Morphological Changes After Pelvic Floor Muscle Training Measured by 3-Dimensional Ultrasonography A Randomized Controlled Trial
Morphological Changes After Pelvic Floor Muscle Training Measured by 3-Dimensional Ultrasonography A Randomized Controlled Trial
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DOI：
10.1097/aog.0b013e3181cbd35f
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发表时间：
2010-02-01
影响因子：
7.2
通讯作者：
Bo, Kari
中科院分区：
文献类型：
--
作者：
Braekken, Ingeborg Hoff;Majida, Memona;Bo, Kari
目的：探讨形态和功能的变化后，盆底肌肉训练妇女盆腔器官prolapse.METHODS：这项随机对照试验进行了一所大学医院和物理治疗诊所。109名女性盆腔器官脱垂阶段I，II和III随机分配的计算机基因随机数字系统，盆底肌肉训练（n=59）或对照组（n=50）。两组都接受了生活方式的建议，并学会了在腹内压升高之前和期间收缩骨盆底肌肉。另外，骨盆底肌肉训练组在物理治疗师的指导下进行个人力量训练，并每天进行家庭锻炼，持续6个月。主要结果的措施是盆底肌肉（耻骨内脏肌）厚度，提肌裂孔面积，耻骨内脏肌长度在休息和Valsalva，膀胱和直肠的休息位置，测量三维ultrasonography.RESULTS：百分之七十九的女性在盆底肌肉训练组坚持至少80%的训练协议。与对照组女性相比，盆底肌肉训练组女性的肌肉厚度增加（组间差异：1.9 mm，95%置信区间[CI] 1.1-2.7，P
OBJECTIVE: To investigate morphological and functional changes after pelvic floor muscle training in women with pelvic organ prolapse.METHODS: This randomized controlled trial was conducted at a university hospital and a physical therapy clinic. One hundred nine women with pelvic organ prolapse stages I, II, and III were randomly allocated by a computer-gene rated random number system to pelvic floor muscle training (n=59) or control (n=50). Both groups received lifestyle advice and learned to contract the pelvic floor muscles before and during increases in intraabdominal pressure. In addition the pelvic floor muscle training group did individual strength training with a physical therapist and daily home exercise for 6 months. Primary outcome measures were pelvic floor muscle (pubovisceral muscle) thickness, levator hiatus area, pubovisceral muscle length at rest and Valsalva, and resting position of bladder and rectum, measured by three-dimensional ultrasonography.RESULTS: Seventy-nine percent of women in the pelvic floor muscle training group adhered to at least 80% of the training protocol. Compared with women in the control group, women in the pelvic floor muscle training group increased muscle thickness (difference between groups: 1.9 mm, 95% confidence interval [CI] 1.1-2.7, P