Urinary incontinence in women with low back pain
Urinary incontinence in women with low back pain
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DOI：
10.1016/j.math.2006.12.006
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发表时间：
2008-06-01
期刊：
影响因子：
--
通讯作者：
Mattsson, Eva
中科院分区：
文献类型：
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作者：
Eliasson, Kerstin;Elfving, Britt;Mattsson, Eva
尿失禁（UI）是一种常见的女性功能障碍，影响所有年龄段的女性。经验丰富的物理治疗师和专家对腰痛（LBP）长期以来观察和讨论LBP和UI之间的经验关联。本研究的目的是描述下腰痛妇女UI的发生率，并将该组与年龄、语言、文化和产次相当的参考组进行比较。本研究的作者先前收集了参考组的所有原始数据。一个有效的问卷调查，关于UI回答了连续200名妇女与LBP访问专门的物理治疗诊所在斯德哥尔摩地区。入选标准为LBP，女性，未怀孕，讲瑞典语，年龄在17至45岁之间。78%的LBP女性报告了UI。与对照组相比，腰椎间盘突出症组的尿失禁患病率和盆底肌功能障碍的体征显著增加（p < 0.001）。Logistic回归分析显示，LBP和PFM功能障碍，即不能中断尿流（p < 0.001）是UI的危险因素，与产次无关。治疗腰痛患者的物理治疗师应该意识到这类患者可能存在的尿失禁问题。(c)2007爱思唯尔有限公司保留所有权利。
Urinary incontinence (UI) is a common female dysfunction, affecting women in all ages. Experienced physiotherapists and experts on low back pain (LBP) have since long observed and discussed the empirical association between LBP and UI. The aim of this study was to describe the occurrence of UI in women with LBP and to compare this group with a reference group of comparable age, language, culture and parity. The authors of this study had previously collected all original data from the reference group. A validated questionnaire concerning UI was answered by 200 consecutive women with LBP visiting specialised physiotherapy clinics in the area of Stockholm. Inclusion criteria were LBP, female, not pregnant, Swedish speaking, age between 17 and 45 years. Seventy-eight percent of the women with LBP reported UI. In comparison with the reference group, the prevalence of UI and signs of dysfunctional pelvic floor muscles (PFM) were greatly increased (p < 0.001) in the LBP group. Logistic regression analysis showed that the condition LBP and PFM dysfunction i.e. inability to interrupt the urine flow (p < 0.001) were risk factors for UI irrespective of parity. Physiotherapists treating patients with LBP should be aware of possible incontinence problems in this patient group. (c) 2007 Elsevier Ltd. All rights reserved.