Sapsford Ruth
Mater Misericordiae Hospital, South Brisbane 4101, Qld., Australia.
Man Ther. 2004 Feb;9(1):3-12. doi: 10.1016/s1356-689x(03)00131-0.
The pelvic floor muscles (PFM) are part of the trunk stability mechanism. Their function is interdependent with other muscles of this system. They also contribute to continence, elimination, sexual arousal and intra-abdominal pressure. This paper outlines some aspects of function and dysfunction of the PFM complex and describes the contribution of other trunk muscles to these processes. Muscle pathophysiology of stress urinary incontinence (SUI) is described in detail. The innovative rehabilitation programme for SUI presented here utilizes abdominal muscle action to initiate tonic PFM activity. Abdominal muscle activity is then used in PFM strengthening, motor relearning for functional expiratory actions and finally impact training.
盆底肌（PFM）是躯干稳定机制的一部分。它们的功能与该系统的其他肌肉相互依存。它们还对控尿、排泄、性唤起和腹内压有作用。本文概述了盆底肌复合体功能与功能障碍的一些方面，并描述了其他躯干肌肉对这些过程的作用。详细描述了压力性尿失禁（SUI）的肌肉病理生理学。本文介绍的针对SUI的创新康复方案利用腹肌动作启动盆底肌的强直性活动。然后利用腹肌活动来加强盆底肌、进行功能性呼气动作的运动再学习，最后进行冲击训练。
