Gorji Zahra, Pourmomeny Abbas A, Hajhashemy Maryam
Pelvic floor Research Center, School of Rehabilitation Sciences, Isfahan University of Medical Sciences, Isfahan, Iran.
Low Urin Tract Symptoms. 2020 Jan;12(1):20-24. doi: 10.1111/luts.12277. Epub 2019 Aug 26.
Previous studies of treatment for prolapse, patients have undergone pelvic floor muscle training (PFMT), but no exercises were performed for the hip muscles. Accordingly, this study investigated a new conservative treatment approach that was hypothesized to improve prolapse symptoms more than PFMT.
Forty women with Stage 2 or 3 prolapse were randomly assigned to either the control or intervention group (n = 20 in each). In this study, patients are treated for 12 sessions (4 weeks and 3 sessions each week). In the control group, the pelvic floor muscle training is applied in for treatment. In the intervention group, in addition to pelvic floor muscle training, postural or positional inversion exercises are included in training.
There was a significant difference between the control and intervention groups in only three domains of the Prolapse Quality of Life questionnaire, namely general health (P = 0.010), physical limitation (P = 0.038), and social limitation (P = 0.010). Furthermore, International Consultation of Incontinence (ICIQ) scores for filling symptoms and bother scale differed significantly between the two groups (P = 0.035 and P = 0.045, respectively). There was also a significant difference in the stage of prolapse and pelvic floor muscle strength in both groups compared with baseline, although only pelvic floor. muscle strength differed significantly between the two groups (P = 0.041).
This new method of postural or positional inversion leads to a greater improvement in symptoms of pelvic organ prolapse.
在以往关于脱垂治疗的研究中，患者接受了盆底肌肉训练（PFMT），但未对髋部肌肉进行锻炼。因此，本研究调查了一种新的保守治疗方法，该方法被假设比PFMT能更有效地改善脱垂症状。
40名患有2期或3期脱垂的女性被随机分为对照组或干预组（每组n = 20）。在本研究中，患者接受12次治疗（4周，每周3次）。对照组采用盆底肌肉训练进行治疗。干预组除盆底肌肉训练外，训练中还包括姿势或体位反转练习。
在脱垂生活质量问卷的仅三个领域，即总体健康（P = 0.010）、身体限制（P = 0.038）和社会限制（P = 0.010）方面，对照组和干预组之间存在显著差异。此外，两组间在充盈症状的国际尿失禁咨询（ICIQ）评分和困扰量表方面也存在显著差异（分别为P = 0.035和P = 0.045）。与基线相比，两组在脱垂阶段和盆底肌肉力量方面也存在显著差异，尽管仅盆底肌肉力量在两组间存在显著差异（P = 0.041）。
这种新的姿势或体位反转方法能使盆腔器官脱垂症状得到更大改善。
