A Randomized Control Trial Comparing Common Errors Made by Women During Three Different Methods of Pelvic Floor Muscle Contraction Training: By Verbal Education vs. Vaginal PalpationTraining vs. Perineometer Training.

IF 2.4 4区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Duygu Sultan Öge, Fatma Kılıç Hamzaoğlu, Hanife Doğan, Türkan Akbayrak
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Abstract

Background and Objectives: The aim of this study was to compare the effects of pelvic floor muscle contraction training (PFMCT) using verbal education, digital vaginal palpation (DVP), or perineometer on the common errors made during pelvic floor muscle contraction (PFMC) in women. Materials and Methods: A total of 48 women participated, and they were randomly assigned to three groups (Group I: PFMCT with verbal education, n = 16; Group II: PFMCT with DVP, n = 16; and Group III: PFMCT with perineometer, n = 16). Participants who had not previously received PFMCT were evaluated for pelvic floor muscle strength using the Modified Oxford Scale (MOS), and pelvic floor muscle activation was assessed with electromyographic biofeedback (EMG-BF). Possible errors during pelvic floor muscle contraction (gluteal, adductor and/or abdominal muscle contractions, stop breathing (breath holding), enhanced inhaling, and straining) were evaluated through inspection, palpation, or EMG-BF. After pre-training evaluations, all participants received training on pelvic floor. After this general training, each group received PFMCT using the specific training method for their group. After the training, the same evaluations were repeated. The sessions were conducted one-on-one and lasted for an average of one hour. Results: After the training, MOS values increased in Group II and Group III, while EMG-BF values only increased in Group II (p < 0.05). The number of incorrect movements during PFMC decreased after the training in all three groups (p < 0.05). The abdominal muscle contraction value monitored by EMG-BF only decreased in Group II (p < 0.05). Conclusions: Our study demonstrated that the PFMCT applied using the DVP method was more effective in creating more accurate and stronger muscle contractions and reducing common errors when compared to pre- and post-training values. Significant differences were observed between the groups in terms of performance improvements, with Group II showing the most notable progress. These results support the potential for DVP to yield better outcomes when used in PFMT.

一项比较女性在三种不同的骨盆底肌肉收缩训练方法中常见错误的随机对照试验:口头教育、阴道触诊训练、会阴计训练。
背景和目的:本研究的目的是比较盆底肌肉收缩训练(PFMCT)使用口头教育、阴道数字触诊(DVP)或会阴计对女性盆底肌肉收缩(PFMC)过程中常见错误的影响。材料与方法:48名女性参与,随机分为三组(第一组:PFMCT +语言教育,n = 16;第二组:PFMCT合并DVP, n = 16;第三组:PFMCT伴会阴计,n = 16)。先前未接受PFMCT的参与者使用改良牛津量表(MOS)评估盆底肌力量,并使用肌电生物反馈(EMG-BF)评估盆底肌激活。盆底肌收缩时可能出现的错误(臀肌、内收肌和/或腹肌收缩、呼吸停止(屏气)、吸气增强和紧张)通过检查、触诊或肌电- bf来评估。训练前评估后,所有参与者接受盆底训练。一般训练结束后,每一组接受PFMCT训练,并采用本组特定的训练方法。训练结束后,重复同样的评估。这些课程是一对一进行的,平均持续一个小时。结果:训练后,II组和III组的MOS值升高,而II组的肌电- bf值仅升高(p < 0.05)。三组在PFMC过程中的错误动作次数均在训练后减少(p < 0.05)。肌电- bf监测的腹肌收缩值仅在II组降低(p < 0.05)。结论:我们的研究表明,与训练前和训练后相比,使用DVP方法的PFMCT在产生更准确、更强的肌肉收缩和减少常见错误方面更有效。在表现改善方面,两组之间存在显著差异,其中第二组的进步最为显著。这些结果支持在PFMT中使用DVP可能产生更好的结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Medicina-Lithuania
Medicina-Lithuania 医学-医学:内科
CiteScore
3.30
自引率
3.80%
发文量
1578
审稿时长
25.04 days
期刊介绍: The journal’s main focus is on reviews as well as clinical and experimental investigations. The journal aims to advance knowledge related to problems in medicine in developing countries as well as developed economies, to disseminate research on global health, and to promote and foster prevention and treatment of diseases worldwide. MEDICINA publications cater to clinicians, diagnosticians and researchers, and serve as a forum to discuss the current status of health-related matters and their impact on a global and local scale.
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