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盆腔底肌肉训练联合肌内效贴布对膀胱过度活动症女性膀胱症状、盆腔底肌肉力量和生活质量的影响:一项随机 sham 对照试验。

The effects of pelvic floor muscle training combined with Kinesio taping on bladder symptoms, pelvic floor muscle strength, and quality of life in women with overactive bladder syndrome: A randomized sham-controlled trial.

机构信息

Department of Physiotherapy and Rehabilitation, Health Sciences Faculty, Ankara Yildirim Beyazit University, Ankara, Turkey.

Department of Therapy and Rehabilitation, KTO Karatay University, Konya, Turkey.

出版信息

Physiother Theory Pract. 2022 Feb;38(2):266-275. doi: 10.1080/09593985.2020.1750079. Epub 2020 Apr 13.

DOI:10.1080/09593985.2020.1750079
PMID:32282255
Abstract

: There is insufficient study using Kinesio taping (KT) in bladder problems. : To investigate the effects of pelvic floor muscle training (PFMT) combined with KT on bladder symptoms, pelvic floor muscle strength, and quality of life in women with overactive bladder (OAB) syndrome and compare this combination with PFMT plus sham tape (ST). : Women with OAB were randomly allocated into PFMT+KT and PFMT+ST groups. All patients were given PFMT for 6 weeks and applied taping according to groups. Before and after treatment, the OAB symptoms with the Overactive Bladder Assessment Form (OAB-V8) and Patients' Perception of Intensity of Urgency Scale (PPIUS), bladder function with a 3-day voiding diary, pelvic floor muscle strength with the Modified Oxford Scale, and quality of life with the King's Health Questionnaire (KHQ) were assessed. : OAB-V8, PPIUS, and KHQ scores decreased and the MOS improved in both groups ( < .05) after treatment. The intergroup comparisons revealed a further decrease in voids/day, voids/night, incontinence episodes/day, and personal limitation scores of the KHQ in the PFMT+KT group compared to the PFMT+ST group ( < .05). : PFMT+KT was more effective in reducing the OAB symptoms compared to PFMT+ST. KT could be a complementary application for reducing symptoms in OAB.

摘要

目前使用运动贴扎(Kinesio taping,KT)治疗膀胱问题的研究还不够充分。

目的

探讨盆底肌训练(pelvic floor muscle training,PFMT)联合 KT 对膀胱过度活动症(overactive bladder,OAB)女性膀胱症状、盆底肌力量和生活质量的影响,并将其与 PFMT 联合假贴扎(sham tape,ST)进行比较。

方法

将 OAB 女性患者随机分为 PFMT+KT 组和 PFMT+ST 组。所有患者均接受 6 周的 PFMT,并根据分组进行贴扎。治疗前后,采用膀胱过度活动症评估问卷(OAB-V8)和急迫程度患者感知评分(PPIUS)评估 OAB 症状,3 天排尿日记评估膀胱功能,改良牛津量表评估盆底肌力量,King's 健康问卷(KHQ)评估生活质量。

结果

治疗后,两组 OAB-V8、PPIUS 和 KHQ 评分均降低,MOS 评分均升高(均<0.05)。与 PFMT+ST 组相比,PFMT+KT 组的每日排尿次数、夜间排尿次数、每日尿失禁次数和个人限制评分进一步降低(均<0.05)。

结论

PFMT+KT 比 PFMT+ST 更能有效减轻 OAB 症状。KT 可能是一种减轻 OAB 症状的补充应用。

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