用不同的治疗技术治疗尿失禁的女性的盆地肌肉功能:前后随机对照试点研究
Julia Picinini Hort1, Eliane Regina Mendoza Arbieto1, Fernanda Fukuda1
1UDESC-CEFID, Department of Physical Therapy, Faculty of Health and Sport Sciences Center. Pascoal Simone, 358 - Coqueiros, 88080-350, Florianópolis, SC, Brazil.
Journal of bodywork and movement therapies
|May 6, 2025
概括
腹部低压技术 (AHT) 单独可能不会有效地加强患有尿失禁 (UI) 的女性的盆地肌肉 (PFM). 结合AHT与PFM收缩或单独PFM训练,在提高PFM强度方面显示出更好的结果.
科学领域:
- 泌尿和妇科 泌尿和妇科
- 物理疗法物理治疗
- 盆地地板康复康复 盆地地板康复
背景情况:
- 尿失禁 (UI) 影响了许多女性,骨盆地肌肉 (PFM) 软弱是其中的一个因素.
- 腹部低压技术 (AHT) 已被提出作为一种改善PFM强度和治疗UI的方法.
- 在UI的女性中,AHT,PFM训练 (PFMT) 和组合 (AHT + MVC) 对PFM强度和阴道静止压力 (VRP) 的有效性需要进一步研究.
研究的目的:
- 为了比较PFMT,AHT和AHT + MVC对女性UI的PFM最大自愿收缩 (MVC) 和VRP的影响.
- 评估训练姿势 (躺着或直立) 对PFM强度和VRP的影响.
- 为了确定单独的AHT是否足以加强PFM.
主要方法:
- 一项具有前后测试设计的受控试点研究,涉及17名UI妇女.
- 参与者被随机分为三个组:PFMT,AHT或AHT + MVC.
- PFM强度 (MVC) 和VRP在40分钟的训练课程之前和之后在躺着和直立的位置使用Peritron®压力计进行测量.
主要成果:
- 所有组都显示在训练后躺姿势中MVC显著下降,这表明疲劳.
- 在直立状态下,MVC在PFMT和AHT+MVC组显著下降,这表明PFM疲劳.
- 在直立姿势中,AHT组在训练后表现出最低的VRP值,这表明肌肉度没有显著变化.
结论:
- 无论是单独的还是与AHT结合的PFM收缩,在PFM强化方面似乎比单独的AHT更有效.
- 在直立姿势下,MVC的显著减少凸显了在评估PFM疲劳时位置的重要性.
- 单独的AHT可能不足以有效地培养UI妇女的PFM.
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