kwd lng="en"><![CDATA[urinary incontinence]]></kwd>
<kwd lng="en"><![CDATA[rehabilitation]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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