تأثیر تمرینات کگل بر درد، بی‌اختیاری ادرار و قدرت عضلات کف لگن زنان مبتلا به بی‌اختیاری استرسی ادرار و کمردرد

نوع مقاله : اصیل پژوهشی

نویسندگان

1 کارشناس ارشد آسیب‌شناسی ورزشی و حرکات اصلاحی، دانشکده تربیت بدنی و علوم ورزشی، دانشگاه آزاد اسلامی واحد کرج، کرج، ایران.

2 دانشیار گروه بیومکانیک و آسیب‌شناسی ورزشی، دانشکده تربیت بدنی و علوم ورزشی، دانشگاه خوارزمی، تهران، ایران.

3 استادیار گروه آسیب‌شناسی ورزشی و حرکات اصلاحی، دانشکده تربیت بدنی و علوم ورزشی، دانشگاه آزاد اسلامی، کرج، ایران.

چکیده

مقدمه: بی‌اختیاری استرسی ادرار یک مشکل شایع در بین افراد بزرگسال جامعه است و اغلب در زنان مشاهده می­شود. با افزایش سن، تعداد حاملگی و افزایش شاخص توده بدنی، احتمال ابتلاء بیشتر می­شود. در این بین تمرین درمانی نقش مهمی در بهبود بی‌اختیاری استرسی ادرار ایفا می­کند، لذا مطالعه حاضر با هدف بررسی تأثیر تمرینات کگل بر درد، بی‌اختیاری ادرار و قدرت عضلات کف لگن زنان مبتلا به بی‌اختیاری استرسی ادرار و کمردرد انجام شد.
روش‌کار: این مطالعه نیمه‌تجربی در سال 1399 بر روی 30 نفر از زنان مبتلا به بی‌اختیاری استرسی ادرار و کمردرد با دامنه سنی 50-35 سال انجام شد. افراد در دو گروه مساوی 15 نفره تجربی و کنترل قرار گرفتند. به‌منظور ارزیابی درد، بی‌اختیاری ادرار، فرم تشخیص بی‌اختیاری ادرار و قدرت عضلات کف لگن به‌ترتیب از مقیاس بصری درد و فرم آکسفورد استفاده شد. گروه تجربی به‌مدت 8 هفته تمرینات کگل (هفته‌ای 3 جلسه 45-30 دقیقه‌ای) را انجام دادند. تجزیه و تحلیل داده­ها با استفاده از نرم‌افزار آماری SPSS (نسخه 22) و آزمون‌های شاپیروویلک، لون، تی زوجی و تحلیل کوواریانس یک‌راهه استفاده شد. میزان p‌ کمتر از 05/0 معنی‌دار در نظر گرفته شد.
یافته‌ها: بر اساس یافته‎های پژوهش، 8 هفته تمرینات کگل باعث کاهش درد، بی‌اختیاری ادرار و افزایش قدرت عضلات کف لگن زنان مبتلا به بی‌اختیاری استرسی ادرار و کمردرد در افراد گروه تجربی در مقایسه با گروه کنترل شد (05/0p≥).
نتیجه‌گیری: انجام تمرینات کگل در کاهش درد، بی‌اختیاری ادرار و افزایش قدرت عضلات کف لگن زنان مبتلا به بی‌اختیاری استرسی ادرار و کمردرد مؤثر می­باشد، لذا به‌عنوان روشی غیرتهاجمی و کم‌هزینه در کنترل بی‌اختیاری ادرار پیشنهاد می­شود.

کلیدواژه‌ها

عنوان مقاله [English]

The effect of Kegel exercises on pain, urinary incontinence and strength of pelvic floor muscles in women with stress urinary incontinence and back pain

نویسندگان [English]

  • Mozhghan Goodarzi Nasab 1
  • Seyed Sadrodin Shojaodin 2
  • Mohammad Hosein Naser Melli 3
1 M.Sc. in Sport Injuries and Corrective Exercises, School of Physical Education and Sports Sciences, Karaj Branch, Islamic Azad University, Karaj, Iran.
2 Associate Professor, Department of Biomechanics and Sport Injuries, School of Physical Education and Sports Sciences, Kharazmi University, Tehran, Iran.
3 Assistant Professor, Department of Sport Injuries and Corrective Exercises, School of Physical Education and Sports Sciences, Karaj Branch, Islamic Azad University, Karaj, Iran.
چکیده [English]

Introduction: Stress urinary incontinence is a common problem among adults in the community and is more frequent in women. Its incidence increases with increasing age, the number of pregnancy and body mass index (BMI). Exercise therapy has an important role in the treatment of stress urinary incontinence. Therefore, this study was performed with aim to evaluate the effect of Kegel exercises on pain, urinary incontinence and strength of pelvic floor muscles in women with stress urinary incontinence and back pain.
Methods: This quasi-experimental study was performed in 2019 on 30 women with stress urinary incontinence and low back pain in the age range of 35-50 years. The subjects were placed in two equal groups of 15 experimental and control. In order to evaluate the pain, urinary incontinence, urinary incontinence diagnosis form and the pelvic floor muscle strength, the Visual Analogue Scale, and Oxford Form were used, respectively. The experimental group performed Kegel exercises for eight weeks (3 sessions of 30 to 45 minutes per week). Data were analyzed by SPSS software (version 22) and Shapiro wilk, Leven, paired t-test and one-way analysis of covariance. P<0.05 was considered statistically significant.
Results: The findings of the present study showed that eight weeks of kegel exercises reduced pain, urinary incontinence and increased pelvic floor muscle strength in women with stress urinary incontinence and back pain in the experimental group compared to the control group (P≤0.05).
Conclusion: Kegel exercises reduce pain, urinary incontinence and increase strength of pelvic floor muscles in women with stress urinary incontinence and back pain, so it is recommended as a non-invasive and low cost intervention to control urinary incontinence.

کلیدواژه‌ها [English]

  • Back pain
  • Kegel
  • Pelvic floor muscles
  • Urinary incontinence

مراجع

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مجله زنان، مامایی و نازایی ایران
دوره 24، شماره 8
مهر 1400
صفحه 59-67

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