盆腔底康复对男性性功能障碍的影响：叙述性综述。
The Effect of Pelvic Floor Rehabilitation on Males with Sexual Dysfunction: A Narrative Review.
机构信息
Department of Physical Therapy, Recanati School for Community Health Professions, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheva, Israel.
Physical Therapy Outpatient Clinic, Maccabi Health Care Services, Holon, Israel.
出版信息
Sex Med Rev. 2022 Jan;10(1):162-167. doi: 10.1016/j.sxmr.2021.02.001. Epub 2021 Apr 27.
INTRODUCTION
Increasing evidence has suggested that pelvic floor exercises and manual physical therapy may improve premature ejaculation (PE) and erectile dysfunction (ED) in males.
OBJECTIVES
To examine the effects of pelvic floor physical therapy treatment in men suffering from PE and ED.
METHODS
We searched Google Scholar, PubMed, Medline, PEDro databases from inception till January 2020 applying the following keywords: pelvic floor, erectile dysfunction, impotence, physiotherapy, exercises, rehabilitation, and pelvic floor muscle exercises.
RESULTS
The review included 37 papers reporting on PE and ED, of which 5 were randomized controlled trials, 2 meta-analyses, and 4 observational studies. Pelvic floor physical therapy treatment included education and rehabilitation. The rehabilitation part encompassed manual therapy techniques that contribute to the normalization of muscle tone and improvement of muscle relaxation. Moreover, exercises, according to the patients' clinical assessment were presented. Most of the studies reported that by strengthening the pelvic floor muscles (PFMs), ED and PE can be improved if manual physical therapy treatments are combined with PFM training.
CONCLUSIONS
A multifaceted approach should be chosen by physical therapists when evaluating and treating ED and PE and contending with both musculoskeletal dysfunction and behavioral contributions. It is recommended that exercises be monitored and situations involving, that is, hyperactivity/increased tone of the PFMs should be avoided. PFM training is simple, safe, and noninvasive; therefore, it should be a preferred approach in the management of ED and PE. This paper presents narrative reviews with a potential bias that systematic reviews or meta-analyses do not have, however, we strove to be all-encompassing and unbiased. There is a demand for high-quality scientific reviews examining the effectiveness of PFM training, manual therapy, and the rationale of pelvic floor physical therapy, in general, in treating individuals with PE and ED. Yaacov D, Nelinger G, Kalichman L. The Effect of Pelvic Floor Rehabilitation on Males with Sexual Dysfunction: A Narrative Review. Sex Med Rev 2022;10:162-167.
简介
越来越多的证据表明，盆底运动和手法物理治疗可能改善男性早泄（PE）和勃起功能障碍（ED）。
目的
研究盆底物理治疗对患有 PE 和 ED 的男性的影响。
方法
我们在 Google Scholar、PubMed、Medline、PEDro 数据库中搜索了从成立到 2020 年 1 月的相关文献，使用了以下关键词：盆底、勃起功能障碍、阳痿、物理治疗、运动、康复和盆底肌肉运动。
结果
综述共纳入 37 篇报告 PE 和 ED 的文献，其中 5 篇为随机对照试验，2 篇为荟萃分析，4 篇为观察性研究。盆底物理治疗包括教育和康复。康复部分包括有助于肌肉张力正常化和改善肌肉松弛的手法治疗技术。此外，还根据患者的临床评估进行了运动。大多数研究报告说，通过加强盆底肌肉（PFMs），如果将手动物理治疗与 PFM 训练相结合，可以改善 ED 和 PE。
结论
物理治疗师在评估和治疗 ED 和 PE 时，应选择多方面的方法，并应对肌肉骨骼功能障碍和行为因素。建议监测运动，并避免涉及 PFMs 过度活跃/增加张力的情况。PFMs 训练简单、安全且无创，因此应成为 ED 和 PE 管理的首选方法。本文呈现的是叙述性综述，可能存在偏倚，而系统评价或荟萃分析则没有，但我们力求全面、无偏倚。需要高质量的科学综述来检查 PFM 训练、手法治疗以及一般的盆底物理治疗的合理性在治疗 PE 和 ED 患者方面的有效性。Yaacov D、Nelinger G、Kalichman L. 盆底康复对性功能障碍男性的影响：叙述性综述。性医学评论 2022;10:162-167.
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