Sheikhhoseini Rahman, Arab Amir Massoud
Faculty of Sport Sciences, Allameh Tabataba'i University, Tehran, Iran.
Department of Physiotherapy, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
J Bodyw Mov Ther. 2018 Apr;22(2):337-340. doi: 10.1016/j.jbmt.2017.09.016. Epub 2017 Sep 25.
The aim of this case report is to describe the use of Dry Needling (DN) in myofascial tracks related to the pelvic floor (PF) in the management of a male with Non-Relaxing Pelvic Floor Dysfunction (NRPFD).
A 42-year-old man, with a 20-year history of frequent urination, was referred to the physical therapy clinic by a urologist with diagnosis of NRPFD. The patient was suffering from a sense of incomplete evacuation and difficulty to start urination. He had to urinate every 30 min. The initiation of urination was so difficult that patient had to facilitate it by splashing warm water on his penis.
DN was performed for 10 sessions. The first three sessions were performed every other day in the same week. In the second week, DN was performed twice at three-day intervals, and the other sessions were performed such that one session was held per week. Selected stretching exercises were prescribed in the first session. The results showed that the patient had reported no urination during sleep, and urination six to eight times when was awake. A three-month follow-up with a telephone-based interview showed that the symptoms did not recur.
This study showed the possible efficacy of prescribing DN in myofascial tracks in the management of a male with NRPFD. More studies are required to clarify the issue.
本病例报告旨在描述在一名患有非松弛性盆底功能障碍（NRPFD）的男性患者的治疗中，使用干针疗法（DN）治疗与盆底（PF）相关的肌筋膜条索。
一名42岁男性，有20年尿频病史，由泌尿科医生转诊至物理治疗诊所，诊断为NRPFD。患者存在排空不全感及排尿起始困难。他每30分钟就得排尿一次。排尿起始非常困难，以至于患者不得不通过往阴茎上浇温水来辅助排尿。
进行了10次干针治疗。前三针在同一周内隔天进行。第二周，干针治疗每隔三天进行两次，其他治疗每周进行一次。在第一次治疗时开了选定的伸展运动处方。结果显示，患者报告睡眠期间无排尿，清醒时排尿6至8次。通过电话随访三个月显示症状未复发。
本研究表明，在患有NRPFD的男性患者的治疗中，对肌筋膜条索进行干针治疗可能有效。需要更多研究来阐明这一问题。
