相关实验视频
Updated: May 23, 2025
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Movement Retraining using Real-time Feedback of Performance
Published on: January 17, 2013
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盆地肌肉训练与反或生物反对于女性尿失禁
Ana Carolina Nl Fernandes1, Cristine H Jorge2, Mark Weatherall3
1Department of Health Sciences, Ribeirão Preto Medical School (FMRP), University of São Paulo, Ribeirão Preto, Brazil.
The Cochrane database of systematic reviews
|March 11, 2025
概括
带有生物反的盆地肌肉训练 (PFMT) 在尿失禁 (UI) 的生活质量上几乎没有差异. 虽然它可能会稍微提高满意度,但它对治愈率和泄漏事件的影响是最小的.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 妇科 妇科医生 妇科
- 康复医学 康复医学 康复医学
背景情况:
- 盆地肌肉训练 (PFMT) 是有效的治疗女性尿失禁 (UI).
- 反和生物反可以通过提高能力或动机来增强PFMT.
- 对UI的PFMT生物反的附加益处尚不清楚,需要更新的审查.
研究的目的:
- 评估PFMT与反或生物反对女性UI的影响.
- 为了比较压力,紧迫性或混合UI的PFMT与辅助对比单独的PFMT.
- 评估反和生物反之间的差异,以及不同类型的生物反之间的差异.
主要方法:
- 包括随机对照试验 (RCT),集群RCT和准RCT,涉及女性UI.
- 排除了对患有神经疾病的妇女或孕妇/产后妇女 (<6个月) 的研究.
- 用GRADE方法评估证据确定性的研究;主要结果是生活质量.
主要成果:
- 带有生物反的PFMT在失禁生活质量上几乎没有差异 (高确定性证据).
- 生物反导致泄漏事件的减少很小,可能不重要 (中度确定性证据).
- 患者报告的治愈或改善几乎没有差异,但满意度可能会略有增加 (中度/低确定性证据).
结论:
- 带有生物反的PFMT在UI的生活质量和治愈率上提供了最小的改善.
- 随着生物反,患者满意度可能会略有增加,尽管证据的确定性很低.
- 其他比较 (反与单独使用PFMT,反与生物反) 证据有限或确定性非常低.
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