根据节状态,女性的骨盆底肌功能参数是否有所不同? 一个系统的审查
Albane Audrain1, Jean Nicolas Cornu2, Gaëtan Kerdelhue3
1Rouen Physiotherapy Training Institute, Rouen, France.
The French journal of urology
|February 20, 2024
概括
盆地肌 (PFM) 功能,包括力量和耐力,并不总是与女性尿失禁 (UI) 相关. 进一步的研究应该考虑PFM功能之外的更广泛的生物心理社会因素,以进行全面的UI评估.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 物理治疗 物理治疗
- 妇女健康 妇女健康
背景情况:
- 现有研究表明,在关联特定的骨盆底肌 (PFM) 功能与尿失禁 (UI) 中存在挑战.
- 了解PFM功能和UI之间的关系对于有效的治疗策略至关重要.
研究的目的:
- 系统地审查和比较PFM功能参数 (力量,耐力,音调,控制,反应,协调) 与女性的禁欲状态.
- 分析PFM功能与尿失禁的存在,类型或严重程度之间的关联.
主要方法:
- 根据2020年PRISMA指南进行了系统审查.
- 从创立到2021年12月31日,搜索了三个数据库 (PubMed,科学网,LiSSa).
- 使用Joanna Briggs研究所的批判性评估检查清单评估偏见风险.
主要成果:
- 该审查包括了42项研究,包括4015名参与者,在选了4733项初步研究后.
- 没有发现PFM功能与UI的存在/不存在,类型或严重程度之间有统计学意义的关联.
- 在研究中方法和分析的显著异质性存在局限性.
结论:
- PFM功能并不总是与尿失禁的存在,类型或严重程度有关.
- 这些发现凸显了对UI进行全面的生物心理社会评估的需要,该评估超越了PFM功能.
- 这项研究为未来更有针对性的UI病因和管理研究提供了资源.
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