Başer Seçer Melda, Çeliker Tosun Özge, Tosun Gökhan
Manisa Celal Bayar University, Vocational School of Health Services, Manisa, Turkey.
Dokuz Eylul University, Faculty of Physical Therapy and Rehabilitation, Izmir, Turkey.
Int Urol Nephrol. 2025 Feb;57(2):371-381. doi: 10.1007/s11255-024-04230-2. Epub 2024 Oct 11.
The aim of this study is to examine the relationship between incontinence type and pelvic floor muscle function, gluteus medius muscle, quadriceps femoris muscle, hand grip strength, functional performance and balance in elderly people with incontinence.
This cross-sectional study was conducted in a nursing home with 78 elderly people with stress (SUI, n: 20), urgency (UUI, n: 27) and mixed (MUI, n: 31) urinary incontinence. "Urogenital Distress Inventory-6, Incontinence Impact Questionnaire Form-7, Overactive Bladder-8" were used to evaluate incontinence symptoms and severity. Superficial electromyography was used to evaluate the function of the PFM. A hand dynamometer was used to evaluate hand grip strength, and a digital manual muscle tester was used to evaluate quadriceps femoris (QF) and gluteus medius muscle strength. Short Physical Performance Battery and Time Up and Go Test were performed for functional performance.
There was no significant difference between PFM contraction and relaxation functions, gluteus medius, QF muscle strength, functional performance (p > 0.05) but hand grip strength was highest in the group with UUI (ptotal: 0.022). The group with the highest rate of low hand grip strength is MUI (38.7%). A weak positive correlation was found between QF muscle strength and PFM Work Average value in the MUI group (r: 0.370, p: 0.048). In the MUI group, a moderate positive correlation was found between hand grip strength and gluteus medius muscle strength (r: 0.499, p: 0.005).
Our findings show that hand grip strength is related to the type of incontinence in the elderly people. The average hand grip strength was highest in the elderly people with UUI. Additionally, there was a positive relationship between gluteus medius and hang grip strength in MUI. It may provide guidance for evaluation and risk factors in elderly people with incontinence.
本研究旨在探讨失禁类型与老年失禁患者盆底肌肉功能、臀中肌、股四头肌、握力、功能表现及平衡之间的关系。
本横断面研究在一家养老院对78例患有压力性尿失禁（SUI，n = 20）、急迫性尿失禁（UUI，n = 27）和混合性尿失禁（MUI，n = 31）的老年人进行。使用“泌尿生殖系统困扰量表-6、失禁影响问卷表-7、膀胱过度活动症-8”评估失禁症状和严重程度。采用表面肌电图评估盆底肌功能。使用握力计评估握力，使用数字式手动肌力测试仪评估股四头肌（QF）和臀中肌力量。进行简短体能状况量表测试和起立行走测试以评估功能表现。
盆底肌收缩和舒张功能、臀中肌、股四头肌力量、功能表现之间无显著差异（p > 0.05），但握力在UUI组中最高（p总值：0.022）。握力低发生率最高的组是MUI组（38.7%）。在MUI组中，股四头肌力量与盆底肌工作平均值之间存在弱正相关（r：0.370，p：0.048）。在MUI组中，握力与臀中肌力量之间存在中度正相关（r：0.499，p：0.005）。
我们的研究结果表明，握力与老年人的失禁类型有关。UUI老年人的平均握力最高。此外，MUI患者的臀中肌与握力之间存在正相关。这可能为老年失禁患者的评估和危险因素提供指导。
