A randomized clinical trial comparing pelvic floor muscle training to a Pilates exercise program for improving pelvic muscle strength
A randomized clinical trial comparing pelvic floor muscle training to a Pilates exercise program for improving pelvic muscle strength
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DOI：
10.1007/s00192-009-1046-z
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发表时间：
2010-04-01
影响因子：
1.8
通讯作者：
Vangeli, Margi
中科院分区：
文献类型：
--
作者：
Culligan, Patrick J.;Scherer, Janet;Vangeli, Margi
本研究的目的是确定普拉提运动计划和骨盆底肌肉训练（PFMT）计划是否可以提供类似的改善骨盆肌肉力量。62名女性很少或没有骨盆底功能障碍被随机分配到普拉提或PFMT。每组有24个双周1小时的会议，无论是物理治疗师或普拉提教练。通过会阴测量法测量强度（cmH（2）O）。另外还收集了两份测试表--骨盆底不适量表（PFDI-20）和骨盆底撞击问卷（PFIQ-7）。在基线时，普拉提组和PFMT组的测量值分别为14.9 +/- 12.5和12.5 +/- 10.4 cmH（2）O（p = 0.41）。普拉提和PFMT组都变得更强壮（分别为6.2 +/- 7.5 cmH（2）O，p = 0.0002和6.6 +/- 7.4 cmH（2）O，p = 0.0002），两组之间没有差异p = 0.85。PFIQ和PFDI评分较基线有所改善，但两组间无改善。需要进一步研究以确定普拉提是否真的能治疗骨盆底功能障碍。
The purpose of this study is to determine whether a Pilates exercise program and a pelvic floor muscle-training (PFMT) program could provide similar improvements in pelvic muscle strength.Sixty-two women with little or no pelvic floor dysfunction were randomized to Pilates or PFMT. Each group had 24 biweekly 1-h sessions with either a physical therapist or Pilates instructor. Strength was measured via perineometry (cmH(2)O). Two questionnaires-pelvic floor distress inventory (PFDI-20) and pelvic floor impact questionnaire (PFIQ-7)-were also collected.At baseline, the Pilates and PFMT groups measured 14.9 +/- 12.5 and 12.5 +/- 10.4 cmH(2)O, respectively (p = 0.41). Both the Pilates and PFMT groups got stronger (6.2 +/- 7.5 cmH(2)O, p = 0.0002 and 6.6 +/- 7.4 cmH(2)O, p = 0.0002, respectively), with no difference between groups p = 0.85. PFIQ and PFDI scores improved from baseline but not between groups.Further study is required to determine if Pilates can actually treat pelvic floor dysfunction.