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| DC 欄位 | 值 | 語言 |
|---|---|---|
| dc.contributor.advisor | 曹昭懿(Jau-Yih Tsauo) | |
| dc.contributor.author | Shu-Yun Chih | en |
| dc.contributor.author | 遲舒云 | zh_TW |
| dc.date.accessioned | 2021-06-15T00:25:16Z | - |
| dc.date.available | 2010-02-17 | |
| dc.date.copyright | 2009-02-17 | |
| dc.date.issued | 2009 | |
| dc.date.submitted | 2009-01-22 | |
| dc.identifier.citation | Abrams P, Cardozo L, et al. The standardisation of terminology of lower urinary tract function: report from the Standardisation Sub-committee of the International Continence Society. Neurourol Urodyn 2002;21:167-78.
Aukee P, Usenius JP, et al. An evaluation of pelvic floor anatomy and function by MRI. Eur J Obstet Gynecol Reprod Biol 2004;112:84-8. Barber MD, Bremer RE, et al. Innervation of the female levator ani muscles. Am J Obstet Gynecol 2002;187:64-71. Barker KL, Shamley DR, et al. Changes in the cross-sectional area of multifidus and psoas in patients with unilateral back pain: the relationship to pain and disability. Spine. 2004;29:E515-9. Barker PJ, Guggenheimer KT, et al. Effects of tensioning the lumbar fasciae on segmental stiffness during flexion and extension: Young Investigator Award winner. Spine 2006;31:397-405. Bergmark A. Stability of the lumbar spine. A study in mechanical engineering. Acta Orthop Scand Suppl 1989;230:1-54. Bernstein IT. The pelvic floor muscles: muscle thickness in healthy and urinary-incontinent women measured by perineal ultrasonography with reference to the effect of pelvic floor training. Estrogen receptor studies. Neurourol Urodyn 1997;16:237-75. Bo K, Lilleas F, et al. Dynamic MRI of the pelvic floor muscles in an upright sitting position. Neurourol Urodyn 2001;20:167-74. Bogduk N and Macintosh JE. The applied anatomy of the thoracolumbar fascia. Spine 1984;9:164-70. Bunce SM, Hough AD, et al. Measurement of abdominal muscle thickness using M-mode ultrasound imaging during functional activities. Man Ther 2004;9:41-4. Bunce SM, Moore AP, et al. M-mode ultrasound: a reliable measure of transversus abdominis thickness? Clin Biomech 2002;17:315-7. Chen GD, Lin TL, et al. Prevalence and correlation of urinary incontinence and overactive bladder in Taiwanese women.[see comment]. Neurourol Urodyn 2003;22:109-17. Cholewicki J and McGill SM. Mechanical stability of the in vivo lumbar spine: implications for injury and chronic low back pain. Clin Biomech (Bristol, Avon) 1996;11:1-15. Cholewicki J and VanVliet JJt. Relative contribution of trunk muscles to the stability of the lumbar spine during isometric exertions. Clin Biomech 2002;17:99-105. Connolly TJ, Litman HJ, et al. The effect of mode of delivery, parity, and birth weight on risk of urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct 2007;18:1033-42. Cresswell AG, Grundstrom H, et al. Observations on intra-abdominal pressure and patterns of abdominal intra-muscular activity in man. Acta Physiol Scand 1992;144:409-18. Cresswell AG, Oddsson L, et al. The influence of sudden perturbations on trunk muscle activity and intra-abdominal pressure while standing. Exp Brain Res 1994;98:336-41. Cresswell AG and Thorstensson A. The role of the abdominal musculature in the elevation of the intra-abdominal pressure during specified tasks. Ergonomics 1989;32:1237-46. Crisco JJ, 3rd and Panjabi MM. The intersegmental and multisegmental muscles of the lumbar spine. A biomechanical model comparing lateral stabilizing potential. Spine 1991;16:793-9. Criso JJ and Panjabi MM. Euler stability of the human ligamentous lumbar spine. Part I. Theory. Clin Biomech 1992a;7:19-26. Criso JJ and Panjabi MM. Euler stability of the human ligamentous lumbar spine. Part II. Experiment. Clin Biomech 1992b;7:27-32. Critchley D. Instructing pelvic floor contraction facilitates transversus abdominis thickness increase during low-abdominal hollowing. Physiother Res Int 2002;7:65-75. Critchley DJ and Coutts FJ. Abdominal muscle function in chronic low back pain patients: measurement with real-time ultrasound scanning. Physiotherapy 2002;88:322-332. Critchley HO, Dixon JS, et al. Comparative study of the periurethral and perianal parts of the human levator ani muscle. Urol Int 1980;35:226-32. De Troyer A, Estenne M, et al. Transversus abdominis muscle function in humans. J Appl Physiol 1990;68:1010-6. Deindl FM, Vodusek DB, et al. Dysfunctional voiding in women: which muscles are responsible? Br J Urol 1998;82:814-9. Eliasson K, Elfving B, et al. Urinary incontinence in women with low back pain. Man Ther 2008;13:206-12. Ferreira P. Specific stabilising exercise improves pain and function in women with pelvic girdle pain following pregnancy. Aust J Physiother 2004;50:259. Ferreira PH, Ferreira ML, et al. Changes in recruitment of the abdominal muscles in people with low back pain: ultrasound measurement of muscle activity. Spine 2004;29:2560-6. FitzGerald MP and Kotarinos R. Rehabilitation of the short pelvic floor. I: Background and patient evaluation. Int Urogynecol J Pelvic Floor Dysfunct 2003;14:261-8. Gardner-Morse M, Stokes IA, et al. Role of muscles in lumbar spine stability in maximum extension efforts. J Orthop Res 1995;13:802-8. Goldish GD, Quast JE, et al. Postural effects on intra-abdominal pressure during Valsalva maneuver. Arch Phys Med Rehabil 1994;75:324-7. Gosling JA, Dixon JS, et al. A comparative study of the human external sphincter and periurethral levator ani muscles. Br J Urol 1981;53:35-41. Gray M. Measuring the severity of stress urinary incontinence with use of urodynamic techniques. J Wound Ostomy Continence Nurs 1998;25:71. Guaderrama NM, Liu J, et al. Evidence for the innervation of pelvic floor muscles by the pudendal nerve. Obstet Gynecol 2005;106:774-81. Hahn I, Milsom I, et al. Comparative assessment of pelvic floor function using vaginal cones, vaginal digital palpation and vaginal pressure measurements. Gynecol Obstet Invest 1996;41:269-74. Handa VL and Massof RW. Measuring the severity of stress urinary incontinence using the Incontinence Impact Questionnaire. Neurourol Urodyn 2004;23:27-32. Hanley J, Capewell A, et al. Validity study of the severity index, a simple measure of urinary incontinence in women. Bmj 2001;322:1096-7. Hides J, Gilmore C, et al. Multifidus size and symmetry among chronic LBP and healthy asymptomatic subjects. Man Ther. 2008;13:43-9. Epub 2006 Oct 27. Hides J, Wilson S, et al. An MRI investigation into the function of the transversus abdominis muscle during 'drawing-in' of the abdominal wall. Spine 2006;31:E175-8. Hides JA, Miokovic T, et al. Ultrasound imaging assessment of abdominal muscle function during drawing-in of the abdominal wall: an intrarater reliability study. J Orthop Sports Phys Ther 2007;37:480-6. Hides JA, Richardson CA, et al. Magnetic resonance imaging and ultrasonography of the lumbar multifidus muscle. Comparison of two different modalities. Spine 1995;20:54-8. Hides JA, Stokes MJ, et al. Evidence of lumbar multifidus muscle wasting ipsilateral to symptoms in patients with acute/subacute low back pain. Spine 1994;19:165-72. Hodges P, Kaigle Holm A, et al. Intervertebral stiffness of the spine is increased by evoked contraction of transversus abdominis and the diaphragm: in vivo porcine studies. Spine 2003;28:2594-601. Hodges PW, Cresswell AG, et al. Perturbed upper limb movements cause short-latency postural responses in trunk muscles. Exp Brain Res 2001;138:243-50. Hodges PW, Eriksson AEM, et al. Intra-abdominal pressure increases stiffness of the lumbar spine. J Biomech 2005;38:1873-80. Hodges PW, Pengel LHM, et al. Measurement of muscle contraction with ultrasound imaging. Muscle Nerve 2003;27:682-92. Hodges PW and Richardson CA. Contraction of the abdominal muscles associated with movement of the lower limb. Phys Ther 1997a;77:132-42; discussion 142-4. Hodges PW and Richardson CA. Delayed postural contraction of transversus abdominis in low back pain associated with movement of the lower limb. J Spinal Disord 1998;11:46-56. Hodges PW and Richardson CA. Altered trunk muscle recruitment in people with low back pain with upper limb movement at different speeds. Arch Phys Med Rehabil 1999a;80:1005-12. Hodges PW and Richardson CA. Transversus abdominis and the superficial abdominal muscles are controlled independently in a postural task. Neurosci Lett 1999b;265:91-4. Hodges PW, Richardson CA, et al. Inefficient muscular stabilization of the lumbar spine associated with low back pain. A motor control evaluation of transversus abdominis. Spine 1996;21:2640-50. Hodges PW, Richardson CA, et al. Feedforward contraction of transversus abdominis is not influenced by the direction of arm movement. Exp Brain Res 1997b;114:362-70. Hodges PW, Sapsford R, et al. Postural and respiratory functions of the pelvic floor muscles. Neurourol Urodyn 2007;26:362-71. Hoyte L, Jakab M, et al. Levator ani thickness variations in symptomatic and asymptomatic women using magnetic resonance-based 3-dimensional color mapping. Am J Obstet Gynecol 2004;191:856-61. Huang AJ, Thom DH, et al. Urinary incontinence and pelvic floor dysfunction in Asian-American women. Am J Obstet Gynecol 2006;195:1331-7. Hung H and Tsauo J (2007). Indirect training of pelvic floor muscles via tranversus abdominis for females with urinary incontinence: a randomized controlled trial. World Confederation Physical Therapy Vancouver, Physiotherapy. Hungerford B, Gilleard W, et al. Evidence of altered lumbopelvic muscle recruitment in the presence of sacroiliac joint pain. Spine 2003;28:1593-600. Irwin DE, Milsom I, et al. Population-based survey of urinary incontinence, overactive bladder, and other lower urinary tract symptoms in five countries: results of the EPIC study. Eur Urol 2006;50:1306-14; discussion 1314-5. Jhu JL, Tai JM, et al. Reliability of ultrasonography for the assessment of the thickness and change of the transversus abdominis after contraction. FJPT 2007;32:97-104. Jorgensen LM, Lose GM, et al. One-Hour Pad-Weighing Test for Objective Assessment of Female Urinary Incontinence. Obstet Gynecol 1987;69:39-42. Kearney R, Sawhney R, et al. Levator ani muscle anatomy evaluated by origin-insertion pairs. Obstet Gynecol 2004;104:168-73. Kiesel KB, Uhl T, et al. Rehabilitative ultrasound measurement of select trunk muscle activation during induced pain. Man Ther 2008;13:132-8. Kiesel KB, Uhl TL, et al. Measurement of lumbar multifidus muscle contraction with rehabilitative ultrasound imaging. Man Ther 2007a;12:161-6. Kiesel KB, Underwood FB, et al. A comparison of select trunk muscle thickness change between subjects with low back pain classified in the treatment-based classification system and asymptomatic controls. J Orthop Sports Phys Ther 2007b;37:596-607. Koelbl H, Strassegger H, et al. Morphologic and functional aspects of pelvic floor muscles in patients with pelvic relaxation and genuine stress incontinence. Obstet Gynecol 1989;74:789-95. Lin HH, Torng PL, et al. Urodynamically age-specific prevalence of urinary incontinence in women with urinary symptoms. Neurourol Urodyn 2003;22:29-32. Lin SY and Dougherty MC. Incontinence impact, symptom distress and treatment-seeking behavior in women with involuntary urine loss in Southern Taiwan. Int J Nurs Stud 2003;40:227-34. Liou YM (2006). The Manual of the short self-administration short version of international physical activity questionnaires. Taipei, The Bureau of Health Promotion, Department of Health, Taiwan, R.O.C. Liou YM, Jwo CJ, et al. Selection of Appropriate Chinese Terms to Represent Intensity and Types of Physical Activity Terms for Use in the Taiwan Version of IPAQ. J Nurs Res 2008;16:252-63. Macintosh JE and Bogduk N. Volvo award in basic science. The morphology of the lumbar erector spinae. Spine 1987;12:658-68. Macintosh JE, Pearcy MJ, et al. The axial torque of the lumbar back muscles: torsion strength of the back muscles. Aust N Z J Surg 1993;63:205-12. Macintosh JE, Valencia F, et al. The biomechanics of the lumbar multifidus. Clin Biomech 1986a;1:205-13. Macintosh JE, Valencia F, et al. The morphology of the human lumbar multifidus. Clin Biomech 1986b;1:196-204. Margulies RU, Hsu Y, et al. Appearance of the levator ani muscle subdivisions in magnetic resonance images. Obstet Gynecol 2006;107:1064-9. McCook DT, Vicenzino B, et al. Activity of deep abdominal muscles increases during submaximal flexion and extension efforts but antagonist co-contraction remains unchanged. J Electromyogr Kinesiol 2007. McGill SM, Patt N, et al. Measurement of the trunk musculature of active males using CT scan radiography: implications for force and moment generating capacity about the L4/L5 joint. J Biomech 1988;21:329-41. McGrother CW, Donaldson MMK, et al. Storage symptoms of the bladder: prevalence, incidence and need for services in the UK. BJU Int 2004;93:763-9. McMeeken JM, Beith ID, et al. The relationship between EMG and change in thickness of transversus abdominis. Clin Biomech 2004;19:337-42. Misuri G, Colagrande S, et al. In vivo ultrasound assessment of respiratory function of abdominal muscles in normal subjects. Eur Respir J 1997;10:2861-7. Moore KL (2006). Muscle of the back. Philadelphia, Lippincott Williams & Wilkins. Morin M, Bourbonnais D, et al. Pelvic floor muscle function in continent and stress urinary incontinent women using dynamometric measurements. Neurourol Urodyn 2004;23:668-74. Morkved S, Salvesen KA, et al. Pelvic floor muscle strength and thickness in continent and incontinent nulliparous pregnant women. Int Urogynecol J Pelvic Floor Dysfunct 2004;15:384-9; discussion 390. Moseley GL, Hodges PW, et al. Deep and superficial fibers of the lumbar multifidus muscle are differentially active during voluntary arm movements. Spine 2002;27:E29-36. Moseley GL, Hodges PW, et al. External perturbation of the trunk in standing humans differentially activates components of the medial back muscles. J Physiol (Lond) 2003;547:581-7. Neumann P and Gill V. Pelvic floor and abdominal muscle interaction: EMG activity and intra-abdominal pressure. Int Urogynecol J Pelvic Floor Dysfunct 2002;13:125-32. O'Sullivan PB, Beales DJ, et al. Altered motor control strategies in subjects with sacroiliac joint pain during the active straight-leg-raise test. Spine 2002;27:E1-8. Painter EE, Ogle MD, et al. Lumbopelvic dysfunction and stress urinary incontinence: a case report applying rehabilitative ultrasound imaging. J Orthop Sports Phys Ther 2007;37:499-504. Panjabi M, Abumi K, et al. Spinal stability and intersegmental muscle forces. A biomechanical model. Spine 1989;14:194-200. Panjabi MM. The stabilizing system of the spine. Part I. Function, dysfunction, adaptation, and enhancement. J Spinal Disord 1992;5:383-9; discussion 397. Peschers UM and DeLancey JOL (2002). Anatomy Therapeutic management of incontinence and pelvic pain: pelvic orgean disoders. Laycock J and Haslam J. London, Springer: 7-16. Platzer W (1992). Locomotor System. Pool-Goudzwaard A, van Dijke GH, et al. Contribution of pelvic floor muscles to stiffness of the pelvic ring. Clin Biomech 2004;19:564-71. Pool-Goudzwaard AL, Slieker ten Hove MCPH, et al. Relations between pregnancy-related low back pain, pelvic floor activity and pelvic floor dysfunction. Int Urogynecol J Pelvic Floor Dysfunct 2005;16:468-74. Rankin G, Stokes M, et al. Abdominal muscle size and symmetry in normal subjects. Muscle Nerve 2006;34:320-6. Richardson C and Hides J (2004). Stiffness of the lumbopelvic region for load transfer. Therapeutic Exercise for lumbopelvic Stabilization. A motor control approach for the treatment and prevention of low back pain. Richardson C, Hodges P and Hides J. Edinburgh, Churchill Livingstone: 77-92. Richardson CA, Snijders CJ, et al. The relation between the transversus abdominis muscles, sacroiliac joint mechanics, and low back pain. Spine 2002;27:399-405. Rohr G, Stovring H, et al. Characteristics of middle-aged and elderly women with urinary incontinence. Scand J Prim Health Care 2005;23:203-8. Rosatelli AL, Ravichandiran K, et al. Three-dimensional study of the musculotendinous architecture of lumbar multifidus and its functional implications. Clin Anat 2008;21:539-46. Samuelsson E, Victor A, et al. Determinants of urinary incontinence in a population of young and middle-aged women. Acta Obstet Gynecol Scand 2000;79:208-15. Sandvik H, Espuna M, et al. Validity of the incontinence severity index: comparison with pad-weighing tests. Int Urogynecol J Pelvic Floor Dysfunct 2006;17:520-4. Sandvik H, Hunskaar S, et al. Validation of a severity index in female urinary incontinence and its implementation in an epidemiological survey. J Epidemiol Community Health 1993;47:497-9. Sandvik H, Seim A, et al. A severity index for epidemiological surveys of female urinary incontinence: comparison with 48-hour pad-weighing tests. Neurourol Urodyn 2000;19:137-45. Sangi-Haghpeykar H, Mozayeni P, et al. Stress urinary incontinence and counseling and practice of pelvic floor exercises postpartum in low-income Hispanic women. Int Urogynecol J Pelvic Floor Dysfunct 2008;19:361-5. Sapsford R. Rehabilitation of pelvic floor muscles utilizing trunk stabilization. Man Ther 2004;9:3-12. Sapsford RR and Hodges PW. Contraction of the pelvic floor muscles during abdominal maneuvers. Arch Phys Med Rehabil 2001a;82:1081-8. Sapsford RR, Hodges PW, et al. Co-activation of the abdominal and pelvic floor muscles during voluntary exercises. Neurourol Urodyn 2001b;20:31-42. Shafik A. A new concept of the anatomy of the anal sphincter mechanism and the physiology of defecation: mass contraction of the pelvic floor muscles. Int Urogynecol J Pelvic Floor Dysfunct 1998;9:28-32. Smith MD, Coppieters MW, et al. Postural activity of the pelvic floor muscles is delayed during rapid arm movements in women with stress urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct 2007a;18:901-11. Smith MD, Coppieters MW, et al. Postural response of the pelvic floor and abdominal muscles in women with and without incontinence. Neurourol Urodyn 2007b;26:377-85. Smith MD, Coppieters MW, et al. Is balance different in women with and without stress urinary incontinence? Neurourol Urodyn 2008;27:71-8. Smith MD, Russell A, et al. Disorders of breathing and continence have a stronger association with back pain than obesity and physical activity. Aust J Physiother 2006;52:11-6. Snijders CJ, Hermans PF, et al. Effects of slouching and muscle contraction on the strain of the iliolumbar ligament. Man Ther 2007. Snijders CJ, Vleeming A, et al. Transfer of lumbosacral load to iliac bones and legs. Part I - Biomechanics of self-bracing of sacroiliac joints ans its significance for treatment and exercise. Clin Biomech 1993a;8:285-94. Snijders CJ, Vleeming A, et al. Transfer of lumbosacral load to iliac bones and legs. Part II -Loading of sacroiliac joints when lifing in a stooped posture. Clin Biomech 1993b;8:295-301. Springer BA, Mielcarek BJ, et al. Relationships among lateral abdominal muscles, gender, body mass index, and hand dominance. J Orthop Sports Phys Ther 2006;36:289-97. Stokes M, Hides J, et al. Rehabilitative ultrasound imaging of the posterior paraspinal muscles. J Orthop Sports Phys Ther 2007;37:581-95. Stokes M, Rankin G, et al. Ultrasound imaging of lumbar multifidus muscle: normal reference ranges for measurements and practical guidance on the technique. Man Ther 2005;10:116-26. Stuge B, Laerum E, et al. The efficacy of a treatment program focusing on specific stabilizing exercises for pelvic girdle pain after pregnancy: a randomized controlled trial. Spine 2004;29:351-9. Teyhen DS. Rehabilitative Ultrasound Imaging Symposium San Antonio, TX, May 8-10, 2006. J Orthop Sports Phys Ther. 2006;36:A1-3. Teyhen DS, Miltenberger CE, et al. The use of ultrasound imaging of the abdominal drawing-in maneuver in subjects with low back pain. J Orthop Sports Phys Ther 2005;35:346-55. Thompson JA, O'Sullivan PB, et al. Assessment of voluntary pelvic floor muscle contraction in continent and incontinent women using transperineal ultrasound, manual muscle testing and vaginal squeeze pressure measurements. Int Urogynecol J Pelvic Floor Dysfunct 2006;17:624-30. Townsend MK, Danforth KN, et al. Body mass index, weight gain, and incident urinary incontinence in middle-aged women. Obstet Gynecol 2007;110:346-53. Tseng LH, Liang CC, et al. The prevalence of urinary incontinence and associated risk factors in Taiwanese women with lower urinary tract symptoms. Chang Gung Med J 2006;29:596-602. Urquhart DM, Barker PJ, et al. Regional morphology of the transversus abdominis and obliquus internus and externus abdominis muscles. Clin Biomech 2005a;20:233-41. Urquhart DM and Hodges PW. Differential activity of regions of transversus abdominis during trunk rotation. European Spine Journal 2005b;14:393-400. Van K, Hides JA, et al. The use of real-time ultrasound imaging for biofeedback of lumbar multifidus muscle contraction in healthy subjects. J Orthop Sports Phys Ther 2006;36:920-5. Vereecken RL and Verduyn H. The electrical activity of the paraurethral and perineal muscles in normal and pathological conditions. Br J Urol 1970;42:457-63. Vleeming A, Pool-Goudzwaard AL, et al. The posterior layer of the thoracolumbar fascia. Its function in load transfer from spine to legs. Spine 1995;20:753-8. Vleeming A, Volkers AC, et al. Relation between form and function in the sacroiliac joint. Part II: Biomechanical aspects. Spine 1990;15:133-6. Waetjen LE, Liao S, et al. Factors associated with prevalent and incident urinary incontinence in a cohort of midlife women: a longitudinal analysis of data: study of women's health across the nation. Am J Epidemiol 2007;165:309-18. Wallwork TL, Hides JA, et al. Intrarater and interrater reliability of assessment of lumbar multifidus muscle thickness using rehabilitation ultrasound imaging. J Orthop Sports Phys Ther 2007;37:608-612. Whittaker JL (2007). Ultrasound Imaging for Rehabilitation of the Lumbopelvic Region: A Clinical Approach. Philadephia, Elsevier. Whittaker JL, Teyhen DS, et al. Rehabilitative ultrasound imaging: understanding the technology and its applications. J Orthop Sports Phys Ther 2007;37:434-49. Wilke HJ, Wolf S, et al. Stability increase of the lumbar spine with different muscle groups. A biomechanical in vitro study. Spine 1995;20:192-8. Williams PL, Warwick R, et al. (1989). Gray's anatomy. Edinburgh, Churchill Livingstone. Wong T, Lau BY, et al. Changing prevalence and knowledge of urinary incontinence among Hong Kong Chinese women. Int Urogynecol J Pelvic Floor Dysfunct 2006;17:593-7. Yahia L, Rhalmi S, et al. Sensory innervation of human thoracolumbar fascia. An immunohistochemical study. Acta Orthop Scand 1992;63:195-7. | |
| dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/41626 | - |
| dc.description.abstract | 背景與目的：近來研究發現尿失禁婦女在執行動作時其骨盆底肌及淺層軀幹肌群的動作策略改變，類似的肌肉收縮型態也出現在脊椎不穩定造成之下背痛患者身上，下背痛患者同時有深層軀幹肌肉：腹橫肌與腰部多裂肌收縮障礙的情形；然而應力性尿失禁婦女之腹橫肌與多裂肌卻未被進一步探討。近年來，即時影像超音波被廣泛應用於量測深層軀幹肌肉形態變化的研究，本研究的目的為利用超音波評估應力性尿失禁與正常婦女其腹橫肌與腰部多裂肌之肌肉形態變化，進一步比較不同嚴重度患者之變異。
方法：本橫斷型研究，15位應力性尿失禁症狀之婦女納為實驗組(年齡48.3±6.7歲)，另10位年齡相符之無症狀婦女納為對照組(年齡46.5±6.8歲)。所有的參與者需接受影像超音波量測腹橫肌、腰部多裂肌肌肉厚度及收縮形態變化；每條肌肉兩邊各測三次，肌肉與左右順序採隨機控制，超音波資料以自製Matlab軟體度量線性肌肉厚度。統計分析採用SPSS 11.0版本，以T- test及Mann-Whitney U test比較尿失禁組與對照組、輕重度尿失禁婦女組間的肌肉休息厚度及其收縮變化。 結果：尿失禁組與對照組婦女之腹橫肌及腰部多裂肌的休息厚度無顯著的差異，然而尿失禁組婦女腹橫肌及腰部多裂肌之收縮厚度變化則明顯小於對照組 (腹橫肌：尿失禁組0.14±0.06cm，對照組0.22±0.06cm，p=0.001；腰部多裂肌：尿失禁組0.29±0.17cm，對照組0.51±0.20cm，p=0.006；中間層多裂肌：尿失禁組0.11±0.07cm，對照組0.40±0.19cm，p<0.005)。而輕度與重度尿失禁婦女組間的休息厚度及其收縮變化皆無顯著的差異。 結論：應力性尿失禁婦女腹橫肌及腰部多裂肌收縮能力較差，建議未來臨床上對於應力性尿失禁婦女之治療，除了骨盆底肌運動外，可增加對腹橫肌及腰部多裂肌之訓練。 | zh_TW |
| dc.description.abstract | Background and Purpose: Altered motor control strategies of pelvic floor muscles (PFM) and superficial trunk muscles in women with stress urinary incontinence (SUI) were found recently. The similar contraction pattern of trunk muscles was also demonstrated in subjects with spinal instability due to low back pain (LBP). Transversus abdominis (TrA) and lumbar multifidus (MF) which are classified to deep trunk muscles and primarily provide spinal stability are also dysfunctioned in patients with low back pain. However, muscle activities of TrA and lumbar MF are not evaluated in women with SUI. Real-time ultrasonography is the most common tool for assessing deep trunk muscles activities in recent years. The aims of the study are to assess the difference in resting thickness and change on contraction of TrA and lumbar MF in women with or without SUI through real-time ultrasonography. Further, to compare the differences among the women with different severities of SUI.
Methods: This is a cross-sectional study. Fifteen women who suffered SUI episode at least once during previous month were recruited as SUI group, and 10 age-matched asymptomatic women were recruited as control group. The morphometric change of TrA and lumbar MF were recorded by ultrasound. Each muscle in both sides was assessed for 3 times. Order of evaluation of muscles and sides was randomized. Data were exported for linear measurements analysis using a custom- written Matlab program. Statistical analysis was performed using SPSS 11.0. T- test and Mann-Whitney U test were used to compare the muscles thickness at rest and change of muscle thickness on contraction between women with SUI and asymptomatic controls, and women with different severities. Results: There were no significant differences in resting muscle thickness of TrA and lumbar multifidus between women with and without SUI. However, change in muscle thickness of TrA and lumbar MF in women with SUI was significantly less than asymptomatic controls. (TrA: SUI 0.14±0.06cm vs. asymptomatic 0.22±0.06cm, p=0.001; lumbar MF: SUI 0.29±0.17cm vs. asymptomatic 0.51±0.20cm, p=0.006; intermediate MF: SUI 0.11±0.07cm vs. asymptomatic 0.40±0.19cm, p<0.0005). Further, measured variables were not different between women with different severities of SUI. Conclusion: The morphometric change on contraction of TrA and lumbar MF is smaller in women with SUI comparing to those without SUI recorded by ultrasound. Integrating TrA and lumbar MF with PFM training is suggested in treatment for women with SUI. | en |
| dc.description.provenance | Made available in DSpace on 2021-06-15T00:25:16Z (GMT). No. of bitstreams: 1 ntu-98-R95428006-1.pdf: 3291910 bytes, checksum: 0964449421ead25af08b4b4b3ee1eb87 (MD5) Previous issue date: 2009 | en |
| dc.description.tableofcontents | 口試委員會審定書 ii
誌謝 iii 中文摘要 iv ABSTRACTS vi TABLE OF CONTENTS viii LIST OF FIGURES xi LIST OF TABLES xii LIST OF APPENDICES xiv CHAPTER 1 INTRODUCTION 1 1.1 Background 1 1.2 Purposes of Study 2 1.3 Questions 2 1.4 Null hypothesis 3 CHAPTER 2 LITERATURE REVIEW 5 2.1 Spinal stability 5 2.2 Active system for spinal stability 6 2.2.1 Transversus abdominis (TrA) 6 2.2.2 Lumbar multifidus (MF) 10 2.2.3 Pelvic floor muscles (PFM) 12 2.2.4 Co-contraction of TrA, MF, and PFM 14 2.3 Passive system for spinal stability 15 2.4 Neural control system for spinal stability 16 2.5 Stress urinary incontinence (SUI) 17 2.5.1 Definition of SUI 17 2.5.2 Epidemiology of SUI 17 2.5.3 Severity of SUI 18 2.5.4 The role of PFM in SUI 19 2.5.5 Postural activity of trunk muscles in women with and without SUI 21 2.6 Real-time ultrasound imaging 23 2.6.1 The rationale of use of ultrasound image 23 2.6.2 Ultrasound studies in TrA and MF in normal subjects 24 2.6.3 Muscle thickness in resting 26 2.6.4 Change in muscle thickness 27 CHAPTER 3 METHODOLOGY 28 3.1 Subjects 28 3.2 Ethics 29 3.3 Variables 29 3.4 Measures 30 3.5 Statistic analysis 34 CHAPTER 4 RESULTS 36 4.1 Reliability of ultrasound measurement 36 4.1.1 Reliability of TrA 36 4.1.2 Reliability of lumbar MF and intermediate MF 36 4.2 Demographic and baseline data 36 4.2.1 SUI versus asymptomatic group 36 4.2.2 Mild versus severe levels of SUI 37 4.3 Resting muscle thickness and thickness change 38 4.3.1 Ultrasound data of TrA 38 4.3.2 Ultrasound data of lumbar MF and intermediate MF 39 CHAPTER 5 DISCUSSIONS 41 5.1 Deep trunk muscle activities in women with and without SUI 41 5.2 Ultrasonography measurement of TrA and lumbar MF 42 5.3 SUI and LBP 43 5.4 Implications for clinical practice 45 5.5 Limitations 46 5.6 Further research 46 CHAPTER 6 CONCLUSION 49 REFERENCES 50 APPENDICES 96 | |
| dc.language.iso | en | |
| dc.subject | 脊椎穩定 | zh_TW |
| dc.subject | 應力性尿失禁 | zh_TW |
| dc.subject | 影像超音波 | zh_TW |
| dc.subject | 腹橫肌 | zh_TW |
| dc.subject | 腰部多裂肌 | zh_TW |
| dc.subject | ultrasonography | en |
| dc.subject | spinal stability | en |
| dc.subject | lumbar multifidus | en |
| dc.subject | transversus abdominis | en |
| dc.subject | stress urinary incontinence | en |
| dc.title | 應力性尿失禁婦女腹橫肌與腰部多裂肌肌肉休息厚度及其收縮變化 | zh_TW |
| dc.title | Resting Thickness of Transversus Abdominis and Lumbar Multifidus and Their Changes during Contraction in Women with Stress Urinary Incontinence | en |
| dc.type | Thesis | |
| dc.date.schoolyear | 97-1 | |
| dc.description.degree | 碩士 | |
| dc.contributor.oralexamcommittee | 林鶴雄(Ho-Hsiung Lin),王淑芬(Shwu-Fen Wang),王亭貴(Tyng-Guey Wang) | |
| dc.subject.keyword | 應力性尿失禁,影像超音波,腹橫肌,腰部多裂肌,脊椎穩定, | zh_TW |
| dc.subject.keyword | stress urinary incontinence,ultrasonography,transversus abdominis,lumbar multifidus,spinal stability, | en |
| dc.relation.page | 107 | |
| dc.rights.note | 有償授權 | |
| dc.date.accepted | 2009-01-23 | |
| dc.contributor.author-college | 醫學院 | zh_TW |
| dc.contributor.author-dept | 物理治療學研究所 | zh_TW |
| 顯示於系所單位： | 物理治療學系所 | |
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