Beckenbodenschulung bei Descensus und Harninkontinenz der Frau
| Autor: | B. Naujoks, A. Fischer, G. Hoffmann |
|---|---|
| Rok vydání: | 1998 |
| Předmět: |
medicine.medical_specialty
Stress incontinence Pelvic floor business.industry medicine.medical_treatment Obstetrics and Gynecology Urinary incontinence medicine.disease Surgery Exercise programme body regions Group psychotherapy medicine.anatomical_structure Maternity and Midwifery Physical therapy Medicine Childbirth Pelvic floor muscle contraction medicine.symptom business |
| Zdroj: | Geburtshilfe und Frauenheilkunde. 58:58-62 |
| ISSN: | 1438-8804 0016-5751 |
| DOI: | 10.1055/s-2007-1022122 |
| Popis: | Purpose: The human pelvic floor is subject to considerable strain due to upright walking, and especially so the female pelvic floor. Physiological everyday demands made on women are enhanced by additional extreme burdens such as pregnancy and childbirth. Inappropriate postures when lifting and carrying loads or during standing and walking may often result in premature weakening or insufficiency of the pelvic floor, leading to descensus or urinary incontinence. Traditional exercise-oriented physiotherapy that has no association with everyday demands does not lead to the desired success, and hence therapy is often abandoned. We investigated the results attainable by a physiotherapy concept orientated on everyday pelvic floor stress under the aspect of effectiveness and compliance. Methods and Materlals: The participants of group therapy were questioned in an interview about their symptoms, motivations and qualities like effectiveness, regularity of practice and practicability of the exercises taught at the beginning and end of each course and one year after having finished it. Results: Levels of acceptance and regularity of practise lie distinctly above those expected from data from of earlier experiences made by the patients. It is much easier to alleviate uriesiesthesis than stress incontinence, which needs approximately 3-4 months to get better. Results comparing the effects of daily exercising and those obtained by practising every two days are comparable. Conclusions: Acquisition of a conduct in everyday achtivities that is friendly to the pelvic floor, and realising a varied exercise programme, with ensure good compliance and long-term application of the programme with high effectivity. This kind of pelvic floor education is superior to simple pelvic floor muscle contraction exercises taught by numerous physiotherapists. It should be more widely accepted. Hence it follows that a good co-operation between the (uro-)gynaecologist and physiotherapist is of great importance to ensure an effective pelvic floor education. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|