مجله دانشکده پزشکی اصفهان

مجله دانشکده پزشکی اصفهان

نقش بیوفیدبک در بهبود عملکرد عضلات کف لگنی زنان دارای اینکانتیننس: یک مطالعه مروری سیستماتیک

نوع مقاله : Review Article

نویسندگان
1 استادیار، گروه آموزش تربیت بدنی، دانشگاه فرهنگیان، تهران، ایران
2 استادیار، گروه بیومکانیک ورزشی، دانشکده‌ی علوم تربیتی و روانشناسی، دانشگاه محقق اردبیلی، اردبیل، ایران
3 دانشجوی دکتری بیومکانیک ورزشی، گروه بیومکانیک ورزشی، دانشکده‌ی علوم تربیتی و روانشناسی، دانشگاه محقق اردبیلی، اردبیل، ایران
4 دانشجوی رشته کینزیولوژی، دانشگاه یورک، تورنتو، کانادا
10.48305/jims.v44.i873.2035
چکیده
مقدمه: بی‌اختیاری ادراری، یکی از اختلالات شایع در زنان است که می‌تواند پیامدهای قابل توجهی بر سلامت و کیفیت زندگی داشته باشد. تمرینات عضلات کف لگن به‌عنوان درمان خط اول برای بی‌اختیاری ادراری استرسی شناخته می‌شوند، اما اجرای صحیح تمرینات و پایبندی بیماران به برنامه درمانی همواره چالش‌برانگیز بوده است. در سال‌های اخیر، بیوفیدبک به‌عنوان روشی کمکی برای بهبود اجرای این تمرینات مورد توجه قرار گرفته است. هدف از این مطالعه مرور سیستماتیک، شواهد مربوط به نقش بیوفیدبک در بهینه‌سازی تمرینات عضلات کف لگن در زنان مبتلا به بی‌اختیاری ادرار بود.
روش‌ها: این مرور سیستماتیک بر اساس دستورالعملPRISMA 2020 انجام شد. جستجوی نظام‌مند در پایگاه‌های PubMed، Scopus، Web of Science و Google Scholar برای مقالات منتشرشده بین سال‌های 2007 تا 2026 انجام شد. مطالعات کارآزمایی بالینی تصادفی‌سازی‌شده که اثر بیوفیدبک در کنار تمرینات عضلات کف لگن را بررسی کرده بودند وارد مطالعه شدند. کیفیت روش‌شناختی با چک‌لیست اصلاح‌شده داون و بلک و خطر سوگیری با ابزار RoB2 ارزیابی شد. به دلیل ناهمگونی مطالعات، یافته‌ها به‌صورت سنتز روایی ارائه شدند.
یافته‌ها: در مجموع 12 مطالعه وارد تحلیل شدند. بیشتر مطالعات نشان دادند که ترکیب تمرینات عضلات کف لگن با بیوفیدبک موجب بهبود قدرت عضلات کف لگن، کاهش شدت علائم بی‌اختیاری ادراری و بهبود کیفیت زندگی می‌شود. همچنین برخی مطالعات افزایش خودکارآمدی و پایبندی به تمرینات را گزارش کردند. با این حال، در تعدادی از مطالعات تفاوت معنی‌داری بین تمرینات کف لگن با و بدون بیوفیدبک مشاهده نشد.
نتیجه‌گیری: بیوفیدبک می‌تواند به‌عنوان یک ابزار کمکی برای بهبود اجرای تمرینات عضلات کف لگن در زنان مبتلا به بی‌اختیاری ادراری مفید باشد، اما شواهد درباره برتری قطعی آن نسبت به تمرینات کف لگن به‌تنهایی هنوز محدود و ناهمگون است.

تازه های تحقیق

شیرین عالی: Google Scholar, PubMed

فرهاد رضازاده: Google Scholar

مهسا نباتی سفیده خوان: Google Scholar

کلیدواژه‌ها
موضوعات

عنوان مقاله English

The role of biofeedback in improving pelvic floor function in women with incontinence: A systematic review

نویسندگان English

Shirin Aali 1
Farhad Rezazadadeh 2
Mahsa Nabati Sefidehkhan 3
Parsa Forghani 4
1 Assistant Professor, Department of Physical Education, Farhangian University, Tehran, Iran
2 Assistant Professor, Department of Sports Biomechanics, Faculty of Educational Sciences and Psychology, University of Mohaghegh Ardabili, Ardabil, Iran
3 PhD student, Department of Sports Biomechanics, Faculty of Educational Sciences and Psychology, University of Mohaghegh Ardabili, Ardabil, Iran
4 Kinesioligy Student, York University, Toronto, Canada
چکیده English

Background: Urinary incontinence is a common disorder among women that negatively affects health and quality of life. Biofeedback has been introduced as an adjunctive approach to improve PFMT effectiveness. This study aimed to systematically review the evidence regarding the role of biofeedback in optimizing PFMT in women with urinary incontinence.
Methods: This systematic review followed the PRISMA 2020 guidelines. A systematic search was conducted in PubMed, Scopus, Web of Science, and Google Scholar for studies published between 2017 and 2026. Randomized controlled trials investigating biofeedback combined with PFMT in women with urinary incontinence were included. Methodological quality was assessed using the modified Downs and Black checklist, and risk of bias was evaluated with the RoB2 tool. Due to heterogeneity among studies, results were synthesized narratively.

Findings: Twelve studies were included in the final analysis. Most studies reported that PFMT combined with biofeedback improved pelvic floor muscle strength, reduced urinary incontinence severity, and enhanced quality of life. Some studies also reported improved self‑efficacy and exercise adherence. However, several studies found no significant differences between PFMT with and without biofeedback.
Conclusion: Biofeedback may be a useful adjunct for improving the performance of pelvic floor muscle training in women with urinary incontinence, although its additional benefit over PFMT alone remains inconclusive.

کلیدواژه‌ها English

Urinary Incontinence
Biofeedback
Pelvic Floor Muscle Exercises
Quality of Life
Rehabilitation
Women
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دوره 44، شماره 873
ویژه‌نامه پزشکی ورزشی
مرداد و شهریور 1405
صفحه 2035-2051

  • تاریخ دریافت 20 اردیبهشت 1405
  • تاریخ پذیرش 13 خرداد 1405