有或没有自我报告的压力性尿失禁妇女的盆底肌肉性能、髋关节活动度和髋关节力量

Erin H. Hartigan, J. McAuley, M. Lawrence, Carly A. Keafer, A. Ball, A. Michaud, M. DeSilva
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引用次数: 6

摘要

补充数字内容可在文本中获得。目的:描述盆底肌(PFM)功能、髋关节活动度和髋关节力量概况,并比较有和没有自我报告压力性尿失禁(SUI)的女性的测量结果。研究设计:描述性。背景:SUI女性伴有PFM和髋关节损伤;然而,缺乏无症状妇女的比较数据。方法与措施:招募有SUI (n = 21)或无SUI (n = 20)、月经规律的成年女性。测量PFM性能、被动髋关节活动范围角和髋关节最大等长自主收缩(Nm/kg) (Biodex)。各组间及腿间(显性[Dom]与非显性[Non-dom])值比较(显著性:P < 0.05)。结果:SUI患者年龄较大(P < 0.001),胎次较高,压痛点较多(Dom, P = 0.020),俯卧髋关节内旋(IR)角度较大(非Dom, P = 0.025), other试验柔顺度较小(非Dom, P = 0.013;Dom, P = 0.050),下坐位髋关节外旋力(Non-dom, P = 0.008;和下髋关节外展力(Non-dom和Dom, P < 0.001)。SUI组的腿部差异为俯卧髋关节IR角度(P = 0.033)、坐位髋关节IR力(P = 0.015)和俯卧髋关节ER力(P < 0.001)。无SUI女性的腿部差异为PFM功率(P = 0.005),俯卧髋关节角度(IR, P = 0.038;ER, P = 0.004)和俯卧位髋关节ER力(P < 0.001)。结论:两组间PFM功能无明显差异。更大的髋关节力量和活动能力以及独特的腿间差异可能提示无症状女性与SUI女性具有相似PFM功能的应对机制。研究PFM与髋关节轮廓和SUI严重程度之间的关系似乎是有必要的。我们在文章中加入了一个视频摘要,突出了有趣的发现(参见视频摘要,补充数字内容1,可在http://links.lww.com/JWHPT/A23获得)。
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Pelvic Floor Muscle Performance, Hip Mobility, and Hip Strength in Women With and Without Self-Reported Stress Urinary Incontinence
Supplemental Digital Content is Available in the Text. Objective: To describe pelvic floor muscle (PFM) function, hip mobility, and hip strength profiles and compare measures between women with and without self-reported stress urinary incontinence (SUI). Study Design: Descriptive. Background: Women with SUI present with PFM and hip impairments; yet comparative data in asymptomatic women are lacking. Methods and Measures: Adult women with (n = 21) or without (n = 20) SUI, with regular menses, were recruited. PFM performance, passive hip range-of-motion angles, and hip maximum isometric voluntary contractions (Nm/kg) (Biodex) were measured. Values were compared between groups and legs (dominant [Dom] and nondominant [Non-dom]) (significance: P < .05). Results: Women with SUI were older (P < .001), had higher parity, more tender points (Dom, P = .020), greater prone hip internal rotation (IR) angles (Non-dom, P = .025), lesser flexibility per Ober test (Non-dom, P = .013; Dom, P = .050), lower seated hip external rotation (ER) force (Non-dom, P = .008; Dom, P = .033), and lower hip abduction force (Non-dom and Dom, P < .001) than women without SUI. Leg differences for the SUI group were prone hip IR angles (P = .033), seated hip IR force (P = .015), and prone hip ER force (P < .001). Leg differences in women without SUI were PFM power (P = .005), prone hip angles (IR, P = .038; ER, P = .004), and prone hip ER force (P < .001). Conclusions: The lack of significant differences in PFM function between the 2 groups was unexpected. Greater hip strength and mobility along with unique between-leg differences may suggest a coping mechanism in asymptomatic women with similar PFM function as women with SUI. Investigating relationships among PFM and hip profiles and severity of SUI appears warranted. We have included a Video Abstract that highlights interesting findings in our article (see the Video Abstract, Supplemental Digital Content 1, available at: http://links.lww.com/JWHPT/A23)
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