Abstract：
BACKGROUND: In a previous article, we have underlined the emerging level of evidence for the effectiveness of a more comprehensive functional physical therapy than solely pelvic floor muscles training (PFMT) for men after radical prostatectomy (RP). More and more authors suggest that physiotherapy programs should not focus only on the side effect of continence, but more generally on the interaction of continence disorders with all other side effects related to patient\'s physical and emotional functioning.
OBJECTIVE: The aims of this narrative review are to highlight rehabilitation approaches unrelated to analytical PFMT that would seem relevant to consider in the future for post-RP men.
METHODS: Our narrative review sought to map the body of literature relevant to the primary objective (non-PFMT), supplementing the data from our previous review with additional recent articles that were not eligible due to not meeting the inclusion criteria for a systematic review.
RESULTS: After full text screening, 13 interventional studies have been selected. Intervention strategies were based on five major type of exercises: flexibility, synergism & co-activation, coordination & movement control, strength & endurance, aerobic & games therapy. Most of the studies of this narrative review focused on synergies, co-activations and movement control techniques that emphasized the deep abdominal muscles and PFMs reflexive activation. The wide variety of countries represented in the 13 studies with consistent results point to the potential effectiveness and replicability across various socio-cultural, ethnical, or religious contexts.
CONCLUSIONS: We found 13 studies from 9 different countries that provide a more complete rehabilitation approach than PFMT alone in men post-RP. Intervention strategies were built around five main types of exercises, with the majority of them emphasizing synergies, co-activations, and movement control techniques. In light of these data, we hope that future research will enable us to offer the most relevant and patient-centered physiotherapy treatment.
OBJECTIVE: The aims of this narrative review are to highlight rehabilitation approaches unrelated to analytical PFMT that would seem relevant to consider in the future for post-RP men.
METHODS: Our narrative review sought to map the body of literature relevant to the primary objective (non-PFMT), supplementing the data from our previous review with additional recent articles that were not eligible due to not meeting the inclusion criteria for a systematic review.
RESULTS: After full text screening, 13 interventional studies have been selected. Intervention strategies were based on five major type of exercises: flexibility, synergism & co-activation, coordination & movement control, strength & endurance, aerobic & games therapy. Most of the studies of this narrative review focused on synergies, co-activations and movement control techniques that emphasized the deep abdominal muscles and PFMs reflexive activation. The wide variety of countries represented in the 13 studies with consistent results point to the potential effectiveness and replicability across various socio-cultural, ethnical, or religious contexts.
CONCLUSIONS: We found 13 studies from 9 different countries that provide a more complete rehabilitation approach than PFMT alone in men post-RP. Intervention strategies were built around five main types of exercises, with the majority of them emphasizing synergies, co-activations, and movement control techniques. In light of these data, we hope that future research will enable us to offer the most relevant and patient-centered physiotherapy treatment.
摘要：
背景：在上一篇文章中，我们强调,对于前列腺癌根治术(RP)后的男性,采用比单纯盆底肌肉训练(PFMT)更全面的功能性物理治疗的有效性的新证据水平.越来越多的作者建议，物理治疗计划不应该只关注节制的副作用，但更普遍的是，节制障碍与患者身体和情绪功能相关的所有其他副作用的相互作用。
目的：这篇叙述性综述的目的是强调与分析性PFMT无关的康复方法，这些方法似乎适用于RP后男性。
方法：我们的叙述性综述试图绘制与主要目标（非PFMT）相关的文献，补充我们以前的综述数据,补充近期因不符合系统综述纳入标准而不符合条件的文章.
结果：经过全文筛选，已选择了13项介入研究。干预策略基于五种主要类型的练习：灵活性，协同和共激活，协调和运动控制，力量和耐力，有氧和游戏疗法。这种叙事回顾的大多数研究都集中在协同作用上，共同激活和运动控制技术，强调深腹肌和PFMs的反射激活。13项研究中代表的国家种类繁多，结果一致，指出了各种社会文化的潜在有效性和可复制性，种族,或宗教背景。
结论：我们发现来自9个不同国家的13项研究在RP后男性中提供了比单独PFMT更完整的康复方法。干预策略是围绕五种主要类型的练习建立的，其中大多数强调协同作用，共同激活，和运动控制技术。根据这些数据,我们希望未来的研究将使我们能够提供最相关和以患者为中心的物理治疗。
目的：这篇叙述性综述的目的是强调与分析性PFMT无关的康复方法，这些方法似乎适用于RP后男性。
方法：我们的叙述性综述试图绘制与主要目标（非PFMT）相关的文献，补充我们以前的综述数据,补充近期因不符合系统综述纳入标准而不符合条件的文章.
结果：经过全文筛选，已选择了13项介入研究。干预策略基于五种主要类型的练习：灵活性，协同和共激活，协调和运动控制，力量和耐力，有氧和游戏疗法。这种叙事回顾的大多数研究都集中在协同作用上，共同激活和运动控制技术，强调深腹肌和PFMs的反射激活。13项研究中代表的国家种类繁多，结果一致，指出了各种社会文化的潜在有效性和可复制性，种族,或宗教背景。
结论：我们发现来自9个不同国家的13项研究在RP后男性中提供了比单独PFMT更完整的康复方法。干预策略是围绕五种主要类型的练习建立的，其中大多数强调协同作用，共同激活，和运动控制技术。根据这些数据,我们希望未来的研究将使我们能够提供最相关和以患者为中心的物理治疗。
