Razak Ozdincler Arzu, Korkmaz Dayican Damla, Ozyurek Burcin
Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Fenerbahçe University, İstanbul, Turkey.
Department of Physiotherapy and Rehabilitation, Graduate Education Institute, Biruni University, İstanbul, Turkey.
Telemed J E Health. 2025 Jul;31(7):902-913. doi: 10.1089/tmj.2024.0540. Epub 2025 Mar 19.
To examine the short- and medium-term effects of pelvic floor muscle training (PFMT) applied via telerehabilitation (TR) on pelvic floor muscle function, pelvic floor symptoms, and quality of life. Fifty-eight women between the ages of 18 and 35 who were between 6 and 8 weeks postpartum were included. The participants were randomized into the PFMT applied via TR (TR-PFMT) group or the supervised PFMT (S-PFMT) group. The PFMT was performed for 8 weeks, 2 days a week, and 45-50 min a day. The participants' pelvic floor muscle function, pelvic floor symptoms, and quality of life were evaluated with the superficial electromyography, the Pelvic Floor Distress Inventory-20 (PFDI-20), and the Pelvic Floor Impact Questionnaire-7, respectively. Phasic, tonic, and endurance activities of the pelvic floor muscles were significantly higher in both groups immediately after and 8 weeks after the exercise program (all < 0.05). In addition, total PFDI-20 and all subscales' scores decreased significantly in the TR-PFMT group (all < 0.05). In the S-PFMT group, total PFDI-20 ( = 0.012) and Urinary Distress Inventory-6 ( = 0.012) scores improved significantly. A significant difference was found between the groups in favor of the TR-PFMT group in terms of total PFDI-20 ( = 0.024; = 0.024) and Urinary Distress Inventory-6 ( = 0.033; = 0.040) scores immediately after and 8 weeks after the exercise program. TR-PFMT and S-PFMT improved women's pelvic floor muscle function, pelvic floor symptoms, and quality of life in the short and medium term. Improvement in urinary symptoms was greater after TR-PFMT. TR-PFMT should be considered for postpartum women.
为研究通过远程康复（TR）进行盆底肌肉训练（PFMT）对盆底肌肉功能、盆底症状和生活质量的短期及中期影响。纳入了58名年龄在18至35岁之间、产后6至8周的女性。参与者被随机分为通过TR进行PFMT的组（TR - PFMT组）或监督下的PFMT组（S - PFMT组）。PFMT持续进行8周，每周2天，每天45 - 50分钟。分别使用表面肌电图、盆底困扰量表 - 20（PFDI - 20）和盆底影响问卷 - 7对参与者的盆底肌肉功能、盆底症状和生活质量进行评估。运动计划结束后即刻及8周后，两组的盆底肌肉的相位、张力和耐力活动均显著提高（均P < 0.05）。此外，TR - PFMT组的PFDI - 20总分及所有子量表得分均显著降低（均P < 0.05）。在S - PFMT组中，PFDI - 20总分（P = 0.012）和泌尿困扰量表 - 6（P = 0.012）得分显著改善。在运动计划结束后即刻及8周后，两组在PFDI - 20总分（P = 0.024；P = 0.024）和泌尿困扰量表 - 6（P = 0.033；P = 0.040）得分方面存在显著差异，有利于TR - PFMT组。TR - PFMT和S - PFMT在短期和中期均改善了女性的盆底肌肉功能、盆底症状和生活质量。TR - PFMT后泌尿症状的改善更大。产后女性应考虑采用TR - PFMT。
