Aplicabilidade do esquema PERFECT na avaliação da musculatura do assoalho pélvico: revisão de escopo
DOI:
https://doi.org/10.17267/2238-2704rpf.2025.e6399Palavras-chave:
Assoalho Pélvico, Força Muscular, Saúde da MulherResumo
INTRODUÇÃO: O esquema PERFECT é uma ferramenta validada de avaliação dos músculos do assoalho pélvico (MAP), amplamente utilizado na literatura, considerado um método simples, confiável e reprodutível, contudo, sua aplicação em pesquisas científicas nem sempre é padronizada ou bem descrita, o que pode resultar em divergências na prática clínica. OBJETIVO: Mapear a literatura sobre a aplicabilidade do esquema PERFECT. MÉTODOS: Revisão de escopo produzida de acordo com o PRISMA-ScR. Os artigos foram coletados nas bases de dados: Pubmed, PEDro e BVS. Foram incluídos ensaios clínicos e observacionais que utilizaram o esquema PERFECT como método de avaliação. Foram excluídos os que foram avaliados por via retal, indisponíveis e duplicados. As variáveis analisadas foram: número de participantes avaliados, país de realização e ano de publicação, versão utilizada, profissional que utilizou e desenho de estudo. Para avaliar a qualidade metodológica dos estudos foram utilizadas as escalas PEDro e Joanna Briggs. RESULTADOS: A amostra avaliada incluiu 24 artigos sendo a maioria realizada por fisioterapeutas com 18 estudos. A combinação de acrônimos PERF apareceu em 63% dos estudos sendo a combinação de acrônimos mais utilizada. Na análise da qualidade metodológica, os ensaios clínicos apresentaram limitações devido à falta de cegamento e intenção de tratar. Os estudos observacionais apresentaram falha nos fatores de confusão e as estratégias para controlá-los. CONCLUSÃO: A utilização do esquema PERFECT nas pesquisas científicas ocorre de maneira incompleta, muitas vezes limitada ao uso de apenas alguns acrônimos. Além disso, foi identificado que a maioria dos estudos analisados apresentaram limitações metodológicas.
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