[en] a. Background. Urinary incontinence (UI) in high impact sports affects a high number of female athletes. From Physiotherapy, there are different methods that could reduce its consequences, however, there is little scientific evidence to demonstrate the effects of a physiotherapeutic intervention on UI in women who practice this type of sport. b. Objective. To demonstrate the efficacy of the Physiotherapy approach in the UI of women who practice high-impact sports. c. Methods. For this literature review, we selected articles that included physical therapy treatment to address UI in high-impact female athletes. The search was conducted in PubMed, Scopus, Cochrane, Web of Science, SPORTDiscus and PEDro databases during the months of March and April 2024. Results were filtered according to publication period from 2014 to 2024, with English, Spanish or Portuguese languages. d. Outcomes. After analyzing the nine selected articles, evidence was found on the positive effects of a pelvic floor muscle training program (PFMT) in athletes with UI, achieving improvements in health-related quality of life, amount of urine leakage, maximum voluntary contraction and contraction strength. e. Conclusions. The results of this literature review should be interpreted with some caution, due to the scarce literature available, the small sample size of the studies and the lack of specificity on physiotherapy interventions. Despite this, it appears that physiotherapy treatment could be effective in addressing UI in high-impact female athletes, with the star method chosen by most authors being PFMT.

[gl] a. Introdución. A incontinencia urinaria (IU) nos deportes de impacto afecta a un gran número de atletas femininas. Dende a Fisioterapia, existen diferentes métodos que poderían reducir as consecuencias, non obstante, hai pouca evidencia científica que demostre os efectos dunha intervención fisioterapéutica sobre a IU en mulleres que practican este tipo de deportes. b. Obxectivo. Demostrar a eficacia da abordaxe de Fisioterapia na IU de mulleres que practican deportes de alto impacto. c. Material e método. Para esta revisión bibliográfica seleccionáronse os artigos que contiveran o tratamento de Fisioterapia na abordaxe de IU en mulleres deportistas de alto impacto. A busca realizouse nas bases de datos Pubmed, Scopus, Cochrane, Web of Science, SPORTDiscus e PEDro durante os meses de marzo e abril do 2024. Os resultados filtráronse segundo o período de publicación dende 2014 ao 2024, coas linguas inglés, castelán ou portugués. d. Resultados. Tras analizar os nove artigos seleccionados, atopáronse evidencias sobre os efectos positivos dun programa de adestramento muscular do solo pelviano en deportistas con IU, conseguindo unha mellora da calidade de vida relacionada coa saúde, a cantidade de perda de urina, a máxima contracción voluntaria e a forza de contracción. e. Conclusión. Débense interpretar con certa precaución os resultados desta revisión bibliográfica, debido á escasa literatura dispoñible, ao reducido tamaño da mostra dos estudios e á falta de especificidade sobre as intervencións de Fisioterapia. Con todo, parece que o tratamento fisioterapéutico podería ser eficaz para abordar a IU en mulleres deportistas de alto impacto, sendo o método estrela elixido pola maioría dos autores o EMSP.