Therapeutic effect of rehabilitation physiotherapy measures on urine leakage in middle-aged and elderly women
Objective:To explore the efficacy of rehabilitation physiotherapy measures on urine leakage in middle-aged and elder-ly women.Methods:Seventy cases of middle-aged and elderly women with urine leakage admitted to our hospital between No-vember 2019 and January 2023 were taken as objects for the study.The patients were grouped according to the random number table method.Among them,35 cases in the control group received conventional pelvic floor rehabilitation training.In the ob-servation group,35 cases received conventional pelvic floor rehabilitation training,while 35 cases in the observation group were treated with additional rehabilitation and physical therapy measures on the basis of conventional pelvic floor rehabilitation train-ing.The two groups were compared in terms of pelvic floor muscle strength[muscle strength of class I muscle fibers,muscle strength of class Ⅱ muscle fibers],muscle potential,urodynamic parameters[abdominal leakage point pressure(ALPP),func-tional urethral length(SFL),maximal urethral pressure(MUP),maximal urethral closure pressure(MUCP)],and quality of life(self-distress score,psychosocial impact score,avoidance and behavioral restriction score).Results:Before intervention,the levels of class I muscle fiber muscle strength,class Ⅱ muscle fiber muscle strength,and muscle potential indexes were com-pared between the two groups,and the difference was not statistically significant(P＞0.05);after intervention,the levels of the above indexes were significantly higher in both groups,but the observation group was significantly higher than the control group,and the difference was statistically significant(P＜0.05).Before intervention,the levels of ALPP,SFL,MUP,MUCP indicators in the two groups were compared,and the difference was not statistically significant(P＞0.05);after inter-vention,the levels of the above indicators in the two groups were significantly higher,but the observation group was signifi-cantly higher than the control group,and the difference was statistically significant(P＜0.05).Before the intervention,there was no statistically significant difference in the scores of self-trouble,psychosocial influence,avoidance and behavioral restric-tion between the two groups(P＞0.05);after the intervention,the levels of the above scores were significantly higher in both groups,but the observation group was significantly higher than the control group,and the difference was statistically signifi-cant(P＜0.05).Conclusion:Rehabilitation physiotherapy measures can improve the pelvic floor muscle strength as well as muscle potentials in middle-aged and elderly women with urine leakage,improve urodynamic parameters,and improve the qual-ity of life.
Rehabilitation physical therapymiddle-aged and elderly womenurine leakage
万方数据
维普
