FitzGerald M P, Kotarinos R
Division of Female Pelvic Medicine and Reconstructive Surgery, Loyola University Medical Center, 2160 South First Avenue, Maywood, IL 60152, USA.
Int Urogynecol J Pelvic Floor Dysfunct. 2003 Oct;14(4):261-8. doi: 10.1007/s00192-003-1049-0. Epub 2003 Aug 2.
Pelvic floor physical therapists have traditionally focused on rehabilitation of the weak pelvic floor of normal length. With the recognition that many urogynecologic symptoms arise from the presence of a short, painful pelvic floor, the role of the physical therapist is expanding. Clinically, the pelvic floor musculature is found to be short, tender, and therefore weak. There are associated trigger points and characteristic extrapelvic connective tissue abnormalities. We report the characteristic patterns of myofascial and connective tissue abnormalities in 49 patients presenting with this syndrome.
传统上,盆底物理治疗师主要关注长度正常但薄弱的盆底的康复。随着认识到许多泌尿妇科症状源于短而疼痛的盆底的存在,物理治疗师的作用正在扩大。临床上,发现盆底肌肉组织短、触痛,因此薄弱。存在相关的触发点和特征性的盆腔外结缔组织异常。我们报告了49例患有该综合征患者的肌筋膜和结缔组织异常的特征模式。