تأثیر خستگی عضلات کف لگن بر بیاختیاری ادرار استرسی: یک مرور سیستماتیک

نوع مقاله : مروری

نویسندگان

1 استادیار گروه زنان و مامایی، دانشکده پزشکی، دانشگاه علوم پزشکی گیلان، رشت، ایران.

2 استادیار گروه بیماری‌های داخلی، دانشکده پزشکی، دانشگاه علوم پزشکی مشهد، مشهد، ایران.

3 استادیار گروه زنان و مامایی، مرکز تحقیقات سرطان، دانشگاه علوم پزشکی گلستان، گرگان، ایران.

4 متخصص زنان و زایمان، بیمارستان چمران ساوه، ساوه، ایران.

چکیده

مقدمه: با توجه به کمبود مطالعات سیستماتیک که بتوانند اطلاعات جدید در زمینه ارتباط خستگی عضلات کف لگن با بی­اختیاری ادراری استرسی را بدنه دانش موجود بیافزایند، این مطالعه سیستماتیک با هدف بررسی تأثیر خستگی عضلات کف لگن بر بی­اختیاری ادرار استرسی انجام شد. نتایج این مطالعه برای برنامه‌ریزی استراتژی­های پیشگیری و درمان بی­اختیاری ادراری استرسی مبتنی بر شواهد مفید خواهد بود.
روشکار: در این مطالعه مرور سیستماتیک که بر اساس بیانیه PRIZMA انجام شد، مطالعات مشاهده‌ای و کارآزمایی بالینی چاپ شده در پایگاه­های اطلاعاتی PubMed، Scopus، EMBASE، PEDro، LILACS، SciELO، Cochrane Library، Google Scholar، CINAHL، SID و Iran Doc تا سال 2020 مورد ارزیابی قرار گرفتند. مقالات با کیفیت خوب (کسب نمره 70 به بالا) بر اساس مقیاس داونز و بلک وارد این مطالعه شدند.
یافته‌ها: در جستجوی اولیه 2301 مقاله یافت شد و در مراحل بعدی 2296 مقاله حذف شدند و 5 مقاله وارد این بررسی سیستماتیک شدند. نتایج یک مطالعه ارتباطی بین خستگی عضلانی و بی­اختیاری ادراری استرسی را نشان نداد و 3 مطالعه نیز ارتباط قوی بین خستگی عضلانی و بی­اختیاری ادراری استرسی نشان دادند. یک مطالعه نیز نشان داد که خستگی عضلات کف لگن نمی‌تواند موجب بی­اختیاری ادراری استرسی شود.
نتیجهگیری: خستگی عضلات کف لگن می­تواند بر پیشرفت و یا بدتر شدن بی­اختیاری ادراری استرسی تأثیر بگذارد؛ با این‌حال، به‌دلیل کمبود تعداد مطالعات و ناهمگنی مطالعات در این زمینه، نتیجه‌گیری باید با احتیاط مورد استفاده قرار گیرد.

کلیدواژه‌ها


عنوان مقاله [English]

The effect of pelvic floor muscle fatigue on stress urinary incontinence: A systematic review

نویسندگان [English]

  • Misa Naghdipour 1
  • Farnoosh Ebrahimzadeh 2
  • Malihe Azadehrah 3
  • Aynaz Boostan 4
1 Assistant Professor, Department of Obstetrics and Gynecology, Faculty of Medicine, Guilan University of Medical Sciences, Rasht, Iran.
2 Assistant professor, Department of Internal Diseases, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
3 Assistant Professor, Department of Obstetrics and Gynecology, Cancer Research Center, Golestan University of Medical Sciences, Gorgan, Iran.
4 Gynecologist, Saveh Chamran Hospital, Saveh, Iran.
چکیده [English]

Introduction: Due to the lack of systematic studies which can add new information on the relationship between pelvic floor muscle fatigue and stress urinary incontinence, this systematic study was performed with aim to investigate the effect of pelvic floor muscle fatigue on stress urinary incontinence. The results of this study will be useful for planning strategies for the prevention and treatment of evidence-based stress urinary incontinence.
Methods: In this systematic review study which was performed based on the PRIZMA statement, the observational and clinical trial studies published in PubMed, Scopus, EMBASE, PEDro, LILACS, SciELO, Cochrane Library, Google Scholar databases. CINAHL, SID and Iran Doc published until 2020 were evaluated. Good quality articles (scoring≥ 70) based on the Downs and Black scale were included in this study.
Results: In the initial search, 2301 articles were found and in the later stages, 2296 articles were deleted and 5 articles were included in this systematic review. The results of one study did not show an association between muscle fatigue and stress urinary incontinence, and three articles showed a strong association between muscle fatigue and stress urinary incontinence. One article also showed that pelvic floor muscle fatigue cannot cause stress urinary incontinence.
Conclusion: Pelvic floor muscle fatigue can affect the progression or worsening of stress urinary incontinence; however, due to the lack of number of studies and the heterogeneity of studies in this field, conclusions should be used with caution.

کلیدواژه‌ها [English]

  • Pelvic Floor muscles
  • Physical Activity
  • Stress Urinary Incontinence
  • Systematic
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