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盆地功能障碍和神经障碍的康复:将病理生理学与多学科方法相结合 - - 一个专注的迷你综述
Tugba Birben Kurt1, Derya Caglar2
1Department of Women's Health Physiotherapy, Guneysu Vocational School of Physical Therapy and Rehabilitation, Recep Tayyip Erdoğan University, Rize, Turkey.
Neurorehabilitation and neural repair
|February 12, 2026
概括
骨盆底功能障碍 (PFD) 在MS和帕金森症等神经疾病中很常见. 有证据支持多学科康复,包括盆地肌肉训练 (PFMT),以改善功能和生活质量.
科学领域:
- 神经学 神经学
- 康复医学 康复医学 康复医学
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
背景情况:
- 盆地功能障碍 (PFD) 是神经系统疾病的常见并发症,包括多发性硬化症 (MS),帕金森病 (PD) 和中风.
- PFD显著影响膀,肠道和性功能,导致生活质量降低和心理社会痛苦.
- 神经性PFD的病理生理学是复杂的,涉及复杂的神经机制.
研究的目的:
- 对主要神经疾病中神经性PFD的病理生理学,临床表现和康复策略的现有证据进行审查.
- 综合了在神经群体中对PFD的临床和实验研究的发现.
- 突出康复干预措施在管理神经性PFD中的作用.
主要方法:
- 在PubMed,Scopus和Web of Science数据库中进行了全面的文献搜索.
- 包括1990年至2025年间发表的研究,重点关注神经疾病中的尿道和PFD.
- 具体检查了康复干预措施,如盆地肌肉训练 (PFMT),生物反,神经肌肉电刺激 (NMES) 和穿皮神经刺激.
主要成果:
- 神经性PFD非常普遍,影响高达90%的MS患者,60%的PD患者,近一半的中风幸存者有尿路症状.
- 保守性康复,特别是与生物反和NMES相结合的PFMT,在改善肌肉功能,减少失禁和提高生活质量方面表现出有效性.
- 发现的一项重大挑战是缺乏标准化的康复方案,以及患者遵守规定的障碍.
结论:
- 建议采用多学科的方法,将PFMT与辅助模式整合在一起,以管理神经性PFD.
- 进一步的大规模随机对照试验是必要的,以制定标准化,基于证据的临床指导方针.
- 优化康复策略对于改善神经性PFD患者的治疗结果至关重要.
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