{"id":12688,"date":"2025-07-11T10:20:21","date_gmt":"2025-07-11T14:20:21","guid":{"rendered":"https:\/\/www.rigicon.com\/glossary-term\/kegel-exercises\/"},"modified":"2025-07-11T10:20:21","modified_gmt":"2025-07-11T14:20:21","slug":"exercicios-de-kegel","status":"publish","type":"glossary-term","link":"https:\/\/www.rigicon.com\/pt-br\/glossary-term\/exercicios-de-kegel\/","title":{"rendered":"Exerc\u00edcios de Kegel"},"content":{"rendered":"","protected":false},"excerpt":{"rendered":"","protected":false},"featured_media":0,"template":"","glossary-category":[123],"glossary-product":[108,107],"class_list":["post-12688","glossary-term","type-glossary-term","status-publish","hentry","glossary-category-urinary-incontinence-treatments","glossary-product-conticlassic-aus","glossary-product-contireflex-enhanced-aus"],"acf":{"gt-definition":"

Os exerc\u00edcios de Kegel, descritos pela primeira vez por Arnold Kegel em 1948, s\u00e3o exerc\u00edcios f\u00edsicos especializados projetados para fortalecer os m\u00fasculos do assoalho p\u00e9lvico.1<\/sup> Esses exerc\u00edcios envolvem a contra\u00e7\u00e3o e o relaxamento sistem\u00e1ticos dos m\u00fasculos do assoalho p\u00e9lvico (MAP), que consistem no levantador do \u00e2nus (incluindo os m\u00fasculos puborretal, pubococc\u00edgeo e iliococc\u00edgeo) e os m\u00fasculos cocc\u00edgeos.2<\/sup> Os m\u00fasculos do assoalho p\u00e9lvico formam uma estrutura de suporte semelhante a uma rede que se estende do osso p\u00fabico ao c\u00f3ccix, sustentando \u00f3rg\u00e3os p\u00e9lvicos cr\u00edticos, incluindo a bexiga, o \u00fatero, o intestino delgado e o reto.3<\/sup><\/p>\n \n

O objetivo principal dos exerc\u00edcios de Kegel \u00e9 melhorar o t\u00f4nus, a for\u00e7a e a fun\u00e7\u00e3o dos m\u00fasculos do assoalho p\u00e9lvico, melhorando assim a contin\u00eancia urin\u00e1ria e fecal, apoiando os \u00f3rg\u00e3os p\u00e9lvicos e potencialmente melhorando a fun\u00e7\u00e3o sexual.4<\/sup> Esses exerc\u00edcios podem ser realizados alternando contra\u00e7\u00f5es r\u00e1pidas (apertando e relaxando rapidamente) e contra\u00e7\u00f5es lentas (mantendo os m\u00fasculos contra\u00eddos por longos per\u00edodos), que respectivamente treinam os m\u00fasculos para responder a aumentos repentinos na press\u00e3o intra-abdominal e construir em geral for\u00e7a.5<\/sup> O perine\u00f4metro, tamb\u00e9m chamado de man\u00f4metro vaginal, pode ser usado para medir a for\u00e7a de contra\u00e7\u00e3o e orientar a t\u00e9cnica adequada.1<\/sup><\/p>\n

As Diretrizes da AUA sobre Incontin\u00eancia P\u00f3s-Prostatectomia (2024) recomendam o treinamento muscular do assoalho p\u00e9lvico como interven\u00e7\u00e3o de primeira linha tanto no per\u00edodo pr\u00e9-operat\u00f3rio quanto no p\u00f3s-operat\u00f3rio imediato da prostatectomia radical. Estudos demonstram que os exerc\u00edcios de Kegel podem aliviar at\u00e9 80% dos sintomas de incontin\u00eancia urin\u00e1ria quando realizados corretamente. No entanto, pesquisas indicam que apenas 49% das mulheres conseguem realizar uma contra\u00e7\u00e3o ideal do assoalho p\u00e9lvico ap\u00f3s instru\u00e7\u00e3o verbal, e cerca de 25% executam um movimento que pode potencialmente agravar a incontin\u00eancia. Isso destaca a import\u00e2ncia da avalia\u00e7\u00e3o profissional por fisioterapeutas p\u00e9lvicos e do uso de dispositivos de biofeedback para garantir a t\u00e9cnica adequada. Os exerc\u00edcios devem incluir tanto contra\u00e7\u00f5es r\u00e1pidas (fibras musculares tipo II) quanto contra\u00e7\u00f5es sustentadas por 5-10 segundos (fibras tipo I), realizadas em s\u00e9ries de 10-15 repeti\u00e7\u00f5es, tr\u00eas vezes ao dia, em diferentes posi\u00e7\u00f5es corporais. O per\u00edodo m\u00ednimo recomendado para observar benef\u00edcios significativos \u00e9 de 8 a 12 semanas de treinamento consistente.<\/p>","gt-synonyms":"Treinamento muscular do assoalho p\u00e9lvico (TMAP), exerc\u00edcios para o assoalho p\u00e9lvico, exerc\u00edcios para m\u00fasculos p\u00e9lvicos (PME), exerc\u00edcios pubococc\u00edgeos","gt-citation":"[1] Kegel AH. Progressive resistance exercise in the functional restoration of the perineal muscles. Am J Obstet Gynecol. 1948;56(2):238-248. DOI: 10.1016\/0002-9378(48)90266-x\n\n[2] Ashton-Miller JA, Howard D, DeLancey JO. The functional anatomy of the female pelvic floor and stress continence control system. Scand J Urol Nephrol Suppl. 2001;(207):1-7. DOI: 10.1080\/003655901750174773\n\n[3] Huang YC, Chang KV. Kegel Exercises. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023. PMID: 31869169. https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK555898\/\n\n[4] Dumoulin C, Cacciari LP, Hay-Smith EJC. Pelvic floor muscle training versus no treatment, or inactive control treatments, for urinary incontinence in women. Cochrane Database of Systematic Reviews. 2018;10(10):CD005654. DOI: 10.1002\/14651858.CD005654.pub4\n\n[5] Cavkaytar S, Kokanali MK, Topcu HO, Aksakal OS, Do\u011fanay M. Effect of home-based Kegel exercises on quality of life in women with stress and mixed urinary incontinence. J Obstet Gynaecol. 2015;35(4):407-410. DOI: 10.3109\/01443615.2014.960831\n\n[6] Br\u00e6kken IH, Majida M, Engh ME, B\u00f8 K. Can pelvic floor muscle training reverse pelvic organ prolapse and reduce prolapse symptoms? An assessor-blinded, randomized, controlled trial. Am J Obstet Gynecol. 2010;203(2):170.e1-7. DOI: 10.1016\/j.ajog.2010.02.037\n\n[7] Myers C, Smith M. Pelvic floor muscle training improves erectile dysfunction and premature ejaculation: a systematic review. Physiotherapy. 2019;105(2):235-243. DOI: 10.1016\/j.physio.2019.01.002\n\n[8] Mazur-Bialy AI, Ko\u0142oma\u0144ska-Bogucka D, Op\u0142awski M, Tim S. Physiotherapy for prevention and treatment of fecal incontinence in women: systematic review of methods. Journal of Clinical Medicine. 2020;9(10):3255. DOI: 10.3390\/jcm9103255","gt-clinical-context":"

Os exerc\u00edcios de Kegel s\u00e3o considerados terapia de primeira linha para diversas doen\u00e7as do assoalho p\u00e9lvico devido \u00e0 sua natureza n\u00e3o invasiva e efeitos colaterais m\u00ednimos.4<\/sup> Eles s\u00e3o indicados principalmente para incontin\u00eancia urin\u00e1ria (IU), com estudos mostrando que a incontin\u00eancia urin\u00e1ria de esfor\u00e7o responde melhor a esses exerc\u00edcios do que a IU mista.5<\/sup> A preval\u00eancia de IU entre mulheres varia de 25% a 45%, com taxas mais altas em popula\u00e7\u00f5es mais velhas, tornando os exerc\u00edcios de Kegel um interven\u00e7\u00e3o terap\u00eautica significativa.3<\/sup><\/p>\n \n

A fraqueza muscular do assoalho p\u00e9lvico pode resultar de v\u00e1rios fatores, incluindo gravidez, parto vaginal, obesidade, diabetes mellitus, envelhecimento e cirurgias ginecol\u00f3gicas.3<\/sup> Pesquisas demonstraram que mulheres com IU apresentam decl\u00ednio no t\u00f4nus muscular, for\u00e7a m\u00e1xima, rapidez de contra\u00e7\u00e3o e resist\u00eancia do assoalho p\u00e9lvico.3<\/sup> Demonstrou-se que a realiza\u00e7\u00e3o regular de exerc\u00edcios de Kegel melhora a for\u00e7a muscular do assoalho p\u00e9lvico, melhora a qualidade de vida e reduz a mic\u00e7\u00e3o. sintomas.5<\/sup><\/p>\n \n

Os exerc\u00edcios de Kegel tamb\u00e9m s\u00e3o eficazes na preven\u00e7\u00e3o e tratamento do prolapso de \u00f3rg\u00e3os p\u00e9lvicos (POP), que afeta mais da metade das mulheres com mais de 50 anos.6<\/sup> Estudos demonstraram que o treinamento dos m\u00fasculos do assoalho p\u00e9lvico n\u00e3o apenas melhora o est\u00e1gio do POP, mas tamb\u00e9m reduz a frequ\u00eancia dos sintomas e eleva a bexiga e o reto atrav\u00e9s da melhoria da for\u00e7a e resist\u00eancia muscular.6<\/sup><\/p>\n \n

Al\u00e9m disso, esses exerc\u00edcios demonstraram efic\u00e1cia na melhoria da fun\u00e7\u00e3o sexual em mulheres e homens. Para as mulheres, os m\u00fasculos do assoalho p\u00e9lvico desempenham um papel significativo na fun\u00e7\u00e3o org\u00e1stica, e o fortalecimento desses m\u00fasculos pode aumentar a sensa\u00e7\u00e3o e a satisfa\u00e7\u00e3o sexual.3<\/sup> Nos homens, revis\u00f5es sistem\u00e1ticas mostraram que o treinamento dos m\u00fasculos do assoalho p\u00e9lvico pode melhorar a disfun\u00e7\u00e3o er\u00e9til e a ejacula\u00e7\u00e3o precoce.7<\/sup><\/p>\n \n

Para obter resultados ideais, os exerc\u00edcios de Kegel devem ser realizados regularmente como uma pr\u00e1tica ao longo da vida, normalmente em v\u00e1rias s\u00e9ries ao longo do dia em v\u00e1rias posi\u00e7\u00f5es (deitado, sentado, em p\u00e9).8<\/sup> Embora n\u00e3o exista um protocolo fixo, a abordagem fundamental envolve identificar os m\u00fasculos corretos, realizar contra\u00e7\u00f5es adequadas e manter a consist\u00eancia.3<\/sup><\/p>\n

No contexto masculino, as Diretrizes da AUA\/GURS\/SUFU (2024) sobre incontin\u00eancia p\u00f3s-tratamento prost\u00e1tico recomendam oferecer exerc\u00edcios de assoalho p\u00e9lvico a pacientes antes da prostatectomia radical (Recomenda\u00e7\u00e3o Condicional, Evid\u00eancia Grau C) e como terapia obrigat\u00f3ria no p\u00f3s-operat\u00f3rio imediato (Recomenda\u00e7\u00e3o Moderada, Evid\u00eancia Grau B). Revis\u00f5es sistem\u00e1ticas confirmam que o treinamento muscular do assoalho p\u00e9lvico melhora a disfun\u00e7\u00e3o er\u00e9til e a ejacula\u00e7\u00e3o precoce em homens. Para mulheres na p\u00f3s-menopausa, o fortalecimento do assoalho p\u00e9lvico \u00e9 complementar \u00e0 terapia estrog\u00eanica vaginal no manejo da s\u00edndrome geniturin\u00e1ria da menopausa. A t\u00e9cnica do Knack (pr\u00e9-contra\u00e7\u00e3o volunt\u00e1ria do assoalho p\u00e9lvico antes de esfor\u00e7os como tosse ou espirro) \u00e9 uma estrat\u00e9gia avan\u00e7ada que reduz a incontin\u00eancia de esfor\u00e7o ao diminuir a excitabilidade vesical. Dispositivos de biofeedback modernos, como sensores vaginais e perineais conectados a aplicativos, permitem o acompanhamento domiciliar da qualidade das contra\u00e7\u00f5es, aumentando a ades\u00e3o e a efic\u00e1cia do treinamento. O encaminhamento para fisioterapia p\u00e9lvica especializada \u00e9 recomendado quando o paciente n\u00e3o consegue identificar corretamente os m\u00fasculos do assoalho p\u00e9lvico ou quando a melhora n\u00e3o \u00e9 observada ap\u00f3s 3 meses de treinamento domiciliar.<\/p>\n

Veja tamb\u00e9m: Incontin\u00eancia Urin\u00e1ria - Compreens\u00e3o e Tratamento<\/a><\/p>","gt-related-evidence":null,"gt-featured":true,"gt-ai-referenced":false,"gt-view-count":162},"yoast_head":"\nExerc\u00edcios de Kegel: Fortalecimento dos M\u00fasculos do Assoalho P\u00e9lvico<\/title>\n<meta name=\"description\" content=\"Os exerc\u00edcios de Kegel fortalecem o assoalho p\u00e9lvico para tratar incontin\u00eancia urin\u00e1ria e prolapso. 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