核心稳定炼在压力和压力主导的混合尿失禁妇女的有效性:一个前性,随机对照研究
Merve Dikici Yagli1, Nalan Capan2, Elif Tarihci Cakmak2
1Department of Physical Medicine and Rehabilitation, Gaziosmanpasa Training and Research Hospital, University of Health Sciences, Istanbul, Turkey. mervedikici1992@gmail.com.
International urogynecology journal
|March 22, 2025
概括
核心稳定炼与基格尔炼相结合,为女性的压力尿失禁 (SUI) 提供了持续的益处. 这种方法可以提高骨盆底肌肉的力量和耐力,比单独进行基格尔炼更有效.
科学领域:
- 骨盆地物理治疗 骨盆地物理治疗
- 泌尿和妇科 泌尿和妇科
- 康复科学是康复的科学.
背景情况:
- 压力尿失禁 (SUI) 显著影响女性的生活质量.
- 盆地肌肉训练 (PFMT),包括基格尔炼,是SUI的常见治疗方法.
- 核心稳定演习与SUI的PFMT一起发挥的作用需要进一步研究.
研究的目的:
- 为了评估结合核心稳定练习与PFMT (Kegel练习) 在SUI妇女的有效性.
- 评估对盆地肌肉强度,失禁参数和生活质量的影响.
主要方法:
- 一项前性随机受控研究,涉及60名患有SUI或压力主导混合尿失禁 (MUI) 的女性.
- 参与者被随机分配到干预组 (核心和凯格尔练习) 或控制组 (仅凯格尔练习).
- 评估包括数字触摸,周周测量,膀日记,尿片测试,以及在基线和10周后期验证的生活质量调查问卷.
主要成果:
- 两组人都在失禁频率,严重程度和生活质量方面初步有所改善.
- 干预组在10周的随访期表现出持续的益处.
- 随着时间的推移,对照组 (仅限于基格尔炼) 的改善趋于回落.
结论:
- 虽然短期的差异并不显著,但将核心稳定与基格尔炼相结合,在随访时导致了明显更好的持续结果.
- 核心稳定炼似乎可以增强盆底肌肉的力量和耐力,比单独进行基格尔炼在SUI的女性中更持久.
- 这表明核心稳定对于长期的SUI管理具有潜在的辅助效益.
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