| 万玲芳,吴娟,陈聪,叶淼,李亚楠,廖利民.Flexi-bar振动杆联合核心训练对产后压力性尿失禁人群盆底功能的影响[J].中国康复,2024,39(12):746-750 |
| Flexi-bar振动杆联合核心训练对产后压力性尿失禁人群盆底功能的影响 |
| Effect of Flexi-bar combined with core exercises on pelvic floor muscles in postpartum women with stress urinary incontinence |
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| DOI：10.3870/zgkf.2024.12.008 |
| 中文关键词: 压力性尿失禁 盆底功能 Kegel运动 核心训练 Flexi-bar振动杆 经腹超声 |
| 英文关键词: stress urinary incontinence pelvic floor function Kegel exercise core exercise Flexi-bar vibration transabdominal ultrasound |
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| 中文摘要: |
| 目的：探索Flexi-bar振动杆联合核心训练对女性产后压力性尿失禁盆底功能、尿失禁程度以及生活质量的影响。方法：选取符合入组标准的产后轻、中度压力性尿失禁女性45例，随机分为凯格尔运动组(Kegel组)、核心组、Flexi-bar振动杆组（Flexi-bar组），每组15例，进行为期12周的盆底肌训练。Kegel组进行传统盆底肌收缩训练，核心组进行核心动作训练，Flexi-bar组在核心组基础上增加手持flexi-bar振动杆的主动振动训练。训练前后采用经腹超声（TAUS）测量，国际尿失禁咨询委员会尿失禁问卷简表（ICIQ-SF），尿失禁生活质量问卷（I-QOL）评估3组训练效果。结果：12周训练后，3组的膀胱底最大上抬距离和上抬维持时间、I-QOL评分均较训练前明显增高（P＜0.01），ICIQ-SF评分明显减小（P＜0.01）；Flexi-bar组膀胱底最大上抬距离和上抬维持时间较核心组和Kegel组增高（P＜0.05），Flexi-bar组和核心组I-QOL评分较Kegel组增高（P＜0.05）；核心组膀胱底上抬距离和上抬维持时间与Kegel组比较、Flexi-bar组I-QOL评分与核心组比较及3组组间ICIQ-SF评分比较差异无统计学意义。结论：3种训练方法均可增强盆底功能，减轻压力性尿失禁严重程度，提高生活质量。Flexi-bar联合核心训练改善盆底功能的效果更优，Flexi-bar联合核心训练或单独核心训练对生活质量的改善程度高于Kegel训练。 |
| 英文摘要: |
| Objective: To observe the effects of core exercises and Flexi-bar combined with core exercises on pelvic floor muscle function, severity of stress urinary incontinence (SUI) and quality of life in postpartum women with SUI. Methods: A total of 45 postpartum women with mild and moderate SUI who met the inclusion criteria were randomly divided into Kegel group, core exercise group (referred to as core group) and Flexi-bar combined with core exercise group (referred to as Flexi-bar group), with 15 cases in each group, and underwent corresponding pelvic floor muscle training for 30 min a day, 5 days a week for 12 weeks. The Kegel group underwent traditional pelvic floor muscle contraction training. The core group underwent core movements exercise, including four sets of movements (bird-dog exercise, elbow and knee plank, leg lift and lower limbs adduction when standing). The Flexi-bar group underwent the core movements exercise with active hand-held flexi-bar vibration. The maximum displacement and the maintenance time of the bladder base by transabdominal ultrasound (TAUS), the ICIQ-SF score and the I-QOL score were evaluated and compared before and after the experiment. Results: After 12 weeks of training, the maximum displacement and the maintenance time of the bladder base and I-QOL scores in 3 groups were significantly increased (P<0.01), while ICIQ-SF scores were significantly decreased (P<0.01). After 12 weeks of training, the maximum displacement and the maintenance time of the bladder base in Flexi-bar group were higher than those in core group and Kegel group (P<0.05). There was no significant difference in ICIQ-SF score among the three groups . I-QOL scores in core group and Flexi-bar group were higher than those in Kegel group (P<0.05). Conclusion: All the three training methods can improve pelvic floor function, reduce the severity of SUI, and improve the quality of life. The improvement of pelvic floor function in Flexi-bar group was better than that in core group and Kegel group, and the improvement of quality of life in Flexi-bar group and core group was higher than that in Kegel group. |
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