Chase Janet, Schrale Lewina
Victorian Children's Continence Clinic, Cabrini Hospital, Melbourne, Victoria, Australia; Paediatric Gastroenterology, Royal Children's Hospital Parkville, Melbourne, Victoria, Australia.
Paediatric and Neurodevelopmental Assessment and Physiotherapy, Tasmania, Australia.
J Pediatr Urol. 2017 Feb;13(1):94-101. doi: 10.1016/j.jpurol.2016.08.022. Epub 2016 Oct 13.
Little research has been undertaken regarding pelvic floor muscle function and dysfunction in children. Apart from dysfunctional voiding, whether specific dysfunction of these muscles contributes to different types of childhood incontinence is not documented. The two areas of practice, that is adult and paediatric incontinence, are quite different; nevertheless, there may be lessons to be learned from the extensive work done in pelvic floor dysfunction and rehabilitation in adults. In this paper key points regarding pelvic floor muscle function and dysfunction in adults, and lessons that can be learned from how studies are reported and how muscle function is measured are presented. The aim is to prompt deeper thought regarding the direction in which further research in children may proceed. There are challenges in first validating muscle measurement standards and making the work relevant to children across different age groups with differing cognitive and motor abilities.
关于儿童盆底肌肉功能与功能障碍的研究甚少。除了排尿功能障碍外，这些肌肉的特定功能障碍是否会导致不同类型的儿童尿失禁尚无文献记载。成人和儿童尿失禁这两个实践领域有很大差异；然而，成人盆底功能障碍与康复方面的大量研究可能会给我们带来一些启示。本文介绍了成人盆底肌肉功能与功能障碍的要点，以及从研究报告方式和肌肉功能测量方法中可以学到的经验教训。目的是促使人们更深入地思考儿童进一步研究的方向。首先要验证肌肉测量标准，并使研究适用于不同年龄组、认知和运动能力各异的儿童，这存在一定挑战。
