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内脏疗法、凯格尔肌肉、核心稳定性及饮食在盆腔支持功能障碍和尿失禁中的作用——包括性学方面以及物理治疗和整骨疗法的作用。

The role of visceral therapy, Kegel's muscle, core stability and diet in pelvic support disorders and urinary incontinence - including sexological aspects and the role of physiotherapy and osteopathy.

作者信息

Wojcik Malgorzata, Jarzabek-Bielecka Grazyna, Merks Piotr, Plagens-Rotman Katarzyna, Pisarska-Krawczyk Magdalena, Kedzia Witold, Mizgier Malgorzata, Wilczak Maciej

机构信息

Department of Physiotherapy, Faculty of Physical Culture in Gorzow Wielkopolski, Poznan University of Physical Education, Poznan, Poland.

Center for Sexology and Pediatric , Adolescent Gynecology, Division of Gynecology, Department of Perinatology and Gynecology, Poznan University of Medical Sciences, Poznan, Poland.

出版信息

Ginekol Pol. 2022;93(12):1018-1027. doi: 10.5603/GP.a2022.0136.

Abstract

Proper diet and physical activity are a form of prevention of female genital prolapse disorders. The causal substrate of pelvic floor dysfunction is multifactorial. Fifty percent of women over the age of 50 have pelvic organ prolapse, often accompanied by urinary incontinence. It is a complicated social and medical (urogynecological and sexological) problem. The authors conducted a literature review on the role of visceral therapy, Kegel and core stability exercises and diet in pelvic support disorders and urinary incontinence. The eligible articles provided insights into sexological factors, as well as the role of osteopathy and physiotherapy. These results provide new insights into the relevance of clinical practice. In addition to standard treatment methods used in gynaecology, sexology, physiotherapy and osteopathy (e.g., visceral therapy), Kegel muscle and core stability exercises are becoming increasingly important. The aim of visceral therapy is to restore the mobility of the organs while reducing increased tension and improving blood and lymph circulation. This has the effect of reducing pain sensations, thereby influencing the function of the uterus and ovaries.

摘要

合理饮食和体育活动是预防女性生殖器脱垂疾病的一种方式。盆底功能障碍的病因是多因素的。50%的50岁以上女性患有盆腔器官脱垂,常伴有尿失禁。这是一个复杂的社会和医学(泌尿妇科和性学)问题。作者对内脏疗法、凯格尔运动和核心稳定性训练以及饮食在盆腔支持障碍和尿失禁中的作用进行了文献综述。符合条件的文章深入探讨了性学因素,以及整骨疗法和物理疗法的作用。这些结果为临床实践的相关性提供了新的见解。除了妇科、性学、物理疗法和整骨疗法中使用的标准治疗方法(如内脏疗法)外,凯格尔肌肉运动和核心稳定性训练正变得越来越重要。内脏疗法的目的是恢复器官的活动能力,同时减轻张力增加并改善血液和淋巴循环。这具有减轻疼痛感的效果,从而影响子宫和卵巢的功能。

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