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女性盆底功能障碍性疾病的盆底评估和康复新进展。

Recent advances in the pelvic floor assessment and rehabilitation of Women with Pelvic Floor Dysfunction.

机构信息

Department of Rehabilitation and Allied Health Sciences, Riphah International University, Islamabad, Pakistan.

Faculty of Rehabilitation and Allied Health Sciences, Riphah Internationa University, Islamabad, Pakistan.

出版信息

J Pak Med Assoc. 2022 Jul;72(7):1456-1459. doi: 10.47391/JPMA.22-83.

Abstract

Pelvic Floor Dysfunctions (PFDs) are a group of disorders characterized by inter-related symptoms of urology, gynaecology, colorectal or general pelvic pain. These mainly cause voiding or defecation disorders, pelvic organ prolapses, sexual dysfunctions and pelvic pain. PFDs adversely impact various domains of women's life including psychological, physical, social and sexual well-being. Pelvic Floor Rehabilitation (PFR) has been recommended as part of a multidisciplinary approach for evaluation and management of the multiple PFDs. The assessment of PFD has improved with utilization of new measurement tools and specific outcome measures for PFDs. PFR is a first-line treatment approach effective for PFDs. However, robust research is needed to test standardised assessment and physical therapy treatment protocols with long term efficacy. In this review, we discuss a range of PFDs, impairment-based classification, recent updates, and advances in the evaluation of PFDs, physical therapy tools and techniques for the treatment of PFDs.

摘要

盆底功能障碍(PFD)是一组以泌尿科、妇科、肛肠或一般盆腔疼痛的相关症状为特征的疾病。这些主要导致排尿或排便障碍、盆腔器官脱垂、性功能障碍和盆腔疼痛。PFD 对女性生活的各个领域都有不利影响,包括心理、身体、社会和性健康。盆底康复(PFR)已被推荐作为多学科评估和管理多种 PFD 的方法的一部分。随着新的测量工具和特定的 PFD 结果测量方法的使用,对 PFD 的评估得到了改善。PFR 是一种针对 PFD 的一线治疗方法。然而,需要进行强有力的研究,以测试具有长期疗效的标准化评估和物理治疗治疗方案。在这篇综述中,我们讨论了一系列的 PFD、基于损伤的分类、最新进展以及 PFD 的评估、物理治疗工具和技术的进展,用于治疗 PFD。

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