Department of Physiotherapy and Rehabilitation, School of Health Sciences, Beykent University, Istanbul, Turkey.
Department of Physiotherapy and Rehabilitation, Health Science Faculty, Ankara Yildirim Beyazit University, Ankara, Turkey.
J Manipulative Physiol Ther. 2021 May;44(4):295-306. doi: 10.1016/j.jmpt.2021.02.001.
The purpose of this study was to compare the effects of a 6-week program of pelvic floor muscle training (PFMT) plus connective tissue massage (CTM) to PFMT alone in women with overactive bladder (OAB) symptoms on those symptoms, pelvic floor muscle strength, and quality of life.
Thirty-four participants were randomly divided into PFMT+CTM (n = 17) and PFMT (n = 17) groups. PFMT was applied every day and CTM was applied 3 days a week for 6 weeks. Before treatment, at week 3, and after treatment (week 6), we assessed pelvic floor muscle strength (with a perineometer), bladder symptoms (with a urine diary), OAB symptom severity (with the 8-item Overactive Bladder Questionnaire [OAB-V8]), urgency (with the Patient Perception of Intensity of Urgency Scale [PPIUS]), and quality of life (with King's Health Questionnaire [KHQ]). The Mann-Whitney U test, χ test, Friedman test, and Dunn multiple comparison test were used for analysis.
In both groups, pelvic floor muscle strength increased, whereas OAB symptoms and PPIUS and KHQ scores decreased after treatment (P < .05). Although the OAB-V8, PPIUS, and KHQ scores decreased at week 3, frequency, OAB-V8, and PPIUS scores, in addition to some parameters of the KHQ, decreased after treatment in the PFMT+CTM group compared to the PFMT group (P < .05).
Compared to PFMT alone, PFMT+CTM achieved superior outcomes in reducing OAB symptoms in the early and late periods.
本研究旨在比较为期 6 周的盆底肌训练（PFMT）加结缔组织按摩（CTM）与单独 PFMT 对膀胱过度活动症（OAB）症状女性的疗效，比较两组患者 OAB 症状、盆底肌力量和生活质量的变化。
34 名参与者被随机分为 PFMT+CTM 组（n=17）和 PFMT 组（n=17）。PFMT 每天进行，CTM 每周进行 3 天，共 6 周。在治疗前、治疗第 3 周和治疗后（第 6 周），我们评估了盆底肌力量（使用会阴测压计）、膀胱症状（使用尿日记）、OAB 症状严重程度（使用 8 项膀胱过度活动症问卷[OAB-V8]）、急迫性（使用急迫性感知强度量表[PPIUS]）和生活质量（使用 King's 健康问卷[KHQ]）。采用 Mann-Whitney U 检验、χ检验、Friedman 检验和 Dunn 多重比较检验进行分析。
两组患者治疗后盆底肌力量均增加，OAB 症状及 PPIUS 和 KHQ 评分降低（P＜0.05）。PFMT+CTM 组治疗后 OAB-V8、PPIUS 和 KHQ 评分较治疗前降低（P＜0.05），且治疗后较 PFMT 组降低（P＜0.05）；而 PFMT 组治疗后仅频率、OAB-V8 和 PPIUS 评分以及 KHQ 的部分参数较治疗前降低（P＜0.05）。
与单独 PFMT 相比，PFMT+CTM 能更早、更显著地改善 OAB 症状。
