Department of Fundamental, Preventive, and Clinical Disciplines, Faculty of Medicine, Transilvania University of Brasov, 500036 Brasov, Romania.
Neurorehabilitation Department, Clinical Hospital of Psychiatry and Neurology, 500036 Brasov, Romania.
Medicina (Kaunas). 2024 Jul 17;60(7):1152. doi: 10.3390/medicina60071152.
Considerable research efforts have been directed towards investigating neurogenic bladder dysfunction over the preceding decade. This condition stands as the most prevalent and incapacitating pelvic floor disorder amidst patients afflicted with specific upper motor neuron syndromes, including multiple sclerosis, stroke, and spinal cord injury. The current study aims to bring up-to-date findings on rehabilitation methods for treating neurogenic bladder. The Web of Science database (MEDLINE, PsychINFO, EMBASE, CENTRAL, ISRCTN, and ICTRP) was screened for randomized controlled studies and clinical studies using combinations of keywords including "neurogenic bladder", "stroke", "multiple sclerosis", and "spinal cord injury". The PEDro scale was used to assess the quality of the articles included in this study. After a thorough examination, eleven articles met the criteria for inclusion in our research. The outcome measures showed a variety of forms of electrostimulation that can be combined with or without PFMT. These interventions significantly enhance health-related quality of life, as evidenced by various assessment methods. The physical approach constitutes an effective therapeutic method that can reduce the severity of urinary incontinence.
在过去的十年中,人们投入了大量的研究努力来研究神经源性膀胱功能障碍。这种情况是患有特定上运动神经元综合征(包括多发性硬化症、中风和脊髓损伤)的患者中最常见和致残性的盆底疾病。本研究旨在提供有关治疗神经源性膀胱的康复方法的最新发现。Web of Science 数据库(MEDLINE、PsychINFO、EMBASE、CENTRAL、ISRCTN 和 ICTRP)对使用包括“神经源性膀胱”、“中风”、“多发性硬化症”和“脊髓损伤”在内的关键词组合的随机对照研究和临床研究进行了筛选。使用 PEDro 量表评估了纳入本研究的文章的质量。经过仔细检查,有 11 篇文章符合纳入研究的标准。结果测量显示了各种形式的电刺激,可以与或不与 PFMT 结合使用。这些干预措施通过各种评估方法显著提高了与健康相关的生活质量。物理方法是一种有效的治疗方法,可以减轻尿失禁的严重程度。