Dönbak Buket Şevval, Seçer Melda Başer, Aktaş Melahat, Tosun Özge Çeliker, Kara Bilge, Tosun Gökhan
Institute of Health Sciences, Physical Therapy and Rehabilitation Master's Program, Dokuz Eylul University, Izmir, Turkey.
Vocational School of Health Services, Manisa Celal Bayar University, Manisa, Turkey.
Int Urogynecol J. 2025 Mar 17. doi: 10.1007/s00192-025-06114-0.
The aim of our study is to examine the relationship between abdominal muscles and pelvic floor muscles (PFM) activation in elderly individuals with urinary incontinence (UI).
This cross-sectional study was conducted with 43 elderly individuals (27 women, 16 men) with UI in a nursing home. Superficial electromyography (EMG) was used to assess the contraction and relaxation activities of the PFM and abdominal muscles (rectus abdominis, transversus abdominis, internal obliques, external obliques). The Overactive Bladder Awareness Questionnaire (OAB-V8) and the Urogenital Distress Inventory Short Form (UDI-6) were used to assess incontinence symptoms and severity. The Geriatric Self-Efficacy Index for Urinary Incontinence (GSE-UI) was used to evaluate the level of self-efficacy. Quality of life was assessed using the Incontinence Impact Questionnaire Short Form (IIQ-7) and the Incontinence Quality of Life Scale (I-QOL). Chi-square test, Mann-Whitney U test, Kruskal-Wallis test, and Spearman correlation analysis were used for statistical analysis.
A moderate positive correlation was found between PFM work MVC and RA work MVC (r 0.540, p 0.001), IO work MVC (r 0.485, p 0.002), and RA rest MVC (r 0.441, p 0.006). When analyzed by gender, significant differences were found in the average activity of RA contraction, average activity of EO contraction, and normalized MVC values (p 0.035, p 0.048, p 0.001). When analyzed by incontinence type, significant differences were found in the TA relaxation MVC and average activity of IO contraction (p 0.006, p 0.011).
There is a relationship between the functions of PFM and abdominal muscles in individuals with UI. Additionally, EMG data during both abdominal and PFM contractions are higher in men at this age. Incontinence type may affect abdominal muscle function.
我们研究的目的是探讨老年尿失禁患者腹部肌肉与盆底肌（PFM）激活之间的关系。
本横断面研究在一家养老院对43名老年尿失禁患者（27名女性，16名男性）进行。采用表面肌电图（EMG）评估PFM和腹部肌肉（腹直肌、腹横肌、腹内斜肌、腹外斜肌）的收缩和舒张活动。使用膀胱过度活动症认知问卷（OAB-V8）和泌尿生殖系统困扰量表简表（UDI-6）评估失禁症状和严重程度。使用老年尿失禁自我效能感指数（GSE-UI）评估自我效能感水平。采用失禁影响问卷简表（IIQ-7）和失禁生活质量量表（I-QOL）评估生活质量。采用卡方检验、曼-惠特尼U检验、克鲁斯卡尔-沃利斯检验和斯皮尔曼相关性分析进行统计分析。
发现PFM工作最大自主收缩（MVC）与腹直肌工作MVC（r = 0.540，p = 0.001）、腹内斜肌工作MVC（r = 0.485，p = 0.002）以及腹直肌静息MVC（r = 0.441，p = 0.006）之间存在中度正相关。按性别分析时，腹直肌收缩平均活动、腹外斜肌收缩平均活动和标准化MVC值存在显著差异（p = 0.035，p = 0.048，p = 0.001）。按失禁类型分析时，腹横肌舒张MVC和腹内斜肌收缩平均活动存在显著差异（p = 0.006，p = 0.011）。
尿失禁患者的PFM与腹部肌肉功能之间存在关联。此外，这个年龄段男性在腹部和PFM收缩期间的EMG数据更高。失禁类型可能会影响腹部肌肉功能。
