A Comparative Study On Exercise Prescription Intervention In Female Patients With Pelvic Floor Dysfunction

Research objectivesIn this paper,through the experimental study of aerobic exercise combined with resistance training and comparative analysis of the changes in the indicators of female pelvic floor muscle strength test,a more scientific and efficient exercise prescription is obtained.The exercise prescription intervention can help patients form a better idea of independent rehabilitation,enhance postpartum women to increase pelvic floor muscle strength,and establish a long-term mechanism.Relieve the psychological pressure of instrument treatment on patients.Research methodsIn this paper,30 women with female pelvic floor dysfunction were recruited and selected from the postpartum rehabilitation department of a third class A hospital in Anhui Province.The age distribution was between 22 and 35 years old.Before the start of the experiment,the female had a personal conversation to reduce the psychological pressure of the subjects.At the same time,some postpartum physical and psychological conditions of the maternal were collected,the relevant basic questionnaires were filled in,the contents and effects of the experiment were informed,and the informed consent and personal privacy confidentiality agreement were signed.After 10 weeks of exercise intervention,pelvic floor electromyography evaluation indexes of the subjects were tested and compared,including pelvic floor muscle comprehensive score,pre-resting stage sub-score,fast muscle(type II muscle fibers)stage sub-score,slow muscle(type I muscle fibers)stage sub-score and post-resting stage sub-score.At the same time,the mean value and variability of the pre and post resting stages were detected.The maximum value,rise time and recovery time of fast muscle(type II muscle fibers)stage and the mean value,variability,rise time and recovery time of slow muscle(type I muscle fibers)stage.Research resultsAfter 10 weeks of systematic and comprehensive exercise prescription therapy,experimental test results of this study can be obtained:(1)The mean value of the pre-resting stage in the exercise intervention group decreased by 36.2% from 4.411μV to 2.812μV,which was statistically significant difference(P<0.05);rf The pre-resting stage variability in the exercise intervention group decreased by 37.0 % from0.276 to 0.174,showing a statistically significant difference(P<0.01).(2)The mean value of postresting stage in the exercise intervention group decreased from4.477μV to 4.063μV by 9.25%.In the exercise intervention group,the post-resting phase variability decreased from 0.185 to 0.166 by 10.27%.There was no statistically significant difference between the exercise intervention group and the control group in the mean and variability of the post-resting stage(P>0.05).(3)The maximum value of fast muscle(type II muscle fibers)in the exercise intervention group was increased by 36.2% from 26.91μV to 40.73μV,which was statistically significant difference(P<0.01).In the exercise intervention group,the time of fast muscle(type II muscle fibers)stage rise decreased from 0.523 to 0.442,which decreased by 37.0 %.The recovery time decreased by 37.0 % from 0.751 to 0.515,and there was no statistically significant difference between them(P>0.05).(4)The mean value of slow muscle(type I muscle fibers)stage in the exercise intervention group was increased from 16.741μV to 30.357μV by 81.33%,which was statistically significant difference(P<0.01).The stage variability of slow muscle(type I muscle fibers)in the exercise intervention group decreased by 30.72% from 0.319 to 0.221,which was statistically significant(P<0.01).In the exercise intervention group,the time of slow muscle(type I muscle fiber)stage rise decreased from 0.713 to 0.469,which decreased by 34.22%.In the exercise intervention group,the recovery time of slow muscle stage decreased by 51.83% from 1.646 to 0.793.The rise time and recovery time were statistically significant differences(P>0.05).(4)In terms of changes in blood test indexes,there were no significant differences in triglyceride,low density lipoprotein,high density lipoprotein and glycemic index among the three groups before and after training(P>0.05).But the total cholesterol of the MICT group remained before and after training.There was no significant difference in total cholesterol index between HIIT group and CON group(P>0.05).Research Conclusions:(1)The exercise prescription of 10-week aerobic exercise combined with resistance training effectively reduced the mean value and variability of the resting stage before and after,avoided the pelvic floor muscle to maintain a tense and overactive state,alleviated the pelvic floor muscle fatigue,and reduced the possibility of pelvic floor muscle ischemia/hypoxia.(2)The exercise prescription of 10-week aerobic exercise combined with resistance training effectively increased the maximum value of fast muscle(type II muscle fibers)stage,reduced the rise time and recovery time,enhanced the muscle strength and reaction speed of fast muscle,and avoided the occurrence of urinary incontinence and fecal incontinence.(3)The exercise prescription of 10-week aerobic exercise combined with resistance training effectively improved the mean value of slow muscle(type I muscle fibers)stage,reduced the variability,rise time and recovery time,enhanced the stability of slow muscle endurance and systolic control,and avoided causing pelvic organ prolapse.(4)In the exercise prescription program of this study,aerobic exercise can effectively increase the endurance of slow muscle of pelvic floor muscle,and resistance training can effectively enhance the strength of fast muscle of pelvic floor muscle.The influence of exercise on fast muscle and slow muscle is the reason why we choose the exercise prescription program of aerobic exercise combined with resistance training.