Özengin Nuriye, Ün Yıldırım Necmiye, Duran Bülent
Abant İzzet Baysal University, School of Physical Therapy and Rehabilitation, Bolu, Turkey.
Yıldırım Beyazıt University Health Science Faculty, Department of Physiotherapy, Ankara, Turkey.
Turk J Obstet Gynecol. 2015 Mar;12(1):11-17. doi: 10.4274/tjod.74317. Epub 2015 Mar 15.
This study aimed to compare the effectiveness of stabilization exercises and pelvic floor muscle training in women with stage 1 and 2 pelvic organ prolapse.
In a total 38 women with pelvic organ prolapse whose average age was 45.60 years, pelvic floor muscles were evaluated with electromyography, and prolapse with pelvic organ prolapse quantification system, and the quality of life with prolapse quality of life questionnaire. Afterwards, the subjects were divided into two groups; stabilization exercise group (n=19) and pelvic floor muscle training group (n=19). Stabilization exercise group were given training for 8 weeks, 3 times a week. Pelvic floor muscle training group were given eight-week home exercises. Each group was assessed before training and after eight weeks.
An increase was found in the pelvic muscle activation response in the 2 groups (p≤0.05). There was no difference in EMG activity values between the groups (p>0.05). A difference was found in the values Aa, Ba and C in subjects of each group (p≤0.05), and the TVL, Ap, Bp and D values of subjects in pelvic floor muscle training group (p≤0.05) in the before and after pelvic organ prolapse quantification system assessment, however, no difference was found between the groups (p≤0.05). A positive difference was found in the effect of prolapse sub parameter in each of the two groups, and in general health perception sub parameter in subjects of stabilization exercise group (p<0.05) in the prolapse quality of life questionnaire.
It was concluded that both training programs increased the pelvic floor muscle strength, provided a decline in prolapse stages. Stabilization exercise has increased general health perception unlike home training, thus, these exercises can be added to the treatment of women with prolapse.
本研究旨在比较稳定化训练和盆底肌训练对1期和2期盆腔器官脱垂女性的有效性。
共有38例盆腔器官脱垂女性，平均年龄45.60岁，采用肌电图评估盆底肌，用盆腔器官脱垂量化系统评估脱垂情况，并用脱垂生活质量问卷评估生活质量。之后，将受试者分为两组；稳定化训练组（n = 19）和盆底肌训练组（n = 19）。稳定化训练组接受为期8周、每周3次的训练。盆底肌训练组进行为期8周的家庭训练。每组在训练前和8周后进行评估。
两组的盆腔肌肉激活反应均有所增加（p≤0.05）。两组间肌电图活动值无差异（p>0.05）。每组受试者在盆腔器官脱垂量化系统评估前后的Aa、Ba和C值存在差异（p≤0.05），盆底肌训练组受试者的TVL、Ap、Bp和D值也存在差异（p≤0.05），但两组间无差异（p≤0.05）。在脱垂生活质量问卷中，两组的脱垂子参数效应以及稳定化训练组受试者的总体健康感知子参数均有正向差异（p<0.05）。
得出的结论是，两种训练方案均增强了盆底肌力量，使脱垂阶段有所下降。与家庭训练不同，稳定化训练提高了总体健康感知，因此，这些训练可添加到脱垂女性的治疗中。
