骨科手法和运动对骨盆底肌电活动影响的比较:一项随机对照试验

Journal of chiropractic medicine Pub Date : 2022-06-01 DOI:10.1016/j.jcm.2022.02.005

Giselle Notini Arcanjo PhD , Juliana Lerche Vieira Rocha Pires MSc , Maria Edna Mateus Jacinto PT , Josué Magalhães Colares PT , Lurdyanne Maria Cavalcante Belo PT , Pedro Olavo de Paula Lima PhD , José Vilaça-Alves PhD

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引用次数: 0

摘要

目的本临床试验的目的是比较4种不同的干预措施对女性压力性尿失禁(UI)盆底肌电图活动的影响。方法51例应激性尿失忆症女性随机分为4组:采用整体整骨疗法(肌筋膜、内脏和关节技术);1 .骶髂关节及T10-L2的高速、低振幅/推力手法;盆底肌肉的训练;没有干预(控制)。在5个不同时间(基线、手术后立即、30分钟、1小时和干预后4周)评估盆底肌的肌电活动。结果40名女性完成了这项研究。在分析的任何组中，对任何类型的肌纤维的肌电活动都没有立即或后期的影响。结论应激性尿失禁症状女性的肌电图在两组间无显著差异。

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Comparison of the Effect of Osteopathic Manipulations and Exercises on the Myoelectric Activity of the Pelvic Floor: A Randomized Controlled Trial

Objective

The purpose of this clinical trial was to compare the effects of 4 different interventions on electromyographic activity of the pelvic floor muscles in women with stress urinary incontinence (UI).

Methods

Fifty-one women with stress UI were randomized into 4 groups: a global osteopathic protocol (myofascial, visceral, and articular techniques); 1 manipulation technique (high-velocity, low-amplitude/thrust) of the sacroiliac joint and T10-L2; training of the pelvic floor muscles; and no intervention (control). Electromyographic activity of the pelvic floor muscles was evaluated at 5 different times (baseline, immediately after the procedure, 30 minutes, 1 hour, and 4 weeks after intervention).

Results

Forty women completed the study. There were no immediate or late effects on the myoelectric activity of any type of muscle fiber in any of the groups analyzed.