一项比较盆底肌肉训练与普拉提锻炼计划以改善盆底肌肉力量的随机临床试验。
A randomized clinical trial comparing pelvic floor muscle training to a Pilates exercise program for improving pelvic muscle strength.
作者信息
Culligan Patrick J, Scherer Janet, Dyer Keisha, Priestley Jennifer L, Guingon-White Geri, Delvecchio Donna, Vangeli Margi
机构信息
Atlantic Health Division of Urogynecology, 95 Madison Ave Suite 204, Morristown, NJ 07960, USA.
出版信息
Int Urogynecol J. 2010 Apr;21(4):401-8. doi: 10.1007/s00192-009-1046-z. Epub 2010 Jan 22.
INTRODUCTION AND HYPOTHESIS
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.
METHODS
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.
RESULTS
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.
CONCLUSIONS
Further study is required to determine if Pilates can actually treat pelvic floor dysfunction.
引言与假设
本研究旨在确定普拉提运动计划和盆底肌肉训练（PFMT）计划是否能在盆底肌肉力量改善方面提供相似的效果。
方法
62名几乎没有或没有盆底功能障碍的女性被随机分为普拉提组或盆底肌肉训练组。每组每两周由物理治疗师或普拉提教练进行24次1小时的训练。通过会阴压力测量法（厘米水柱）测量力量。还收集了两份问卷——盆底困扰量表（PFDI - 20）和盆底影响问卷（PFIQ - 7）。
结果
在基线时，普拉提组和盆底肌肉训练组分别测量为14.9±12.5厘米水柱和12.5±10.4厘米水柱（p = 0.41）。普拉提组和盆底肌肉训练组都变强了（分别为6.2±7.5厘米水柱，p = 0.0002和6.6±7.4厘米水柱，p = 0.0002），组间差异无统计学意义（p = 0.85）。PFIQ和PFDI评分较基线有所改善，但组间无差异。
结论
需要进一步研究以确定普拉提是否真的能治疗盆底功能障碍。
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