The pelvic floor consists of levator ani muscles including puborectalis, pubococcygeus and iliococcygeus muscles, and coccygeus muscles. Pelvic floor muscle exercise (PFME) is defined as exercise to improve pelvic floor muscle strength, power, endurance, relaxation, or a combi-nation of these parameters. PFME strengthens the pelvic floor muscles to provide urethral support to prevent urine leakage and suppress ur-gency. This exercise has been recommended for urinary incontinence since first described by Kegel. When treating urinary incontinence, par-ticularly stress urinary incontinence, PFME has been recommended as first-line treatment. This article provides clinical application of PFME as a behavioral therapy for urinary incontinence. Clinicians and physical therapist should understand pelvic floor muscle anatomy, evaluation, regimen, and instruct patients how to train the muscles properly.
목차
Abstract INTRODUCTION ANATOMY OF PELVIC FLOOR MUSCLES EVALUATIONS OF PELVIC FLOOR MUSCLES INSTRUCTIONS OF PELVIC FLOOR MUSCLES EXERCISE SUPPLEMENTAL THERAPIES FOR PELVIC FLOOR MUSCLES EXERCISE Supervised PFME Vaginal cones Biofeedback Electrical stimulation Mobile applications REGIMENS OF PELVIC FLOOR MUSCLES EXERCISE PREVENTING STRESS URINARY INCONTINENCE PELVIC FLOOR MUSCLES EXERCISE FOR MEN PELVIC FLOOR MUSCLES EXERCISE IN FRAIL OR COGNITIVE IMPAIRMENT OLD PEOPLE CLINICAL TRIALS OF PFME EVIDENCE FOR PFME CONCLUSIONS CONFLICT OF INTEREST ACKNOWLEDGMENTS REFERENCES
Sung Tae Cho [ Department of Urology, Hallym University Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea ]
Khae Hawn Kim [ Department of Urology, Chungnam National University Sejong Hospital, Chungnam National University School of Medicine, Sejong, Korea ]
Corresponding Author