<?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>0864-2125</journal-id>
<journal-title><![CDATA[Revista Cubana de Medicina General Integral]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Cubana Med Gen Integr]]></abbrev-journal-title>
<issn>0864-2125</issn>
<publisher>
<publisher-name><![CDATA[ECIMED]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0864-21252019000100008</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Efectividad de la reeducación del suelo pélvico en adultas mayores con incontinencia urinaria de esfuerzo]]></article-title>
<article-title xml:lang="en"><![CDATA[Effectiveness of pelvic floor re-education in elder women with stress urinary incontinence]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Chang Calderin]]></surname>
<given-names><![CDATA[Omarys]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pérez Rodríguez]]></surname>
<given-names><![CDATA[Mireya]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Figueredo Villa]]></surname>
<given-names><![CDATA[Katiuska]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Llori Otero]]></surname>
<given-names><![CDATA[Kathy Marilou]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Torres Pérez]]></surname>
<given-names><![CDATA[Merlys]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Torres Pérez]]></surname>
<given-names><![CDATA[Mirelys]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Nacional de Chimborazo  ]]></institution>
<addr-line><![CDATA[Riobamba ]]></addr-line>
<country>Ecuador</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de Ciencias Médicas de Las Tunas Policlínico docente "Gustavo Aldereguia Lima" ]]></institution>
<addr-line><![CDATA[Las Tunas ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad de Las Tunas  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2019</year>
</pub-date>
<volume>35</volume>
<numero>1</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0864-21252019000100008&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0864-21252019000100008&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0864-21252019000100008&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  Durante el proceso de envejecimiento pueden originarse diferentes síndromes en el adulto mayor. Entre los más comunes está la incontinencia urinaria de esfuerzo, con alteraciones en vejiga y estructuras del área pélvica, así como en el funcionamiento de las vías urinaria bajas.  Objetivo:  Evaluar la efectividad de la reeducación del suelo pélvico en mujeres adultas mayores con incontinencia urinaria de esfuerzo.  Métodos:  Estudio descriptivo y longitudinal en mujeres adultas mayores con incontinencia urinaria de esfuerzo del Centro Gerontológico de Guano, Ecuador. Universo de 20 pacientes, 100 % de la población diagnosticada, edades &#8805; 65 años, sin otros antecedentes de trastornos médicos.  Resultados:  Se destaca como antecedentes de los sujetos estudiados: índice de masa corporal: 60 % de obesidad, seguido del 25 % de sobrepeso, ginecobstétricos: 95 gestaciones, 77 % partos normales y 12 % de cesarias. En la evaluación inicial, mediante la escala de valoración modificada de Oxford, en el 60 % de las adultas se obtuvo grado 2, caracterizada por contracciones musculares débiles del suelo pélvico, evaluación insatisfactoria. En la segunda medición se obtuvieron resultados significativamente superiores a los de la primera medición, 70 % se evaluó satisfactoriamente. Durante el proceso de reeducación del suelo pélvico, se establecieron relaciones de integración entre los elementos participación activa y consiente del paciente, equipo de salud y familia, en función de una mayor calidad de vida, de importancia para el tratamiento.  Conclusiones:  Se alcanzó el 70 % de efectividad en la reeducación de suelo pélvico aplicada a las mujeres adultas mayores con incontinencia urinaria de esfuerzo.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction: In the aging process, different syndromes can appear in the elderly. Stress urinary incontinence is among the most common, with alterations in the bladder and the pelvic area structures, as well as in the functioning of the lower urinary tract.  Objective: To assess the effectiveness of pelvic floor re-education in elder women with stress urinary incontinence.  Methods:  Descriptive and longitudinal study in elder women with stress urinary incontinence in the Gerontological Center of Guano, Ecuador. Group sample of 20 patients, 100% of the population diagnosed, ages? 65 years, without other pathological background.  Results:  It is highlighted as a background of subjects studied: body mass index: 60% of obesity, followed by 25% of overweight; gineco-obstetrics: 95 gestations, 77% normal births and 12% of C-sections. In the initial assessment, through the modified Oxford valuation scale, in 60% of adults, Grade 2 was obtained. That was characterized by weak pelvic floor muscle´s contractions, unsatisfactory evaluation. In the second measurement, the obtained results were significantly higher than those of the first measurement, and 70% is evaluated as satisfactorily. During the process of pelvic floor's re-education, integration relationships were established between the elements, also active and conscious participation of the patient, the health team and the family, in order to obtain a greater life quality which is important for the treatment.  Conclusions:  70% of effectiveness is achieved in pelvic floor re-education performed in elder women presenting stress urinary incontinence.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Adultas mayores]]></kwd>
<kwd lng="es"><![CDATA[incontinencia urinaria]]></kwd>
<kwd lng="es"><![CDATA[reeducación suelo pélvico]]></kwd>
<kwd lng="en"><![CDATA[Elder women]]></kwd>
<kwd lng="en"><![CDATA[urinary incontinence]]></kwd>
<kwd lng="en"><![CDATA[pelvic floor re-education]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="">
<collab>Registros Administrativos</collab>
<source><![CDATA[Datos IESS, ISSFA, ISSPOL]]></source>
<year>2013</year>
<publisher-loc><![CDATA[Ecuador ]]></publisher-loc>
</nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="">
<collab>Ministerio de inclusión económica y social del Ecuador. Dirección población adulta mayor</collab>
<source><![CDATA[Políticas Públicas]]></source>
<year>2015</year>
</nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Chiang]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Incontinencia urinaria en el adulto mayor]]></article-title>
<source><![CDATA[ReV MeD CLIN Condes]]></source>
<year>2013</year>
<volume>24</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>219-27</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rosier]]></surname>
<given-names><![CDATA[PF]]></given-names>
</name>
</person-group>
<source><![CDATA[The evidence for urodynamic investigation of patients with symptoms of urinary incontinence]]></source>
<year>2013</year>
<publisher-name><![CDATA[National Center for Biotechnology Information, U.S. National Library of Medicine]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[García]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Carlos]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Disfunción del piso pelviano en el adulto mayor]]></article-title>
<source><![CDATA[ReV MeD CLIN Condes]]></source>
<year>2013</year>
<volume>24</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>197-201</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ortis]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<source><![CDATA[Aplicación de los ejercicios de Kegel en el fortalecimiento del suelo pélvico en pacientes adultos mayores con incontinencia urinaria]]></source>
<year>2017</year>
<publisher-loc><![CDATA[Chimborazo, Ecuador ]]></publisher-loc>
<publisher-name><![CDATA[Universidad nacional de Chimborazo, Facultad de ciencias de la salud]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Martínez]]></surname>
<given-names><![CDATA[JC]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Caracterización de mujeres en edad mediana con incontinencia urinaria y respuesta al tratamiento rehabilitador]]></article-title>
<source><![CDATA[Rev cubana Obstet Ginecol]]></source>
<year>2014</year>
<volume>40</volume>
<numero>1</numero>
<issue>1</issue>
</nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Martínez]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Incontinencia urinaria en el adulto mayor]]></article-title>
<source><![CDATA[Medrigraphic Artemisa Rev Med Inst Mex Seguro Soc]]></source>
<year>2007</year>
<volume>45</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>513-21</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<collab>Asociación española de enfermería y urología</collab>
<article-title xml:lang=""><![CDATA[Técnicas básicas para la reeducación perineal]]></article-title>
<source><![CDATA[Rev ENFURO]]></source>
<year>2007</year>
<volume>42</volume>
<numero>102</numero>
<issue>102</issue>
<page-range>10/10/2017</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="book">
<collab>OMS, World Health Organization</collab>
<source><![CDATA[Physical status: the use and interpretation of anthropometry. Report of a WHO Expert Committee.]]></source>
<year>1995</year>
<publisher-name><![CDATA[World Health Organ Tech Rep Ser]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Laycock]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Whelan]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Dumoulin]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Patient assessment. Chapter 7]]></article-title>
<person-group person-group-type="editor">
<name>
<surname><![CDATA[Haslam]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Laycock]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<source><![CDATA[Therapeutic management of incontinence and pelvic pain]]></source>
<year>2008</year>
<edition>2nd</edition>
<page-range>62</page-range><publisher-loc><![CDATA[London ]]></publisher-loc>
<publisher-name><![CDATA[Springer-Verlag]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Castillo]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<source><![CDATA[Experiencia de tratamiento CIMEQ, proposición de un programa de reeducación]]></source>
<year>1995</year>
<publisher-loc><![CDATA[La Habana ]]></publisher-loc>
<publisher-name><![CDATA[CIMEQ]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Juarranz]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Terrón]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Roca]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Soriano]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Tratamiento de la incontinencia urinaria]]></article-title>
<source><![CDATA[Rev Aten Primaria ELSEVIER]]></source>
<year>2002</year>
<volume>30</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>323-32</page-range></nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Espuña]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Brugulat]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Medina]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Mompart]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Prevalencia de incontinencia urinaria en Cataluña]]></article-title>
<source><![CDATA[Rev Dialnet]]></source>
<year>2009</year>
<volume>133</volume>
<numero>18</numero>
<issue>18</issue>
<page-range>702-5</page-range></nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Zunzunegui]]></surname>
<given-names><![CDATA[MV]]></given-names>
</name>
<name>
<surname><![CDATA[Rodríguez]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[García]]></surname>
<given-names><![CDATA[MJ]]></given-names>
</name>
<name>
<surname><![CDATA[Aguilar]]></surname>
<given-names><![CDATA[MD]]></given-names>
</name>
<name>
<surname><![CDATA[Lázaro]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Otero]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Prevalencia de la incontinencia urinaria y factores asociados en varones y mujeres de más de 65 años]]></article-title>
<source><![CDATA[Rev Atención Primaria ELSEVIER]]></source>
<year>2003</year>
<volume>32</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>67-76</page-range></nlm-citation>
</ref>
<ref id="B16">
<label>16</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Robles]]></surname>
<given-names><![CDATA[JE]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[La incontinencia urinaria]]></article-title>
<source><![CDATA[SCIELO]]></source>
<year>2006</year>
<volume>29</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>219-31</page-range></nlm-citation>
</ref>
<ref id="B17">
<label>17</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Martínez]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Hummel]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Hamui]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Halabe]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Incontinencia urinaria en el adulto mayor]]></article-title>
<source><![CDATA[Red de Revistas Científicas de América Latina y el Caribe, España y Portugal. Redalyc]]></source>
<year>2006</year>
<volume>45</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>513-21</page-range></nlm-citation>
</ref>
<ref id="B18">
<label>18</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kegel]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<source><![CDATA[Ejercicios de Kegel o método Kegel]]></source>
<year>2016</year>
<publisher-name><![CDATA[EcuRed]]></publisher-name>
</nlm-citation>
</ref>
</ref-list>
</back>
</article>
