经剪切波弹性图和腹腔超声波之间的相关性在评估无卵性妇女的骨盆地板功能时
Yerim Do1, Youngeun Lim1, Soohyun Lee2
1Graduate School, Department of Physical Therapy, College of Health Science, Gachon University, Incheon 21936, Republic of Korea.
Diagnostics (Basel, Switzerland)
|September 28, 2023
概括
跨椎切割波弹性图 (SWE) 可靠地评估了上升肌肉的弹性,为评估骨盆底肌功能提供了一种新方法,并有助于管理女性的骨盆底功能障碍.
科学领域:
- 生物医学工程 生物医学工程
- 盆地地板物理治疗 物理治疗
- 医疗成像医学成像
背景情况:
- 骨盆底功能障碍 (PFD) 显著影响女性的健康,通常是由于骨盆底肌肉 (PFM) 控制不足造成的.
- 准确评估PFM功能对于有效诊断和治疗PFD至关重要.
- 目前用于评估PFM功能的方法可能是侵入性的或缺乏全面的定量数据.
研究的目的:
- 调查通过跨关节剪切波弹性学 (SWE) 测量的levator ani肌肉弹性和通过横腹超声学 (TAUS) 测量的膀底部位移之间的关系.
- 评估SWE在评估非孕妇女性PFM功能的实用性.
- 探索PFM弹性的临床相关性,在膀基础动态的背景下.
主要方法:
- 42名未婚妇女接受了基格尔炼训练,以进行PFM收缩.
- 跨椎切割波弹性学 (SWE) 评估了在休息和收缩期间的升高和肌肉弹性.
- 跨腹腔超声波 (TAUS) 同时测量了膀底部的位移.
主要成果:
- 高的类内相关系数 (0.906在静止状态,0.687在收缩状态) 表明,使用SWE测量升高器和肌肉弹性的可靠性很强.
- 平均上升和肌肉弹性在休息时为24.7kPa,在收缩时为62.1kPa.
- 在PFM功能 (弹性差异) 和膀底部位移之间发现了中等,显著的相关性 (r = 0.486,p = 0.001).
结论:
- 跨关节SWE是一种可靠且非侵入性的方法,用于评估关节肌肉弹性和PFM功能.
- PFM弹性和膀底部位移之间的相关性凸显了SWE在评估PFD中的临床相关性.
- 这些发现为妇女的PFD治疗计划和管理提供了宝贵的见解.
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