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Review Article

Pelvic floor muscle exercise and training for coping with urinary incontinence

원문정보

Sung Tae Cho, Khae Hawn Kim

한국운동재활학회 JER Vol.17 No.6 2021.12 pp.379-387
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초록

영어

The pelvic floor consists of levator ani muscles including puborectalis, pubococcygeus and iliococcygeus muscles, and coccygeus muscles. Pelvic floor muscle exercise (PFME) is defined as exercise to improve pelvic floor muscle strength, power, endurance, relaxation, or a combi-nation of these parameters. PFME strengthens the pelvic floor muscles to provide urethral support to prevent urine leakage and suppress ur-gency. This exercise has been recommended for urinary incontinence since first described by Kegel. When treating urinary incontinence, par-ticularly stress urinary incontinence, PFME has been recommended as first-line treatment. This article provides clinical application of PFME as a behavioral therapy for urinary incontinence. Clinicians and physical therapist should understand pelvic floor muscle anatomy, evaluation, regimen, and instruct patients how to train the muscles properly.

목차

Abstract
INTRODUCTION
ANATOMY OF PELVIC FLOOR MUSCLES
EVALUATIONS OF PELVIC FLOOR MUSCLES
INSTRUCTIONS OF PELVIC FLOOR MUSCLES EXERCISE
SUPPLEMENTAL THERAPIES FOR PELVIC FLOOR MUSCLES EXERCISE
Supervised PFME
Vaginal cones
Biofeedback
Electrical stimulation
Mobile applications
REGIMENS OF PELVIC FLOOR MUSCLES EXERCISE
PREVENTING STRESS URINARY INCONTINENCE
PELVIC FLOOR MUSCLES EXERCISE FOR MEN
PELVIC FLOOR MUSCLES EXERCISE IN FRAIL OR COGNITIVE IMPAIRMENT OLD PEOPLE
CLINICAL TRIALS OF PFME
EVIDENCE FOR PFME
CONCLUSIONS
CONFLICT OF INTEREST
ACKNOWLEDGMENTS
REFERENCES

저자정보

  • Sung Tae Cho Department of Urology, Hallym University Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea
  • Khae Hawn Kim Department of Urology, Chungnam National University Sejong Hospital, Chungnam National University School of Medicine, Sejong, Korea

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