整骨手法与运动对盆底肌电活动影响的比较：一项随机对照试验
Comparison of the Effect of Osteopathic Manipulations and Exercises on the Myoelectric Activity of the Pelvic Floor: A Randomized Controlled Trial.
作者信息
Arcanjo Giselle Notini, Pires Juliana Lerche Vieira Rocha, Jacinto Maria Edna Mateus, Colares Josué Magalhães, Belo Lurdyanne Maria Cavalcante, Lima Pedro Olavo de Paula, Vilaça-Alves José
机构信息
Department of Sports Science, Exercise and Health, University of Trás-os-Montes and Alto Douro, Vila Real, Portugal.
Department of Physical Therapy, Estacio of Ceará University Center, Fortaleza, Brazil.
出版信息
J Chiropr Med. 2022 Jun;21(2):97-107. doi: 10.1016/j.jcm.2022.02.005. Epub 2022 Apr 21.
OBJECTIVE
The purpose of this clinical trial was to compare the effects of 4 different interventions on electromyographic activity of the pelvic floor muscles in women with stress urinary incontinence (UI).
METHODS
Fifty-one women with stress UI were randomized into 4 groups: a global osteopathic protocol (myofascial, visceral, and articular techniques); 1 manipulation technique (high-velocity, low-amplitude/thrust) of the sacroiliac joint and T10-L2; training of the pelvic floor muscles; and no intervention (control). Electromyographic activity of the pelvic floor muscles was evaluated at 5 different times (baseline, immediately after the procedure, 30 minutes, 1 hour, and 4 weeks after intervention).
RESULTS
Forty women completed the study. There were no immediate or late effects on the myoelectric activity of any type of muscle fiber in any of the groups analyzed.
CONCLUSION
There were no significant between-groups differences of electromyography in women with symptoms of stress UI.
目的
本临床试验的目的是比较4种不同干预措施对压力性尿失禁（UI）女性盆底肌肉肌电活动的影响。
方法
51名压力性尿失禁女性被随机分为4组：全身整骨疗法方案（肌筋膜、内脏和关节技术）；骶髂关节和T10-L2的1种手法技术（高速、低振幅/推力）；盆底肌肉训练；以及不进行干预（对照组）。在5个不同时间点（基线、手术后即刻、30分钟、1小时和干预后4周）评估盆底肌肉的肌电活动。
结果
40名女性完成了研究。在分析的任何组中，对任何类型肌纤维的肌电活动均无即刻或延迟影响。
结论
有压力性尿失禁症状的女性之间，肌电图的组间差异无统计学意义。
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