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首页> 外文期刊>BioResearch open access. >A Novel Rehabilitative Protocol in the Treatment of Mixed Urinary Incontinence in Women: The Effects of Focused Mechano-Acoustic Vibration
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A Novel Rehabilitative Protocol in the Treatment of Mixed Urinary Incontinence in Women: The Effects of Focused Mechano-Acoustic Vibration

机译：一种治疗女性混合性尿失禁的新型康复方案：集中的机械声振动的影响

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Dysfunctions of the pelvic floor related to mixed urinary incontinence in women are pathologies extremely limiting for patients bodily and psychosocial conditions, altering their quality of life. The aim of this study was to determine the effects of focal mechanical vibrations in mixed urinary incontinence. In this retrospective observational case–control study, 65 patients were randomized and divided into 2 groups: treatment group by focal mechanical vibrations (VISS-10 sessions) ( N =?33) and a control group in waiting list ( N =?32). Also, both groups received home-based postural ergonomic instructions to reinforce pelvic floor. Data were collected at T0 (baseline), T1 (end of treatment), and T2 (follow-up?=?after 1 month): rheological muscle parameters were assessed by MyotonPRO respect to evaluate the gluteus maximus muscle. Then, to measure the general disability of the pelvic floor and the impact of urogenital problems on daily activities the Pelvic Floor Disability Index (PFDI-20) and the Pelvic Floor Impact Questionnaire (PFIQ-7) were used. Groups were matched perfectly before treatment for age (58.20?±?4.37 vs. 58.73?±?5.19) and BMI (26.15?±?2.22 vs. 25.85?±?2.11); for the two-way ANOVA analysis, a difference in gluteus variables over time and between groups except for GMDR (group p -value?=?0.60) was showed. The two-way ANOVA shows statistically significant effects of treatment and time for PDFI-20 and PFIQ-7 ( p -value 0.001). An improvement in incontinence symptoms and quality of life in the PDFI-20 and PFIQ-7 scores were reported and VISS may favor muscles stiffness for exercises by improving the normalization of basal tone. Our results were encouraging and suggested the use of focal mechanical vibration as a novel tool for treating mix urinary incontinence in women to complete and help the rehabilitative therapeutic protocol.
机译：与女性混合性尿失禁有关的骨盆底功能障碍是严重限制患者身体和心理状况的病理，改变了他们的生活质量。这项研究的目的是确定在混合性尿失禁中局灶性机械振动的影响。在这项回顾性观察病例对照研究中，将65例患者随机分为两组：按局部机械振动治疗组（VISS-10疗程）（N =？33）和等待名单中的对照组（N =？32）。 。此外，两组均接受了家庭姿势的人体工程学指导，以加强骨盆底。在T0（基线），T1（治疗结束）和T2（1个月后随访？=？）收集数据：通过MyotonPRO评估流变性的肌肉参数，以评估臀大肌。然后，为了测量骨盆底的一般残疾以及泌尿生殖系统问题对日常活动的影响，使用了骨盆底残疾指数（PFDI-20）和骨盆底影响问卷（PFIQ-7）。治疗前各组完全匹配（年龄分别为58.20±4.37和58.73±5.19）和BMI（26.15±2.22对25.85±2.11）。对于双向ANOVA分析，显示了除GMDR（组p值≥0.60）以外的各组之间以及组之间的臀肌变量的差异。双向方差分析显示PDFI-20和PFIQ-7的治疗效果和治疗时间具有统计学意义（p值<0.001）。据报道，在PDFI-20和PFIQ-7评分中，失禁症状和生活质量得到了改善，VISS可能会通过改善基础音调的正常化来促进锻炼的肌肉僵硬。我们的结果令人鼓舞，并建议使用局灶性机械振动作为治疗女性混合性尿失禁的新型工具，以完成和帮助康复治疗方案。

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