Department of Physiotherapy and Rehabilitation, Biruni University, Faculty of Health Sciences; Department of Physiotherapy and Rehabilitation, Biruni University, Graduate Education Institute, Istanbul, Turkey.
Dokuz Eylül University, Faculty of Physical Therapy and Rehabilitation, Izmir, Turkey.
Niger J Clin Pract. 2023 Sep;26(9):1309-1318. doi: 10.4103/njcp.njcp_53_23.
Pelvic floor muscle (PFM) training varies according to the functional status of PFM. It is used to strengthen underactive PFM and relax overactive PFM.
This study aimed to determine the appropriate PFM training positions according to the functional status of the PFM in women with pelvic floor dysfunction.
Seventy-six women diagnosed with pelvic floor dysfunction were included. After the digital palpation, participants were divided into four groups according to the functional status of PFM: normal, overactive, underactive, and nonfunctional. Participants' PFM and abdominal muscle functions were assessed with superficial electromyography in three positions (modified butterfly pose-P1, modified child pose-P2, and modified deep squat with block pose-P3). Friedman's analysis of variance and the Kruskal-Wallis test were used to assess whether the function of the muscles differed according to the functional status of the PFM and training positions.
Normal PFM maximally contracted and relaxed in P1, whereas nonfunctional PFM was in P3 (P > 0.05). Overactive and underactive PFM was most contracted in P2 (P > 0.05) and relaxed in P1 (P < 0.001). In each functional state of the PFM, all abdominal muscles were most relaxed in P1, while their most contracted positions varied (P < 0.05).
This study showed that the positions in which the PFM relaxes and contracts the most may vary according to the functional status of the PFM. Therefore, different PFM training positions may be preferred according to the functional status of the PFM in women with pelvic floor dysfunction. However, more study needs to be done in this subject.
骨盆底肌肉（PFM）训练根据 PFM 的功能状态而有所不同。它用于增强弱的 PFM 并放松过度活跃的 PFM。
本研究旨在根据患有盆底功能障碍的女性的 PFM 功能状态，确定适当的 PFM 训练体位。
纳入 76 名诊断为盆底功能障碍的女性。在数字触诊后，根据 PFM 的功能状态将参与者分为四组：正常、过度活跃、弱和无功能。使用表面肌电图评估参与者的 PFM 和腹肌功能，分别在三个体位（改良蝴蝶姿势-P1、改良儿童姿势-P2 和改良深蹲加垫块姿势-P3）进行。采用 Friedman 方差分析和 Kruskal-Wallis 检验评估肌肉功能是否根据 PFM 的功能状态和训练体位而有所不同。
正常 PFM 在 P1 中最大程度地收缩和放松，而非功能 PFM 在 P3 中（P > 0.05）。过度活跃和弱的 PFM 在 P2 中收缩最大（P > 0.05），在 P1 中放松最大（P < 0.001）。在 PFM 的每种功能状态下，所有腹肌在 P1 中最放松，而其最收缩的位置则有所不同（P < 0.05）。
本研究表明，PFM 最放松和收缩的体位可能根据 PFM 的功能状态而有所不同。因此，根据患有盆底功能障碍的女性的 PFM 功能状态，可能需要选择不同的 PFM 训练体位。但是，在这个主题上还需要做更多的研究。
