基于 lumbopelvic 稳定的物理治疗和康复和尿道治疗在杜氏肌肉发育不良的下游泌尿道功能障碍:一个随机对照试验
Demet Öztürk1, Aynur Ayşe Karaduman1, Türkan Akbayrak2
1Lokman Hekim University, Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Ankara, Turkey.
Jornal de pediatria
|February 9, 2026
概括
泌尿疗法有效地治疗了杜氏肌肉发育不良的儿童下尿路功能障碍 (LUTD). 添加 lumbopelvic 稳定炼改善了移动性和力量,但不是尿路症状.
科学领域:
- 儿科康复儿童康复中心
- 神经肌肉疾病 神经肌肉疾病
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
背景情况:
- 患有杜氏肌肉发育不良 (DMD) 的儿童经常经历下尿路功能障碍 (LUTD).
- 有效的管理策略对于改善这些儿童的生活质量至关重要.
研究的目的:
- 对患有DMD和LUTD的儿童进行监督下腰骨稳定练习与泌尿疗法相结合的有效性进行调查.
- 为了比较单独泌尿疗法与泌尿疗法加 lumbopelvic 稳定治疗的结果.
主要方法:
- 一项随机对照试验,涉及32名患有DMD和LUTD (功能障碍排泄和失禁症状量表得分≥8.5) 的门诊儿童 (5-12岁).
- 参与者被随机分配,接受单独的泌尿疗法 (对照组) 或泌尿疗法加8周的监督下腰稳定炼 (治疗组).
- 结果包括下泌尿道症状 (通过DVISS,膀/尿尿失禁日记进行评估),肠道症状,身体表现,肌肉力量和日常活动.
主要成果:
- 泌尿疗法显著降低了LUTD的严重程度,尿尿频率和LUTD相关症状的数量.
- 腰腹部稳定炼,当添加到泌尿疗法时,在改善下泌尿道症状方面没有表现出优越性.
- 在监督下进行的腰部稳定显著提高了功能性移动性,肌肉强度和参与日常活动.
结论:
- 泌尿疗法和 lumbopelvic 稳定干预改善了DMD和LUTD儿童的膀和肠道结果.
- 虽然单独的泌尿疗法对LUTD是有效的,但添加腰稳定剂在身体功能方面提供了额外的好处,但没有进一步改善尿路症状.
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