FitzGerald M P, Kotarinos R
Division of Women's Pelvic Medicine and Reconstructive Pelvic Surgery, Loyola University Medical Center, 2160 South First Avenue, Maywood, IL 60153, USA.
Int Urogynecol J Pelvic Floor Dysfunct. 2003 Oct;14(4):269-75; discussion 275. doi: 10.1007/s00192-003-1050-7. Epub 2003 Aug 7.
Several urogynecologic syndromes are associated with the clinical finding of a short, painful, tender and weak pelvic floor and a variety of connective tissue abnormalities. Techniques for rehabilitation include the avoidance of perpetuating factors, rehabilitation of extrapelvic musculoskeletal abnormalities, the use of manual techniques and needling to promote resolution of connective tissue problems, closure of any diastasis recti, and transvaginal/transrectal manual release of muscular trigger points and contractures. Therapy can be facilitated by pudendal or epidural nerve block. Patients contribute to their success through home maintenance programs.
几种泌尿妇科综合征与盆底短、疼痛、触痛和薄弱以及各种结缔组织异常的临床发现相关。康复技术包括避免持续存在的因素、矫正骨盆外肌肉骨骼异常、使用手法技术和针刺以促进结缔组织问题的解决、闭合任何腹直肌分离，以及经阴道/经直肠手法松解肌肉触发点和挛缩。阴部神经或硬膜外神经阻滞有助于治疗。患者通过家庭维持计划促进康复成功。
