Pelvic floor electromyography in men with chronic pelvic pain syndrome: A case-control study
Pelvic floor electromyography in men with chronic pelvic pain syndrome: A case-control study
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DOI：
10.1002/nau.20162
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发表时间：
2006-01-01
影响因子：
2
通讯作者：
Berger, RE
中科院分区：
文献类型：
--
作者：
Hetrick, DC;Glazer, H;Berger, RE
目的：本研究的目的是（1）确定慢性骨盆疼痛综合征（CPPS）男性与无痛男性之间在骨盆底肌肉表面肌电图/生物反馈（sEMG/BFB）读数方面的差异;（2）通过准确预测CPPS与正常男性的组成员关系，确定哪些骨盆底肌肉sEMG读数可能具有鉴别诊断和治疗选择价值。方法：21例CPPS患者和21例无盆腔疼痛的健康男性接受了由持牌物理治疗师进行的标准化表面肌电图检查。结果：在组间差异的措施男性CPPS表现出显着更大的sEMG不稳定性在初步的休息基线。三个sEMG测量可靠地分类CPPS与正常CPPS显示更大的初步静息基线高渗性和不稳定性，降低自愿耐力收缩幅度。结论：CPPS患者与正常人相比存在盆底肌不稳定。基线前静息高张性和不稳定性沿着耐力收缩无力可靠地预测受试者是否属于CPPS组与正常组。骨盆底肌肉表面肌电图可能是一个有价值的筛选工具，以确定患者与CPPS谁可能受益于治疗旨在纠正骨盆底肌肉功能障碍。
Aims: The objectives of this study were (1) to identify differences between men with chronic pelvic pain syndrome (CPPS), compared with pain-free men, in surface electromyography/biofeedback (sEMG/BFB) readings of pelvic floor muscles and (2) to determine which pelvic floor muscle sEMG readings may have differential diagnostic and treatment selection value by accurately predicting group membership, CPPS versus normal. Methods: Twenty-one men with CPPS and 21 healthy men without pelvic pain underwent a standardized sEMG examination by a licensed physical therapist. Results: On group difference measures men with CPPS showed significantly greater sEMG instability in preliminary resting baseline. Three sEMG measures reliably categorized CPPS versus normals with CPPS showing greater preliminary resting baseline hypertonicity and instability with lowered voluntary endurance contraction amplitude. Conclusions: CPPS patients manifest pelvic floor muscle instability compared to normals. Prebaseline resting hypertonicity and instability along with endurance contraction weakness reliably predicts subject membership in the CPPS vs. normal group. Pelvic floor muscle sEMG may be a valuable screening tool to identify patients with CPPS who may benefit from therapies aimed at correcting pelvic floor muscle dysfunction.