Health Sciences Faculty, Department of Physiotherapy and Rehabilitation, Ankara Yildirim Beyazit University, Ankara, Turkey.
, Kamil St, No: 10, Konya, Turkey.
Int Urogynecol J. 2023 Dec;34(12):2959-2967. doi: 10.1007/s00192-023-05638-7. Epub 2023 Aug 28.
The objective was to investigate the effects of spinal stabilization exercises (SSEs) focusing on the pelvic floor with regard to urinary symptoms, pelvic floor muscle strength (PFMS), core stability, quality of life (QoL), and perception of subjective improvement (PSI) in women with overactive bladder (OAB).
Patients were randomly divided into SSE (n=23) and control (n=24) groups. The SSE group received SSEs focusing on the pelvic floor for 3 days a week for 8 weeks and recommendation. The control group received only recommendation. Before (BT) and after treatment (AT), urinary symptoms were evaluated with Overactive Bladder Questionnaire-Version 8 (OAB-V8) and bladder diary. PFMS, core stability, and QoL were assessed using the Modified Oxford Scale (MOS), Sharman test, and King's Health Questionnaire (KHQ) respectively. AT, PSI with a Likert-type scale, and compliance with recommendations using a visual analog scale were assessed.
The OAB-V8 and the KHQ scores, the number of voids per day and voids per night decreased and the MOS and the Sharman scores increased in the SSE group (p<0.05). In the control group, the OAB-V8 and incontinence effect, social limitations, emotional state, and sleep sub-dimension scores related to KHQ decreased (p<0.05). The OAB-V8, role and physical limitations, emotional state, and sleep sub-dimension scores decreased more, and the MOS, the Sharman, the PSI, and the compliance with recommendations scores increased more in the SSE group than in the control group (p<0.05).
The SSEs focusing on the pelvic floor improved urinary symptoms, PFMS, core stability, QoL, and PSI. This exercise approach may be beneficial in the management of OAB.
目的是研究专注于骨盆底的脊柱稳定练习（SSE）对膀胱过度活动症（OAB）女性的尿症状、骨盆底肌肉力量（PFMS）、核心稳定性、生活质量（QoL）和主观改善感知（PSI）的影响。
患者随机分为 SSE（n=23）和对照组（n=24）。SSE 组每周接受 3 天的专注于骨盆底的 SSE 治疗和建议。对照组仅接受建议。在治疗前（BT）和治疗后（AT），使用膀胱过度活动症问卷-8 版（OAB-V8）和膀胱日记评估尿症状。使用改良牛津量表（MOS）、Sharman 测试和 King's 健康问卷（KHQ）分别评估 PFMS、核心稳定性和 QoL。使用李克特量表评估 AT、PSI 和建议的依从性，使用视觉模拟量表评估建议的依从性。
SSE 组 OAB-V8 和 KHQ 评分、每日排尿次数和夜间排尿次数减少，MOS 和 Sharman 评分增加（p<0.05）。对照组 OAB-V8 和失禁效应、社会限制、情绪状态和睡眠子维度评分与 KHQ 相关的分数降低（p<0.05）。SSE 组 OAB-V8、角色和身体限制、情绪状态和睡眠子维度评分降低更多，MOS、Sharman、PSI 和建议的依从性评分增加更多（p<0.05）。
专注于骨盆底的 SSE 改善了尿症状、PFMS、核心稳定性、QoL 和 PSI。这种运动方法可能有益于 OAB 的管理。
