نگرش فیزیوتراپی در درمان مثانه ی عصبی

نوع مقاله: مقاله مروری

نویسندگان

1 1. کمیته پژوهشی دانشجویی. دانشجوی دوره کارشناسی ارشد فیزیوتراپی، واحد بین الملل، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران

2 2. استادیار گروه فیزیوتراپی، دانشکده علوم توانبخشی، دانشگاه علوم پزشکی شهید بهشتی ، تهران، ایران

10.22037/jrm.2015.1100016

چکیده

مقدمه و اهداف
مثانه ی عصبی، اختلال در دستگاه ادراری تحتانی به علت بیماری های سیستم عصبی و یا تخریب این سیستم می باشدکه با بر هم زدن هدایت جریان عصبی در سیستم عصبی مرکزی، محیطی و یا خودکار، مثانه و پیشابراه را تحت تاثیر قرار می دهد. بررسی های اورودینامیک، اساس تشخیص و درمان است. روشهای درمانی متداول مثانه عصبی شامل درمان های دارویی،فیزیوتراپی وجراحی است.در این مقاله ضمن بررسی انواع مثانه عصبی، به روشهای درمان  فیزیوتراپی آن خواهیم پرداخت.
نتیجه گیری
به علت عوارض داروها و نیز تهاجمی بودن درمان های جراحی و هزینه بالای آن ها، فیزیوتراپی می تواند در اولویت درمانی مثانه عصبی قرار گیرد . از جمله درمان های فیزیوتراپی مثانه عصبی تحریک الکتریکی سطحی عصب تیبیال خلفی است که روشی ساده، مفید و موثر بوده ،عارضه ای نداشته، کیفیت زندگی را بالا برده و هزینه های اجتماعی – روانی را کاهش داده است.بیوفیدبک بر اساس اصلاح عادت های بیمار ونیز تمرینات آماده سازی عضلات کف لگن به عنوان اولین خط درمان در نظر گرفته می شوند.

کلیدواژه‌ها


عنوان مقاله [English]

Physiotherapy Approaches on Neurogenic Bladder

نویسندگان [English]

  • Farshideh Alishahi 1
  • Farideh Dehghan Manshadi 2
1 1. Student Research Committee. MSc Student of Physiotherapy, International Branch, Shahid Beheshti University of Medical Sciences,Tehran, Iran.
2 2. Asisstant Professor of Physiotherapy, Faculty of Rehabilitation Sciences, Shahid Beheshti University of Medical Sciences. Tehran, Iran.
چکیده [English]

Background and Aim: Neurogenic bladder is lower urinary tract dysfunction due to the neurological disease or damage to the nervous system. This condition is associated with impaired nerve conduction in the central, peripheral and autonomic nervous systems, which can affect the bladder and urethral function. Urodynamic studies are essential for diagnosis and choosing suitable treatment approach. Common treatment methods are included medication, physiotherapy and surgery. The present article aimed to review different types of neurogenic bladders and physiotherapy approaches to manage them.
Conclusion: Due to the drug’ side effects and being invasive and high costs of the surgery, physiotherapy can be a first option in the treatment of neurogenic bladder. Percutaneous posterior tibial nerve stimulation is a simple, useful and effective method without any complications. In addition, biofeedback and pelvic floor muscle training considering as the first- line treatment.

کلیدواژه‌ها [English]

  • Neurogenic bladder
  • voiding dysfunction
  • Physiotherapy
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