A randomized controlled trial of pelvic floor muscle training for stages I and II pelvic organ prolapse

被引：82

作者：

Hagen, Suzanne ^{[1
]}

Stark, Diane ^{[2
]}

Glazener, Cathryn ^{[3
]}

Sinclair, Lesley ^{[1
]}

Ramsay, Ian ^{[4
]}

机构：

[1] Glasgow Caledonian Univ, Nursing Midwifery & Allied Hlth Profess Res Unit, Glasgow G4 0BA, Lanark, Scotland

[2] So Gen Hosp, Dept Obstet & Gynaecol, Glasgow G51 4TF, Lanark, Scotland

[3] Univ Aberdeen, Hlth Serv Res Unit, Aberdeen, Scotland

[4] Stirling Royal Infirm, Dept Obstet & Gynaecol, Stirling, Scotland

来源：

INTERNATIONAL UROGYNECOLOGY JOURNAL | 2009年 / 20卷 / 01期

关键词：

Pelvic floor muscle training; Pelvic organ prolapse; Physiotherapy; pilot study; POP-Q; RELIABILITY;

D O I：

10.1007/s00192-008-0726-4

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

Forty-seven women participated in a pilot study for a multi-centre randomized controlled trial of the effectiveness of pelvic floor muscle training (PFMT) for women with prolapse. Women with symptomatic stage I or II prolapse [ measured by Pelvic Organ Prolapse Quantification (POP-Q)] were randomized to a 16-week physiotherapy intervention (PFMT and lifestyle advice; n=23) or a control group receiving a lifestyle advice sheet (n=24). Symptom severity and quality of life were measured via postal questionnaires. Blinded POP-Q was performed at baseline and follow-up. Intervention women had significantly greater improvement than controls in prolapse symptoms (mean score decrease 3.5 versus 0.1, p=0.021), were significantly more likely to have an improved prolapse stage (45% versus 0%, p=0.038) and were significantly more likely to say their prolapse was better (63% versus 24%, p=0.012). The data support the feasibility of a substantive trial of PFMT for prolapse. A multi-centre trial is underway.

引用

页码：45 / 51

页数：7

共 18 条

[1] The International Consultation on Incontinence Modular Questionnaire: www.iciq.net [J].