在远程康复中训练盆地肌肉:系统性审查和元分析
Jie Hao1, Zixuan Yao2, Andréas Remis3
1Department of Health & Rehabilitation Sciences, College of Allied Health Professions, University of Nebraska Medical Center, Omaha, NE, 68198, USA. jie.hao.unmc@outlook.com.
Archives of gynecology and obstetrics
|February 10, 2024
概括
通过远程康复进行盆地肌肉训练对于治疗尿失禁,提高肌肉力量和提高生活质量是可行的和有效的. 这种方法支持数字健康整合在管理骨盆底功能障碍.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 物理疗法物理治疗
- 数字健康数字健康
背景情况:
- 盆地肌肉训练 (PFMT) 是治疗盆地功能障碍的基石.
- 远程康复为远程提供医疗保健服务提供了一个可扩展的解决方案.
研究的目的:
- 系统地审查关于PFMT在远程康复中的可行性和有效性的证据.
- 批判性地评估该领域现有的临床试验.
- 为了总结临床和研究应用的发现.
主要方法:
- 系统搜索PubMed,Embase和Scopus数据库,截至2023年10月1日.
- 包括通过远程康复评估PFMT的临床试验.
- 使用PEDro尺度和NIH工具进行方法质量评估;对聚合效应进行元分析.
主要成果:
- 包括8个试验 (5个RCT,3个队列);4个好质量和4个相当质量.
- 骨盆地电话康复显示了良好的患者耐受性,服从性和满意度.
- 在尿失禁严重程度 (大效果),PFMT强度 (大效果) 和生活质量 (中等效果) 中观察到显著的改善.
结论:
- 在远程康复中培养盆地肌肉是一种可行的和有效的治疗方式.
- 支持数字健康技术的整合,用于骨盆地功能障碍管理.
- 在远程骨盆健康干预中为未来的临床实践和研究提供信息.
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