Kharaji Ghazal, Nikjooy Afsaneh, Amiri Ali, Sanjari Mohammad Ali
Department of Physiotherapy, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran.
Department of Basic Rehabilitation Sciences, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran.
Med J Islam Repub Iran. 2019 Jun 25;33:60. doi: 10.34171/mjiri.33.60. eCollection 2019.
Urinary incontinence (UI) is more common than any other chronic disease. Stress urinary incontinence (SUI), among the various forms of urinary incontinence, is the most prevalent (50%) type of this condition. Female urinary continence is maintained through an integrated function of pelvic floor muscles (PFMs), fascial structures, nerves, supporting ligaments, and the vagina. In women with SUI, the postural activity of the PFMs is delayed and the balance ability is decreased. Many women, by learning the correct timing of a pelvic floor contraction during a cough, are able to eliminate consequent SUI. Timing is an important function of motor coordination and could be affected by proprioception. This study was conducted to review and outline the literature on proprioception as a contributory factor in SUI. PubMed, Scopus, and Google Scholar databases were systematically searched from 1998 to 2017 for articles on the topic of pathophysiology, motor control alterations, and proprioception role in women with SUI. A total of 6 articles addressed the importance of proprioception in motor control and its alterations in women with SUI. There were also publications on postural control, balance, and timing alterations in women with SUI in the literature. However, there was no research on measuring proprioception in the pelvic floor in this group. Both the strength of the PFMs and the contraction timing and proprioception are important factors in maintaining continence. Thus, conducting research on PFMs proprioception in women with SUI, as a cause of incontinence, is encouraged.
尿失禁（UI）比任何其他慢性疾病都更为常见。在各种类型的尿失禁中，压力性尿失禁（SUI）是最普遍的一种（占50%）。女性的尿控功能通过盆底肌肉（PFMs）、筋膜结构、神经、支撑韧带和阴道的综合功能来维持。在患有SUI的女性中，PFMs的姿势活动延迟且平衡能力下降。许多女性通过学习在咳嗽时正确的盆底收缩时机，能够消除随之而来的SUI。时机是运动协调的一项重要功能，可能会受到本体感觉的影响。本研究旨在回顾和概述有关本体感觉作为SUI促成因素的文献。从1998年到2017年，系统检索了PubMed、Scopus和谷歌学术数据库，以查找有关SUI女性的病理生理学、运动控制改变和本体感觉作用的文章。共有6篇文章论述了本体感觉在运动控制中的重要性及其在SUI女性中的改变。文献中也有关于SUI女性姿势控制、平衡和时机改变的出版物。然而，该组中尚无关于测量盆底本体感觉的研究。PFMs的力量、收缩时机和本体感觉都是维持尿控的重要因素。因此，鼓励对SUI女性的PFMs本体感觉作为尿失禁原因进行研究。
