{"id":3892,"date":"2026-04-16T11:59:59","date_gmt":"2026-04-16T11:59:59","guid":{"rendered":"https:\/\/aliantis.es\/2026\/04\/16\/fisioterapia-del-sol-pelvia-que-es-per-a-que-serveix-i-quan-consultar\/"},"modified":"2026-05-20T09:30:45","modified_gmt":"2026-05-20T09:30:45","slug":"fisioterapia-del-sol-pelvia-que-es-per-a-que-serveix-i-quan-consultar","status":"publish","type":"post","link":"https:\/\/aliantis.es\/ca\/2026\/04\/16\/fisioterapia-del-sol-pelvia-que-es-per-a-que-serveix-i-quan-consultar\/","title":{"rendered":"Fisioter\u00e0pia del s\u00f2l pelvi\u00e0: qu\u00e8 \u00e9s, per a qu\u00e8 serveix i quan consultar"},"content":{"rendered":"\t\t
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Fisioter\u00e0pia del s\u00f2l pelvi\u00e0: qu\u00e8 \u00e9s, per a qu\u00e8 serveix i quan consultar<\/h1>\t\t\t\t<\/div>\n\t\t\t\t
\n\t\t\t\t\t\t\t\t\tUna disciplina clau per a la contin\u00e8ncia, l\u2019embar\u00e0s, el postpart, el dolor pelvi\u00e0 i la salut \u00edntima\t\t\t\t\t\t\t\t<\/div>\n\t\t
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La fisioter\u00e0pia del s\u00f2l pelvi\u00e0 \u00e9s una especialitat fonamental per a la salut, el benestar i la qualitat de vida. Tot i que sovint s\u2019associa a l\u2019embar\u00e0s o al postpart, el seu camp d\u2019acci\u00f3 \u00e9s molt m\u00e9s ampli: pot ajudar en casos d\u2019incontin\u00e8ncia, dolor pelvi\u00e0, prolapses, disfuncions sexuals i altres alteracions que afecten el dia a dia. <\/p>

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El s\u00f2l pelvi\u00e0 compleix funcions essencials en la contin\u00e8ncia, el sosteniment dels \u00f2rgans pelvians, l\u2019estabilitat del tronc i la funci\u00f3 sexual. Quan aquesta zona perd for\u00e7a, coordinaci\u00f3 o capacitat d\u2019adaptaci\u00f3, poden apar\u00e8ixer s\u00edmptomes que moltes persones normalitzen durant massa temps. <\/p>

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En aquest article t\u2019expliquem qu\u00e8 \u00e9s la fisioter\u00e0pia del s\u00f2l pelvi\u00e0, quins problemes pot tractar, com es fa la valoraci\u00f3 i quan conv\u00e9 consultar.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\"Sesi\u00f3n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t
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Qu\u00e8 \u00e9s el s\u00f2l pelvi\u00e0 i per qu\u00e8 \u00e9s tan important?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t
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El s\u00f2l pelvi\u00e0, tamb\u00e9 anomenat perineu, \u00e9s un conjunt de m\u00fasculs, f\u00e0scies i teixits connectius que se situen a la part inferior de la pelvis. Actua com una base de suport per a \u00f2rgans com la bufeta, l\u2019\u00fater i el recte, i participa en funcions tan importants com la contin\u00e8ncia urin\u00e0ria i fecal, l\u2019estabilitat lumbopelviana, la sexualitat i el part. <\/p>

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Tot i la seva import\u00e0ncia, continua sent una zona del cos poc coneguda per a moltes persones. A consulta, \u00e9s freq\u00fcent trobar pacients que conviuen des de fa temps amb p\u00e8rdues d\u2019orina, sensaci\u00f3 de pes pelvi\u00e0, dolor durant les relacions o mol\u00e8sties persistents sense saber que el s\u00f2l pelvi\u00e0 hi pot estar implicat. <\/p>

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El seu bon funcionament no dep\u00e8n nom\u00e9s de la for\u00e7a. Tamb\u00e9 necessita elasticitat, coordinaci\u00f3, capacitat de relaxaci\u00f3 i una bona relaci\u00f3 amb la respiraci\u00f3, la postura i la musculatura abdominal. Per aix\u00f2, parlar de salut del s\u00f2l pelvi\u00e0 \u00e9s parlar d\u2019equilibri, no nom\u00e9s de to muscular. <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

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Qu\u00e8 \u00e9s la fisioter\u00e0pia del s\u00f2l pelvi\u00e0?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t
\n\t\t\t\t\t\t\t\t\tLa fisioter\u00e0pia del s\u00f2l pelvi\u00e0, tamb\u00e9 coneguda com a fisioter\u00e0pia perineal, \u00e9s una especialitat de la fisioter\u00e0pia orientada a valorar, prevenir i tractar les disfuncions relacionades amb aquesta regi\u00f3 anat\u00f2mica.\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t
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En qu\u00e8 consisteix aquesta especialitat?<\/h3>\t\t\t\t<\/div>\n\t\t\t\t
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El seu objectiu \u00e9s millorar la funci\u00f3 del s\u00f2l pelvi\u00e0 i, amb aix\u00f2, alleujar s\u00edmptomes, recuperar control, reduir dolor i millorar la qualitat de vida. Per fer-ho, el tractament no es limita a \u201cenfortir el perineu\u201d, sin\u00f3 que analitza com es comporta aquesta zona dins del conjunt del cos. <\/p>

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La fisioter\u00e0pia del s\u00f2l pelvi\u00e0 pot incloure educaci\u00f3, exercici terap\u00e8utic, treball respiratori, ter\u00e0pia manual, estrat\u00e8gies de control muscular, biofeedback o electroestimulaci\u00f3, segons les necessitats de cada cas.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

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A qui pot ajudar?<\/h3>\t\t\t\t<\/div>\n\t\t\t\t
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Tot i que moltes vegades s\u2019associa a la salut femenina, no \u00e9s una especialitat exclusiva per a dones. Tamb\u00e9 pot ser \u00fatil en homes i infants, segons la situaci\u00f3 cl\u00ednica. <\/p>

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A la pr\u00e0ctica, \u00e9s especialment freq\u00fcent en etapes com l\u2019embar\u00e0s, el postpart, la menopausa o despr\u00e9s de determinades cirurgies pelvianes, per\u00f2 tamb\u00e9 en persones amb dolor pelvi\u00e0, alteracions urin\u00e0ries, disfuncions sexuals o problemes relacionats amb la pr\u00e0ctica esportiva.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

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Quins problemes pot tractar la fisioter\u00e0pia del s\u00f2l pelvi\u00e0?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t
\n\t\t\t\t\t\t\t\t\tLa fisioter\u00e0pia del s\u00f2l pelvi\u00e0 pot intervenir en una \u00e0mplia varietat de situacions. L\u2019important \u00e9s entendre que no es tracta nom\u00e9s d\u2019una ter\u00e0pia per a \u201cquan hi ha p\u00e8rdues d\u2019orina\u201d, sin\u00f3 d\u2019un abordatge molt m\u00e9s ampli. \t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t
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Incontin\u00e8ncia urin\u00e0ria i fecal<\/h3>\t\t\t\t<\/div>\n\t\t\t\t
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La incontin\u00e8ncia urin\u00e0ria \u00e9s un dels motius de consulta m\u00e9s freq\u00fcents. Pot apar\u00e8ixer en tossir, esternudar, riure, saltar o fer exercici, i tamb\u00e9 pot manifestar-se com una urg\u00e8ncia dif\u00edcil de controlar. En alguns casos, tamb\u00e9 existeix incontin\u00e8ncia fecal o dificultat per controlar gasos. <\/p>

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Aquest tipus de s\u00edmptomes no s\u2019hauria de normalitzar, encara que sigui freq\u00fcent despr\u00e9s del part, en la menopausa o despr\u00e9s de certes cirurgies. La fisioter\u00e0pia pot ajudar a millorar el control, la coordinaci\u00f3 i la capacitat de resposta del s\u00f2l pelvi\u00e0, reduint notablement l\u2019impacte d\u2019aquestes mol\u00e8sties en la vida di\u00e0ria. <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

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Prolapse dels \u00f2rgans pelvians<\/h3>\t\t\t\t<\/div>\n\t\t\t\t
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El prolapse apareix quan un o diversos \u00f2rgans pelvians descendeixen per falta de sosteniment i apareix una sensaci\u00f3 de pes, pressi\u00f3 o \u201cbony\u201d a la vagina. Pot afectar la bufeta, l\u2019\u00fater o el recte. <\/p>

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La fisioter\u00e0pia del s\u00f2l pelvi\u00e0 pot ajudar a millorar la simptomatologia, optimitzar la funci\u00f3 muscular i reduir l\u2019impacte del prolapse en la vida quotidiana. En alguns casos, tamb\u00e9 forma part d\u2019un tractament conservador abans de considerar altres opcions. <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

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Dolor pelvi\u00e0 cr\u00f2nic<\/h3>\t\t\t\t<\/div>\n\t\t\t\t
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El dolor pelvi\u00e0 pot tenir moltes causes i, en ocasions, el s\u00f2l pelvi\u00e0 participa de manera important en el seu manteniment. Pot presentar-se com dolor a la part baixa de l\u2019abdomen, la pelvis, la vulva, el perineu o la zona anal, i de vegades s\u2019associa a tensi\u00f3 muscular, hipersensibilitat o alteracions en la mobilitat local. <\/p>

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La fisioter\u00e0pia pot ajudar a identificar si existeix una disfunci\u00f3 muscular o fascial associada, i treballar-hi amb t\u00e8cniques orientades a reduir la tensi\u00f3, millorar la mobilitat i recuperar confort.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

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Disfuncions sexuals<\/h3>\t\t\t\t<\/div>\n\t\t\t\t
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Un s\u00f2l pelvi\u00e0 massa feble o, al contrari, excessivament tens, pot influir en la funci\u00f3 sexual. En dones, aix\u00f2 pot relacionar-se amb dolor durant les relacions, dificultat per a la penetraci\u00f3, sensaci\u00f3 de tensi\u00f3 o disminuci\u00f3 del confort. En homes, tamb\u00e9 poden apar\u00e8ixer mol\u00e8sties, alteracions funcionals o s\u00edmptomes associats a tensi\u00f3 i control muscular. <\/p>

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En aquests casos, la fisioter\u00e0pia del s\u00f2l pelvi\u00e0 pot formar part d\u2019un abordatge respectu\u00f3s i progressiu que ajudi a recuperar funci\u00f3, confort i confian\u00e7a corporal.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

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Embar\u00e0s i recuperaci\u00f3 postpart<\/h3>\t\t\t\t<\/div>\n\t\t\t\t
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Durant l\u2019embar\u00e0s, el s\u00f2l pelvi\u00e0 s\u2019adapta a canvis hormonals, posturals i mec\u00e0nics importants. En el postpart, a m\u00e9s, ha de recuperar-se d\u2019una etapa de gran exig\u00e8ncia, tant si hi ha hagut part vaginal com ces\u00e0ria. <\/p>

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La fisioter\u00e0pia pot ajudar a preparar aquesta zona durant l\u2019embar\u00e0s, acompanyar el postpart, prevenir complicacions i orientar la recuperaci\u00f3 de manera individualitzada. No es tracta nom\u00e9s de \u201cfer for\u00e7a\u201d, sin\u00f3 de valorar com est\u00e0 el teixit, com es mou el cos i qu\u00e8 necessita cada dona en aquest moment. <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

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Com es fa la valoraci\u00f3 en fisioter\u00e0pia del s\u00f2l pelvi\u00e0?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t
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La valoraci\u00f3 \u00e9s una part essencial del proc\u00e9s. Permet entendre qu\u00e8 est\u00e0 passant, quines estructures poden estar implicades i quin tipus de tractament t\u00e9 m\u00e9s sentit en cada cas. <\/p>

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Sol comen\u00e7ar amb una entrevista cl\u00ednica detallada en qu\u00e8 s\u2019exploren els s\u00edmptomes, els antecedents m\u00e8dics, la hist\u00f2ria obst\u00e8trica si n\u2019hi ha, el tipus de mol\u00e8sties, els h\u00e0bits, la pr\u00e0ctica esportiva i l\u2019impacte funcional del problema.<\/p>

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Despr\u00e9s, es realitza una exploraci\u00f3 f\u00edsica adaptada, que pot incloure observaci\u00f3 postural, valoraci\u00f3 respirat\u00f2ria, mobilitat de pelvis i columna, control abdominal i, quan est\u00e0 indicat i consentit, una valoraci\u00f3 espec\u00edfica del s\u00f2l pelvi\u00e0.<\/p>

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En alguns casos, tamb\u00e9 poden utilitzar-se eines complement\u00e0ries com el biofeedback o l\u2019ecografia funcional. Tot aix\u00f2 permet dissenyar un pla de tractament realista, progressiu i adaptat a la situaci\u00f3 concreta de la persona. <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

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Quins tractaments s\u2019utilitzen habitualment?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t
\n\t\t\t\t\t\t\t\t\tEl tractament dep\u00e8n del motiu de consulta, del tipus de disfunci\u00f3 i del moment vital de cada pacient. No existeix una \u00fanica t\u00e8cnica v\u00e0lida per a tothom. \t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t
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Exercici terap\u00e8utic i control muscular<\/h3>\t\t\t\t<\/div>\n\t\t\t\t
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Una part important del tractament pot centrar-se a aprendre a activar, relaxar o coordinar correctament la musculatura del s\u00f2l pelvi\u00e0. De vegades cal guanyar for\u00e7a; altres vegades, reduir tensi\u00f3 o millorar la sincronitzaci\u00f3 amb la respiraci\u00f3 i la musculatura abdominal. <\/p>

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Els coneguts exercicis de Kegel poden formar part del tractament en alguns casos, per\u00f2 no sempre s\u00f3n la resposta adequada per a tots els pacients. L\u2019important no \u00e9s fer contraccions de manera autom\u00e0tica, sin\u00f3 entendre qu\u00e8 necessita realment el teixit i com respon el cos. <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

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Biofeedback i electroestimulaci\u00f3<\/h3>\t\t\t\t<\/div>\n\t\t\t\t
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El biofeedback permet donar informaci\u00f3 en temps real sobre l\u2019activitat muscular, cosa que ajuda a prendre consci\u00e8ncia i millorar el control. Pot ser molt \u00fatil en determinades situacions d\u2019aprenentatge o reeducaci\u00f3. <\/p>

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L\u2019electroestimulaci\u00f3 tamb\u00e9 pot utilitzar-se en alguns casos, especialment quan hi ha una debilitat important o dificultat per activar correctament la musculatura. Com qualsevol eina, s\u2019ha d\u2019utilitzar dins d\u2019una estrat\u00e8gia individualitzada. <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

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Ter\u00e0pia manual, respiraci\u00f3 i educaci\u00f3<\/h3>\t\t\t\t<\/div>\n\t\t\t\t
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La ter\u00e0pia manual pot ajudar a treballar restriccions de teixit, tensions, sensibilitat augmentada o alteracions de mobilitat local i global. Tamb\u00e9 \u00e9s freq\u00fcent integrar treball respiratori, educaci\u00f3 postural i estrat\u00e8gies relacionades amb h\u00e0bits quotidians. <\/p>

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En moltes persones, comprendre millor el seu cos i deixar de normalitzar certs s\u00edmptomes forma part del proc\u00e9s terap\u00e8utic. L\u2019educaci\u00f3 \u00e9s, en aquest sentit, una eina de tractament en si mateixa. <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

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La import\u00e0ncia del s\u00f2l pelvi\u00e0 en l\u2019esport i en la prevenci\u00f3<\/h2>\t\t\t\t<\/div>\n\t\t\t\t
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El s\u00f2l pelvi\u00e0 tamb\u00e9 t\u00e9 un paper important en la pr\u00e0ctica esportiva. Participa en l\u2019estabilitat del tronc, en la gesti\u00f3 de pressions i en la transfer\u00e8ncia de forces durant el moviment. <\/p>

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Quan aquesta zona no funciona b\u00e9, poden apar\u00e8ixer s\u00edmptomes com p\u00e8rdues d\u2019orina en c\u00f3rrer o saltar, sensaci\u00f3 de pesadesa, dolor o dificultats per tolerar certes c\u00e0rregues. Aix\u00f2 no nom\u00e9s pot afectar el rendiment, sin\u00f3 tamb\u00e9 la confian\u00e7a i la continu\u00eftat en la pr\u00e0ctica esportiva. <\/p>

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A m\u00e9s de tractar s\u00edmptomes ja presents, la fisioter\u00e0pia del s\u00f2l pelvi\u00e0 tamb\u00e9 t\u00e9 un paper preventiu. Pot ser \u00fatil durant l\u2019embar\u00e0s, en el postpart, en la menopausa, abans de reprendre l\u2019esport o despr\u00e9s d\u2019una cirurgia, entre altres situacions. <\/p>

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Prevenir no significa intervenir sense motiu, sin\u00f3 valorar a temps una zona que sovint nom\u00e9s rep atenci\u00f3 quan ja apareixen mol\u00e8sties.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

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Quan consultar un fisioterapeuta del s\u00f2l pelvi\u00e0?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t
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Pot ser una bona idea consultar si apareixen s\u00edmptomes com p\u00e8rdues d\u2019orina, sensaci\u00f3 de pes pelvi\u00e0, dolor a la pelvis, mol\u00e8sties durant les relacions sexuals, dificultat per controlar gasos, dubtes sobre el postpart o mol\u00e8sties relacionades amb la pr\u00e0ctica esportiva.<\/p>

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Tamb\u00e9 conv\u00e9 consultar si reprendr\u00e0s l\u2019exercici despr\u00e9s de l\u2019embar\u00e0s, si has passat per una cirurgia pelviana o si est\u00e0s en una etapa en qu\u00e8 notes canvis corporals importants, com la menopausa.<\/p>

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Com m\u00e9s aviat es valori una disfunci\u00f3, m\u00e9s f\u00e0cil sol ser entendre-la i abordar-la de manera adequada. En molts casos, una intervenci\u00f3 primerenca ajuda a evitar que el problema es cronifiqui o limiti m\u00e9s la vida quotidiana. <\/p>

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\u00c9s important recordar, a m\u00e9s, que la fisioter\u00e0pia del s\u00f2l pelvi\u00e0 forma part d\u2019un enfocament multidisciplinari. En determinades situacions, el diagn\u00f2stic m\u00e8dic previ \u00e9s necessari per descartar patologies subjacents i orientar correctament el tractament. <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

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A Aliantis t\u2019acompanyem a Sitges<\/h2>\t\t\t\t<\/div>\n\t\t\t\t
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A Aliantis, acompanyem persones que presenten s\u00edmptomes relacionats amb el s\u00f2l pelvi\u00e0, l\u2019embar\u00e0s, el postpart, el dolor pelvi\u00e0 o la recuperaci\u00f3 funcional. El nostre enfocament combina valoraci\u00f3 individual, tractament adaptat i una mirada global sobre la salut i el moviment. <\/p>

<\/p>

Si notes mol\u00e8sties que afecten la teva contin\u00e8ncia, el teu confort pelvi\u00e0, la teva recuperaci\u00f3 o la teva qualitat de vida, una valoraci\u00f3 especialitzada pot ajudar-te a entendre qu\u00e8 est\u00e0 passant i quin tipus de tractament t\u00e9 sentit en el teu cas.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

\n\t\t\t\t\t\t\t\t\tLa fisioter\u00e0pia del s\u00f2l pelvi\u00e0 no tracta nom\u00e9s una zona concreta del cos. Tamb\u00e9 ajuda a recuperar confian\u00e7a, funci\u00f3 i benestar en etapes en qu\u00e8 moltes persones se senten poc acompanyades. \t\t\t\t\t\t\t\t<\/div>\n\t\t
\n\t\t\t\t
\n\t\t\t\t\t\t\t\t\t

Aquest article de blog no t\u00e9 com a objectiu generar nous coneixements; la seva redacci\u00f3 es basa en la lectura de publicacions cient\u00edfiques, articles de blog i altres textos.<\/em><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

\n\t\t\t\t
\n\t\t\t\t\t\t\t\t\tFonts:\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t
\n\t\t\t\t\t\t\t\t\t

SEGO \u2013 Sociedad Espa\u00f1ola de Ginecolog\u00eda y Obstetricia<\/a><\/p>

ICS \u2013 International Continence Society<\/a><\/p>

Urology Care Foundation \u2013 Fortalecimiento de los m\u00fasculos del suelo p\u00e9lvico<\/a><\/p>

The POGP \u2013 V\u00eddeos sobre salud del suelo p\u00e9lvico en espa\u00f1ol<\/a><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"

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