Wojtczak Agata, Aniśko Bartosz, Siatkowski Idzi, Wójcik Małgorzata
Student Research Centre Conocimiento, Faculty of Sport Sciences in Gorzów Wielkopolski, University of Physical Education, Poznań, Poland.
Department of Physiotherapy, Faculty of Sport Sciences in Gorzów Wielkopolski, University of Physical Education, Poznań, Poland.
Prz Menopauzalny. 2025 Jun;24(2):85-93. doi: 10.5114/pm.2025.152174. Epub 2025 Jun 18.
Urinary incontinence has a negative impact on women's quality of life. One way to treat this may be to perform pelvic floor muscle exercises. This study evaluated the effects of an original exercise programme performed for 6 weeks.
The study involved premenopausal (before-menopause group exercise - BMGE) and postmenopausal (post-menopause group exercise - PMGE) groups of women. Postural pattern, pelvic type were determined prior to exercise. A 1-day subpubic test was used to determine the amount of urine lost before and after exercise. The Kruskal-Wallis test, Dunn test and Wilcoxon test were used.
The results indicate that the original exercise programme had the effect of reducing urine loss in both groups, < 0.0001. In the study groups, the number of deliveries had no effect on urinary incontinence, = 0. 7021 (BMGE) and = 0.4073 (PMGE), nor did route of delivery, = 0.713 (BMGE) and = 0.3613 (PMGE), pelvic type, = 0.5079 (BMGE) and = 0.4885 (PMGE), or postural pattern, = 0.7331 (BMGE) and = 0.7331 (PMGE).
The original exercise programme reduced stress urinary incontinence in both groups women. Postural pattern, pelvic type, number of deliveries and route of delivery had no effect on the incidence of urinary incontinence in both groups of women.
尿失禁对女性生活质量有负面影响。治疗方法之一可能是进行盆底肌肉锻炼。本研究评估了一项为期6周的原创锻炼计划的效果。
该研究纳入了绝经前（绝经前组锻炼 - BMGE）和绝经后（绝经后组锻炼 - PMGE）女性群体。在锻炼前确定姿势模式、骨盆类型。采用1天耻骨联合下测试来确定锻炼前后的尿量丢失情况。使用了Kruskal-Wallis检验、Dunn检验和Wilcoxon检验。
结果表明，原创锻炼计划在两组中均有减少尿量丢失的效果，<0.0001。在研究组中，分娩次数对尿失禁无影响，=0.7021（BMGE）和=0.4073（PMGE），分娩方式也无影响，=0.713（BMGE）和=0.3613（PMGE），骨盆类型无影响，=0.5079（BMGE）和=0.4885（PMGE），姿势模式也无影响，=0.7331（BMGE）和=0.7331（PMGE）。
原创锻炼计划减少了两组女性的压力性尿失禁。姿势模式、骨盆类型、分娩次数和分娩方式对两组女性尿失禁的发生率均无影响。
