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膈肌呼吸锻炼在治疗尿失禁中的作用:一项初步研究。

The role of diaphragmatic breathing exercise on urinary incontinence treatment: A pilot study.

机构信息

Department of Physiotherapy and Rehabilitation, School of Health Sciences, Halic University, Turkey.

Department of Anatomy, School of Medicine, Istanbul Medipol University, Turkey.

出版信息

J Bodyw Mov Ther. 2022 Jan;29:146-153. doi: 10.1016/j.jbmt.2021.10.002. Epub 2021 Oct 20.

DOI:10.1016/j.jbmt.2021.10.002
PMID:35248263
Abstract

OBJECTIVE

The main aim of this pilot study was to examine the effect of diaphragmatic breathing exercise on urinary incontinence treatment. The secondary purpose was to compare the effect of pelvic floor muscle exercises and diaphragmatic breathing exercises on urinary incontinence women.

DESIGN

Participants were randomized into two groups: pelvic floor muscle exercises (Group PFM n = 20) and diaphragmatic breathing exercises (Group DB n = 20). Exercise programs consisted of 1 set of contractions per day and each set included 30 repetitions for 6 weeks. Women were asked to complete forms of Incontinence Impact Questionnaire (IIQ-7) and the Urogenital Distress Inventory (UDI-6), Incontinence Quality of Life (I-QOL), and Overactive Bladder (OAB-V3) before starting the program and again at the end of the 6-week program.

RESULTS

IIQ-7, I-QOL, and OAB-V3 scores significantly improved in both groups, after exercises. There were no difference between groups in the post-exercise scores. Total score of the UDI-6 was statistically significantly decreased higher in the DB exercises group. UDI-6 Urge Symptoms decreased statistically significantly only in the DB exercises group. Even though there was a decrease in the PFM group, but it was not significant.

CONCLUSION

Diaphragmatic breathing exercises may be an alternative to pelvic floor muscle exercises in the treatment of urinary incontinence. CLINICALTRIALS.

GOV ID

NCT04991675.

摘要

目的

本初步研究的主要目的是检验膈式呼吸锻炼对治疗尿失禁的效果。次要目的是比较盆底肌锻炼和膈式呼吸锻炼对尿失禁女性的效果。

设计

参与者被随机分为两组:盆底肌锻炼组(PFM 组,n=20)和膈式呼吸锻炼组(DB 组,n=20)。锻炼方案包括每天 1 组收缩,每组包括 30 次重复,持续 6 周。女性在开始计划前和 6 周计划结束时需要填写尿失禁影响问卷(IIQ-7)和尿生殖窘迫问卷(UDI-6)、尿失禁生活质量问卷(I-QOL)和膀胱过度活动症问卷(OAB-V3)。

结果

两组在锻炼后 IIQ-7、I-QOL 和 OAB-V3 评分均显著改善。锻炼后两组间评分无差异。DB 锻炼组的 UDI-6 总分显著降低。DB 锻炼组的 UDI-6 急迫症状评分显著降低,而 PFM 组虽然也有降低,但无统计学意义。

结论

膈式呼吸锻炼可能是治疗尿失禁的盆底肌锻炼的替代方法。临床试验。

.gov 注册号:NCT04991675。

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