关键词: electrophysical agents multiple sclerosis neurogenic bladder pelvic floor physical therapy rehabilitation spinal cord injury stroke

Mesh : Humans Urinary Bladder, Neurogenic / rehabilitation etiology Quality of Life Spinal Cord Injuries / complications rehabilitation Multiple Sclerosis / complications rehabilitation Electric Stimulation Therapy / methods Treatment Outcome Female

来  源:   DOI:10.3390/medicina60071152   PDF(Pubmed)

Abstract:
Considerable research efforts have been directed towards investigating neurogenic bladder dysfunction over the preceding decade. This condition stands as the most prevalent and incapacitating pelvic floor disorder amidst patients afflicted with specific upper motor neuron syndromes, including multiple sclerosis, stroke, and spinal cord injury. The current study aims to bring up-to-date findings on rehabilitation methods for treating neurogenic bladder. The Web of Science database (MEDLINE, PsychINFO, EMBASE, CENTRAL, ISRCTN, and ICTRP) was screened for randomized controlled studies and clinical studies using combinations of keywords including \"neurogenic bladder\", \"stroke\", \"multiple sclerosis\", and \"spinal cord injury\". The PEDro scale was used to assess the quality of the articles included in this study. After a thorough examination, eleven articles met the criteria for inclusion in our research. The outcome measures showed a variety of forms of electrostimulation that can be combined with or without PFMT. These interventions significantly enhance health-related quality of life, as evidenced by various assessment methods. The physical approach constitutes an effective therapeutic method that can reduce the severity of urinary incontinence.
摘要:
在过去的十年中,已经进行了大量的研究工作来研究神经源性膀胱功能障碍。在患有特定的上运动神经元综合征的患者中,这种情况是最普遍和最无能力的盆底疾病。包括多发性硬化症,中风,和脊髓损伤。本研究旨在提供有关治疗神经源性膀胱的康复方法的最新发现。WebofScience数据库(MEDLINE,心理信息,EMBASE,中部,ISRCTN,和ICTRP)使用关键词组合筛选随机对照研究和临床研究,包括“神经源性膀胱”,\"stroke\",“多发性硬化症”,和“脊髓损伤”。使用PEDro量表评估本研究纳入的文章的质量。经过彻底检查,11篇文章符合纳入我们研究的标准.结果测量显示了可以与或不与PFMT组合的多种形式的电刺激。这些干预措施显著提高了健康相关的生活质量,各种评估方法证明了这一点。物理方法构成了一种有效的治疗方法,可以减轻尿失禁的严重程度。
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