Abstract：
OBJECTIVE: The aim of this study was to compare the effects of pelvic floor muscle training (PFMT) and modified pilates exercises (MPE) in elderly women with stress urinary incontinence (SUI).
METHODS: Both randomized groups [Group 1: PFMT (n = 17), Group 2: MPE (n = 17)] performed their exercises twice a week for 12 weeks. Incontinence Severity Index (ISI), Urogenital Distress Inventory-Short Form (UDI-6) and Incontinence Impact Questionnaire-Short Form (IIQ-7) were used to assess SUI frequency and level of exposure from symptoms, electromyography (EMG) device was used to assess PFM activation response and a stabilizer was used to assess transversus abdominis (TrA) muscle strength. The assessments were performed at baseline and at week 12.
RESULTS: While in-group assessment there were statistically significant differences in ISI, UDI-6, IIQ-7 in both groups at week 12 (p < 0.05); in the assessment between groups, there were statistically significant difference for EMG-work avarage (U = 60.00, P = 0.02), EMG-work peak (U = 62,50, P = 0.03) and EMG-rest peak (U = 61,50, P = 0.03) in favor of Group 1 and TrA muscle strength (U = 61.00, P = 0.02) in favor of Group 2 from baseline to week 12 (p < 0.05).
CONCLUSIONS: In summary, MPE can be considered alternative and safe exercise in clinic for elderly women with SUI who do not want to receive PFMT for various reasons.
METHODS: Both randomized groups [Group 1: PFMT (n = 17), Group 2: MPE (n = 17)] performed their exercises twice a week for 12 weeks. Incontinence Severity Index (ISI), Urogenital Distress Inventory-Short Form (UDI-6) and Incontinence Impact Questionnaire-Short Form (IIQ-7) were used to assess SUI frequency and level of exposure from symptoms, electromyography (EMG) device was used to assess PFM activation response and a stabilizer was used to assess transversus abdominis (TrA) muscle strength. The assessments were performed at baseline and at week 12.
RESULTS: While in-group assessment there were statistically significant differences in ISI, UDI-6, IIQ-7 in both groups at week 12 (p < 0.05); in the assessment between groups, there were statistically significant difference for EMG-work avarage (U = 60.00, P = 0.02), EMG-work peak (U = 62,50, P = 0.03) and EMG-rest peak (U = 61,50, P = 0.03) in favor of Group 1 and TrA muscle strength (U = 61.00, P = 0.02) in favor of Group 2 from baseline to week 12 (p < 0.05).
CONCLUSIONS: In summary, MPE can be considered alternative and safe exercise in clinic for elderly women with SUI who do not want to receive PFMT for various reasons.
摘要：
目的：这项研究的目的是比较盆底肌肉训练（PFMT）和改良普拉提运动（MPE）对老年女性压力性尿失禁（SUI）的影响。
方法：两个随机分组[第1组：PFMT（n=17），第2组：MPE（n=17）]每周进行两次锻炼，持续12周。失禁严重程度指数(ISI)使用泌尿生殖器窘迫量表（UDI-6）和失禁影响问卷（IIQ-7）来评估SUI频率和症状暴露水平。使用肌电图(EMG)装置评估PFM激活反应,并使用稳定剂评估腹横肌(TrA)肌力.在基线和第12周进行评估。
结果：虽然组内评估在ISI方面有统计学上的显著差异，在第12周，两组的UDI-6，IIQ-7（p<0.05）；在组间评估中，肌电图-工作无统计学差异(U=60.00,P=0.02),从基线到第12周，EMG工作峰（U=62,50，P=0.03）和EMG休息峰（U=61,50，P=0.03）有利于第1组，TrA肌肉力量（U=61.00，P=0.02）有利于第2组（p<0.05）。
结论：总之，对于由于各种原因不想接受PFMT的SUI老年妇女，MPE可以被认为是临床上的替代和安全运动。
方法：两个随机分组[第1组：PFMT（n=17），第2组：MPE（n=17）]每周进行两次锻炼，持续12周。失禁严重程度指数(ISI)使用泌尿生殖器窘迫量表（UDI-6）和失禁影响问卷（IIQ-7）来评估SUI频率和症状暴露水平。使用肌电图(EMG)装置评估PFM激活反应,并使用稳定剂评估腹横肌(TrA)肌力.在基线和第12周进行评估。
结果：虽然组内评估在ISI方面有统计学上的显著差异，在第12周，两组的UDI-6，IIQ-7（p<0.05）；在组间评估中，肌电图-工作无统计学差异(U=60.00,P=0.02),从基线到第12周，EMG工作峰（U=62,50，P=0.03）和EMG休息峰（U=61,50，P=0.03）有利于第1组，TrA肌肉力量（U=61.00，P=0.02）有利于第2组（p<0.05）。
结论：总之，对于由于各种原因不想接受PFMT的SUI老年妇女，MPE可以被认为是临床上的替代和安全运动。
