Asemptomatı?k kadınlarda pelvı?k taban kas fonksı?yonuna farklı kontraksı?yon yöntemlerı?nı?n etkı?si
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Dosyalar
Tarih
2021
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Turkey Association Physiotherapists
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Bu çalışma, asemptomatik kadınlarda farklı kontraksiyon yöntemlerinin pelvik taban kas
fonksiyonu üzerine etkisini transabdominal ultrasonografi ile değerlendirmeyi amaçladı.
Yöntem: Araştırmaya asemptomatik olduğu Global Pelvik Taban Rahatsızlık Anketi ile belirlenen ve
gönüllü olan 120 kadın dahil edildi. Kadınların fiziksel ve sosyodemografik özellikleri kaydedildikten
sonra fizyoterapist tarafından bir saatlik eğitim verildi. Bu eğitimde dört farklı kontraksiyon
yöntemi (pelvik taban kas kontraksiyonu, Hollowing in manevrası, korseleme manevrası,
anal kontraksiyon) teorik ve pratik olarak öğretildi. Kadınların pelvik taban kas fonksiyonu
transabdominal ultrasonografi altında değerlendirildi. Ölçümler her bir kontraksiyon için üç kez
tekrarlandı ve üç ölçümün ortalaması analize alındı. Kontraksiyonların sıralaması rastgele yöntemle
belirlendi. Kontraksiyon tipine göre pelvik taban kas fonksiyonu Tekrarlı Ölçümlerde Varyans Analizi
testiyle karşılaştırıldı.
Sonuçlar: Kadınların kontraksiyon tipine göre pelvik taban kas fonksiyonu karşılaştırıldığında
anlamlı fark olduğu bulundu (p=0,001). Bu test sonuçlarına göre pelvik taban kas fonksiyonunun
korseleme manevrasında en yüksek olduğu, bunu sırasıyla Hollowing in manevrası, pelvik taban kas
kontraksiyonu ve anal kontraksiyonun takip ettiği saptandı.
Tartışma: Kadınların pelvik taban kas fonksiyonunun korseleme manevrasında en yüksek, anal
kontraksiyon tipinde ise en düşük olduğu bulundu. Pelvik taban kas eğitimi verilirken korseleme
manevrasını içeren egzersizlerin öğretilmesinin pelvik taban kas fonksiyonunu artırmada daha etkili
olabileceği düşüncesindeyiz.
Purpose: This study aimed to evaluate pelvic floor muscle function in different contractions methods at asymptomatic women with transabdominal ultrasonography. Methods: The study included 120 women who were asymptomatic according to the Global Pelvic Floor Bother Questionnaire and volunteered. After recording the physical and sociodemographic characteristics of women were given one-hour training by a physiotherapist. In this training, four different contraction methods (pelvic floor muscle contraction, Hollowing in maneuver, bracing maneuver, anal contraction) were taught theoretically and practically. Pelvic floor muscle function was evaluated under transabdominal ultrasonography. Measurements were repeated three times for each contraction, and the mean of three measurements was taken for analysis. The sequencing of the contractions was determined by random method. According to women's contraction method, pelvic floor muscle function was compared with the Analysis of Variance test in Repeated Measures. Results: According to women's contraction method, pelvic floor muscle function was significantly different (p=0.001). In light of these test results, the pelvic floor muscle function was the highest in the bracing maneuver. It was determined that this was followed by Hollowing in maneuver, pelvic floor muscle contraction and anal contraction, respectively. Conclusion: The women's pelvic floor muscle function was found to be highest in the bracing maneuver and the lowest in the anal contraction type. We consider that the exercises given with bracing maneuver during the pelvic floor muscle training is more effective in increasing the pelvic floor muscle function.
Purpose: This study aimed to evaluate pelvic floor muscle function in different contractions methods at asymptomatic women with transabdominal ultrasonography. Methods: The study included 120 women who were asymptomatic according to the Global Pelvic Floor Bother Questionnaire and volunteered. After recording the physical and sociodemographic characteristics of women were given one-hour training by a physiotherapist. In this training, four different contraction methods (pelvic floor muscle contraction, Hollowing in maneuver, bracing maneuver, anal contraction) were taught theoretically and practically. Pelvic floor muscle function was evaluated under transabdominal ultrasonography. Measurements were repeated three times for each contraction, and the mean of three measurements was taken for analysis. The sequencing of the contractions was determined by random method. According to women's contraction method, pelvic floor muscle function was compared with the Analysis of Variance test in Repeated Measures. Results: According to women's contraction method, pelvic floor muscle function was significantly different (p=0.001). In light of these test results, the pelvic floor muscle function was the highest in the bracing maneuver. It was determined that this was followed by Hollowing in maneuver, pelvic floor muscle contraction and anal contraction, respectively. Conclusion: The women's pelvic floor muscle function was found to be highest in the bracing maneuver and the lowest in the anal contraction type. We consider that the exercises given with bracing maneuver during the pelvic floor muscle training is more effective in increasing the pelvic floor muscle function.
Açıklama
Anahtar Kelimeler
Anal, Hollowing In, Korseleme, Hollowing In, Bracing, Pelvic Floor
Kaynak
Turkish Journal of Physiotherapy Rehabilitation-Türk Fizyoterapi ve Rehabilitasyon Dergisi
WoS Q Değeri
N/A
Scopus Q Değeri
Q4
Cilt
32
Sayı
2
Künye
Ünlü, İ. E., Özengin, N., Serindag, S., Bakar, Y., Ankarali, H., & Topcuoğlu, A. (2021). Effects of different contraction methods on pelvic floor muscle function in asymptomatic women. Turkish Journal Of Physiotherapy Rehabilitation-Turk Fizyoterapi Ve Rehabilitasyon Dergisi.
