Effect of Pelvic Floor Muscle Training on Neurogenic Detrusor Overactivity
10.3969/j.issn.1006-9771.2021.09.015
- VernacularTitle:盆底肌训练对神经源性逼尿肌过度活动的效果
- Author:
Liang LI
1
;
Li-min LIAO
1
;
Juan WU
1
;
Hua-fang JING
1
;
Yi GAO
1
;
Yue WANG
1
Author Information
1. Capital Medical University School of Rehabilitation Medicine, Beijing 100068, China
- Publication Type:Research Article
- Keywords:
spinal cord injury;
neurogenic bladder;
detrusor overactivity;
pelvic floor muscle training;
rehabilitation
- From:
Chinese Journal of Rehabilitation Theory and Practice
2021;27(9):1093-1097
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the effect of pelvic floor muscle training on detrusor overactivity in patients with spinal cord injury. Methods:From August, 2019 to August, 2020, 17 patients with incomplete spinal cord injury were randomly divided into control group (n = 8) and experimental group (n = 9). Both groups accepted tolterodine tartrate 4 mg a day orally for twelve weeks, while the experimental group accepted pelvic floor muscle training. They were measured urodynamic indexes, and assessed with Neurogenic Bladder Symptom Scale and Patient Perception of Bladder Condition before and after treatment. Results:All the urodynamic indexes and scores of the scales improved in both groups after treatment (t > 3.674, |Z| > 2.646, P < 0.05), while the indexes of maximum bladder volume, first contraction pressure volume of detrusor, leakage point pressure of detrusor, maximum contraction pressure of detrusor and neurogenic bladder symptom score improved more in the experimental group than in the control group (|t| > 2.194, P < 0.05). Conclusion:Pelvic floor muscle training based on medicine can release the detrusor overactivity in patients with spinal cord injury.
