Abstract
Introduction and hypothesis: One of the factors that weaken physical therapy assistance in pelvic floor disorders is its interruption. Objective: to analyze the adherence of incontinent women to the treatment of pelvic floor disorders associated with the mobile device (application), compared to traditional approaches. Methodology: In this longitudinal, randomized and controlled study, 128 patients were selected to participate in the program through synchronous and asynchronous approaches, with Group 1 (G1) face-toface physiotherapy and application, Group 2 (G2) face-to-face physiotherapy and sheet with guidance on exercises printed, Group 3 (G3) only the application, and Group 4 (G4) only the sheet with guidance on the printed exercises. Twelve face-to-face physiotherapy sessions were held, in groups, once a week, for 3 months. Results: In the sample, 77 participants (60.2%) adhered to the treatment and 51 (39.8%) did not. A significant difference was found between mean age and adherence to treatment. Adherent patients had an average of 48.3 years, while non-adherent 44.5, indicating a statistical significance of p = 0.015. There is less adherence in synchronous Methodologies: G1, 19 (50%), G2, 21 (28.8%), when compared to asynchronous ones: G3, 3 (13.6%), and in G4, 8 (32%) showing p = 0.025 of statistical significance. Regarding the types of urinary incontinence (UI), 50 women had stress UI, 67 mixed UI and 11 urge UI. No significant difference was found between women who did not adhere, with p = 0.06. With regard to adherence according to wage income, according to the Brazilian Institute of Geography and Statistics (IBGE), it is determined by the number of minimum wages (SM) No None of the women who did not adhere to the treatment had an income greater than six MW. Conclusion: Adherence to pelvic floor muscle training is greater when associated with face-to-face physiotherapy with a mobile application.