Liu Ying-Ju, Wu Wen-Yih, Hsiao Sheng-Mou, Ting Stella Wan-Hua, Hsu Hsiao-Pei, Huang Chiu-Mieh
Department of Obstetrics and Gynecology, Far Eastern Memorial Hospital, New Taipei, Taiwan.
Cardinal Tien Junior College of Healthcare and Management, New Taipei, Taiwan.
Int J Nurs Pract. 2018 Dec;24(6):e12698. doi: 10.1111/ijn.12698. Epub 2018 Sep 14.
The aim of the study is to compare the efficacy of an 8-week pelvic floor muscle training program with surface electromyography feedback, performed in different body positions (supine, sitting, and standing), in women with stress urinary incontinence.
This is a prospective observational study performed January 2014 to May 2016.
The training program was performed by 110 women with stress urinary incontinence, each completing 4 individual training sessions. The main outcome was the electromyography activity of the pelvic floor muscles and of the synergistic abdominal muscles. Outcome measures were evaluated at 4 time points, namely at baseline and at 2, 4, and 8 weeks of training.
A notable effect of training was identified at week 2, which was sustained through to week 8. Training yielded a significant improvement in increased sustained voluntary contraction of the pelvic floor muscles in all 3 positions. The efficacy of training was influenced by the duration of training, age, body mass index, and history of vaginal delivery.
Training of the pelvic floor muscles, with positive reinforcement by surface electromyography feedback of the pelvic floor muscles and of the synergistic abdominal muscles, was effective for the treatment of stress urinary incontinence in women and should be considered as a feasible option by healthcare providers.
本研究旨在比较为期8周的盆底肌训练计划在不同体位（仰卧位、坐位和站立位）下，结合表面肌电图反馈，对压力性尿失禁女性的疗效。
这是一项于2014年1月至2016年5月进行的前瞻性观察研究。
110名压力性尿失禁女性参与了该训练计划，每人完成4次个体化训练课程。主要观察指标是盆底肌和协同作用的腹部肌肉的肌电图活动。在4个时间点进行结果测量，即基线时以及训练的第2、4和8周。
在第2周时发现训练有显著效果，并持续到第8周。训练使所有3种体位下盆底肌持续自主收缩增强有显著改善。训练效果受训练时长、年龄、体重指数和阴道分娩史的影响。
通过盆底肌和协同作用的腹部肌肉的表面肌电图反馈进行积极强化的盆底肌训练，对女性压力性尿失禁的治疗有效，医疗服务提供者应将其视为一种可行的选择。
