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

作　　者：万玲芳 吴娟[1,3] 陈聪 叶淼[1,2] 李亚楠 廖利民[1,3] Wan Lingfang;Wu Juan;Chen Cong(Capital Medical University School of Rehabilitation Medicine,Beijing 100068,China)

机构地区：[1]首都医科大学康复医学院,北京100068 [2]中国康复研究中心北京博爱医院物理疗法2科,北京100068 [3]中国康复研究中心北京博爱医院神经泌尿科,北京100068

出　　处：《中国康复》2024年第12期746-750,共5页Chinese Journal of Rehabilitation

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。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 co

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 

分 类 号：R49[医药卫生—康复医学] R714.258[医药卫生—临床医学]