Sharma Kiran, Gupta Meena, Parasher Raju K
Physiotherapy, Amity Institute of Health Allied Sciences, Amity University, Noida, IND.
Physiotherapy, Venkateshwar Hospital, University of Delhi, New Delhi, IND.
Cureus. 2024 May 7;16(5):e59828. doi: 10.7759/cureus.59828. eCollection 2024 May.
Stress urinary incontinence (SUI) is prevalent among females across various age groups, yet societal taboos and unawareness contribute to under-reporting and hinder effective management strategies. This study aimed to evaluate the efficacy of dynamic neuromuscular stabilization (DNS) compared to traditional Kegel exercises in females with stress urinary incontinence, focusing on assessing the impact of DNS on pelvic floor strength and core musculature activation to provide valuable insights into urinary continence management.
This is a single-blinded, randomized trial with 90 females aged 18-40 years assessed perineometer readings, pelvic floor electromyography (EMG), and transverse abdominis activation via pressure biofeedback.
Significant improvements in pelvic floor strength and core musculature activation were observed in the DNS group compared to the Kegel exercise group. Perineometer values, EMG measurements, and pressure biofeedback unit readings demonstrated substantial enhancements post-intervention in both groups. Effect sizes, including Cohen's D and point biserial correlation coefficient, indicated medium to large effects favoring the DNS intervention.
DNS is superior to Kegel exercises for SUI management, emphasizing the importance of targeting core musculature. Future research should explore long-term outcomes and patient-reported measures for a comprehensive understanding.
压力性尿失禁（SUI）在各年龄段女性中普遍存在，但社会禁忌和认知不足导致报告率偏低，并阻碍了有效的管理策略。本研究旨在评估动态神经肌肉稳定化（DNS）与传统凯格尔运动相比，对压力性尿失禁女性的疗效，重点评估DNS对盆底肌力和核心肌肉组织激活的影响，为尿失禁管理提供有价值的见解。
这是一项单盲随机试验，对90名年龄在18至40岁的女性进行评估，测量会阴计读数、盆底肌电图（EMG）以及通过压力生物反馈测量腹横肌激活情况。
与凯格尔运动组相比，DNS组的盆底肌力和核心肌肉组织激活有显著改善。两组干预后，会阴计数值、EMG测量值和压力生物反馈仪读数均有显著提高。效应量，包括科恩D值和点二列相关系数，表明有利于DNS干预的效应为中等至较大。
对于压力性尿失禁的管理，DNS优于凯格尔运动，强调了针对核心肌肉组织的重要性。未来的研究应探索长期结果和患者报告的指标，以进行全面了解。
