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Vaginal weights for pelvic floor training: A multiple participant case report

机译：盆底训练的阴道重量：多人病例报告

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摘要

Activity-related incontinence is a problem for women, many with limited access to specialty clinics and practitioners. Incontinence inhibits participation in health-promoting levels of physical activity. Vaginal weights are a treatment option available without a prescription for home use that may help some of these women. This multiple baseline across-participant case study investigated the use of weights in a 'hands-off' pelvic floor exercise program for pre-menopausal women. Three of four participants improved, but did not cure, their incontinence with use of the weights. A fourth participant was unable to successfully use the weights. Referral to a women's health physical therapist was suggested for her. Poor adherence was noted at follow-up in two of three participants, with the one who maintained practice demonstrating continued improvement and increased physical activity. Weights provide a low-cost exercise adjunct to women interested in a flexible and independent incontinence management program. For continued improvement, behavioral factors promoting adherence should also be addressed. Weights are one of the options for women wanting a low-cost solution for activity-related urinary leakage. Problems using the weights or failure to benefit from their use may be indicators of a need for more advanced evaluation by women's health specialists.
机译：与活动有关的大小便失禁对于妇女来说是一个问题，许多妇女在专科诊所和从业人员的通路有限。失禁会抑制参与促进健康的身体活动。阴道负重是一种治疗选择，不带家庭处方，可能会对某些女性有用。这项跨基线的多参与者案例研究调查了绝经前女性在“放手”盆底自由运动程序中体重的使用。四名参与者中的三名通过使用重物改善了尿失禁，但未能治愈。第四位参与者无法成功使用权重。建议为她推荐一名妇女保健理疗师。在随访中，有三分之二的参与者发现依从性差，其中一名坚持练习表明其持续改善并增加了体育锻炼。举重为那些对灵活独立的失禁管理计划感兴趣的女性提供了一种低成本的锻炼手段。为了持续改善，还应解决促进依从性的行为因素。对于希望以低成本解决与活动有关的尿漏的解决方案的妇女，权重是一种选择。使用权重的问题或无法使用权​​重可能是女性卫生专家需要进行更高级评估的指标。

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