压力尿失禁妇女的腹部复杂肌肉 - - 未来病例控制研究
Bartlomiej Burzynski1, Tomasz Jurys2, Michalina Knapik3
1Department of Rehabilitation, Faculty of Health Sciences in Katowice, Medical University of Silesia in Katowice, Poland.
Archives of medical science : AMS
|August 10, 2023
概括
患有压力尿失禁的妇女显示腹肌活动发生变化. 具体来说,外部斜体肌肉更活跃,而内部斜体和横体腹部肌肉较不活跃,这在超声波研究中可以看到.
科学领域:
- 人体解剖学 解剖学 解剖学
- 身体生理学 身体生理学
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
背景情况:
- 压力尿失禁 (SUI) 影响许多女性,影响生活质量.
- 腹部肌肉功能对于骨盆底支和体是至关重要的.
- 在SUI中了解肌肉活动模式可以为治疗策略提供信息.
研究的目的:
- 量化三个关键腹肌对SUI妇女整体活动的相对贡献.
- 为了比较SUI和健康对照女性之间的腹肌激活模式.
主要方法:
- 对84名女性 (年龄在23-62岁之间) 的前性数据进行了回顾性分析.
- 参与者被分为一个研究组 (1-2级SUI) 和一个控制组 (没有排尿障碍).
- 超声波成像被用来评估运动和厚度的斜体外腹肌,斜体内腹肌和斜体腹肌在同度和下腹部张力期间.
主要成果:
- 在同位数 (p=0.012) 和下腹部张力 (p=0.004) 期间,在群体之间观察到斜侧肌外腹部活动的统计学上显著差异.
- 患有SUI的女性表现出较高的斜肌外腹肌活动.
- 在特定的紧张动作中,在腹部内肌 (p=0.024) 和腹部横肌 (p=0.018) 活动中也发现了显著的差异.
结论:
- 腹肌激活的模式在SUI和对照女性之间有显著差异.
- 患有SUI的女性表现出斜侧外腹肌的补偿性过度激活.
- 相反,在SUI组的斜腹肌和横腹肌的活性下降.
相关概念视频
Urinary Bladder
926
The urinary bladder is a hollow, muscular sac that temporarily stores urine before it is expelled from the body. It can hold approximately 600 mL of urine prior to micturition. The bladder is retroperitoneal and located behind the pubic symphysis in the pelvic floor.
In males, the bladder is situated in front of the rectum, while in females, it is positioned anterior to the vagina and uterus. The bladder floor contains an inverted triangular area called the trigone, defined by the two ureteric...
In males, the bladder is situated in front of the rectum, while in females, it is positioned anterior to the vagina and uterus. The bladder floor contains an inverted triangular area called the trigone, defined by the two ureteric...
926
Muscles of the Pelvic Floor and Perineum
1.4K
The muscles of the pelvic floor and perineum are crucial for supporting the pelvic organs, controlling continence, and aiding in sexual function, childbirth, and core stability. They are typically divided into the superficial perineal layer and the deep pelvic floor layer.
Perineal Layer
The perineum is a diamond-shaped area below the pelvic diaphragm, divided into an anterior urogenital triangle that contains the external genitals and a posterior anal triangle housing the anus. The urogenital...
Perineal Layer
The perineum is a diamond-shaped area below the pelvic diaphragm, divided into an anterior urogenital triangle that contains the external genitals and a posterior anal triangle housing the anus. The urogenital...
1.4K
Anatomy of the Genitourinary System II: Bladder and Urethra
128
The lower urinary system consists of the urinary bladder and urethra, which are essential in storing and expelling urine from the body. Together with the internal and external sphincters, these structures work together to regulate urination effectively.Anatomy of the BladderThe urinary bladder is a muscular, stretchable organ behind the pubic bone and in front of the rectum. In females, the bladder is positioned anterior to the vagina and inferior to the uterus, while in males, it is located...
128
Imaging Studies VI: Voiding Cystourethrography and Cystography
32
Voiding Cystourethrography (VCUG) and Cystography are specialized radiographic procedures used to examine the structure and function of the bladder and urethra.Voiding Cystourethrography (VCUG)A Voiding Cystourethrogram (VCUG) is a diagnostic imaging procedure that assesses the anatomy and function of the lower urinary tract. It focuses on the bladder, bladder neck, and urethra, helping detect abnormalities such as vesicoureteral reflux (VUR)—the backward or reverse flow of urine into the...
32
Nursing Assessment of the Genitourinary System II: Inspection and Palpation
138
The nursing assessment of the genitourinary (GU) system involves a systematic inspection and palpation to identify abnormalities in the kidneys, bladder, and surrounding structures.InspectionMouth: Inspect for signs of kidney dysfunction, such as stomatitis (inflammation of the mouth) and ammonia breath, which may occur in advanced kidney disease due to the buildup of urea, breaking down into ammonia.Skin: Check for pallor, which could indicate anemia caused by kidney disease. Look for...
138
Urinary Tract Calculi II: Pathophysiology and Clinical Manifestations
13
Renal calculi, commonly termed kidney stones, are crystalline solid masses that form in the kidneys but can occur at any point within the urinary system, encompassing the kidneys, ureters, bladder, and urethra.The pathophysiology of renal stones involves several key factors: supersaturation of the urine with stone-forming constituents, changes in urine pH, a decrease in urine volume, and the presence of substances that promote or inhibit stone formation.Supersaturation of Urine: This is the...
13


