Oleksy Łukasz, Mika Anna, Kielnar Renata, Grzegorczyk Joanna, Marchewka Anna, Stolarczyk Artur
Department of Clinical Rehabilitation, University of Physical Education in Krakow.
Oleksy Medical and Sports Sciences.
Medicine (Baltimore). 2019 Jan;98(2):e13988. doi: 10.1097/MD.0000000000013988.
The assessment of pelvis reposition exercise efficacy in the treatment of pelvic floor muscles (PFM) asymmetry. The hypothesis was that PFM asymmetry may have a functional reason related to lumbopelvic complex misalignment.
A parallel group trial with follow-up METHODS:: Thirty young women were divided into 2 groups: experimental (n = 15) and control (n = 15). In experimental group one, a 15-minute trial of pelvis reposition exercise was carried out. Ober test, the Thomas test, and transabdominal PFM ultrasound measurements were performed in both groups.
In the experimental group both the Ober and Thomas tests were positive at baseline in most subjects. After the exercise, improvement was noted in Ober test (P = .005; d = 0.75 on the right side, P = .005; d = 0.78 on the left side) and in the Thomas test (P = .005; d = 0.66 on the right side, P = .005; d = 0.67 on the left side). At baseline, the ultrasonographic evaluation of PFM performed during resting and during voluntary pelvic muscles contraction showed the right-left length asymmetry. The return of symmetrical PFM work after pelvis reposition exercise was observed in the experimental group. There were no statistically significant changes in the control group.s CONCLUSIONS:: We suggest that after reposition exercises, the pelvis was more symmetrically aligned in relation to body axis; therefore, the muscles of the pelvic floor have functional length and did not shorten or lengthen due to pelvis rotation. In this study, for the first time, it was presented that PFM asymmetry visible in ultrasonography may be corrected by this specific exercise. Further analysis of the causes of this asymmetry may lead to more accurate treatment of PFM dysfunctions.
评估骨盆复位运动对治疗盆底肌肉（PFM）不对称的疗效。假设是PFM不对称可能存在与腰骶骨盆复合体排列不齐相关的功能原因。
一项有随访的平行组试验。
30名年轻女性被分为两组：实验组（n = 15）和对照组（n = 15）。在实验组中，进行了15分钟的骨盆复位运动试验。两组均进行了欧伯试验、托马斯试验和经腹PFM超声测量。
在实验组中，大多数受试者在基线时欧伯试验和托马斯试验均为阳性。运动后，欧伯试验有改善（右侧P = 0.005；d = 0.75，左侧P = 0.005；d = 0.78），托马斯试验也有改善（右侧P = 0.005；d = 0.66，左侧P = 0.005；d = 0.67）。在基线时，静息和自主盆底肌肉收缩时进行的PFM超声评估显示左右长度不对称。实验组在骨盆复位运动后观察到PFM工作恢复对称。对照组无统计学显著变化。
我们认为，经过复位运动后，骨盆相对于身体轴线排列更对称；因此，盆底肌肉具有功能性长度，不会因骨盆旋转而缩短或延长。在本研究中，首次表明超声检查中可见的PFM不对称可通过这种特定运动得到纠正。对这种不对称原因的进一步分析可能会导致对PFM功能障碍更准确的治疗。
