ÇOCUKLARDA 5 FARKLI POZİSYONDA PELVİK TABAN KAS FONKSİYONU

Year 2024, Volume: 3 Issue: 2, 24 - 30, 30.10.2024

Canan Seyhan , Aslı Öztürk , Rabia Aşık , Hasan Cem Irkılata , Murat Dayanç

Abstract

Amaç: Çocuklarda pelvik taban kasları (PTK)'nın fizyolojik ve patolojik durumlarda fonksiyonel aktivitesi ile ilgili literatürde çok az bilgi söz konusudur. Bu çalışmada 5 farklı pozisyonda (sırtüstü, yüzüstü, oturma, yan yatış, ayakta) PTK'nın istirahat ve fonksiyonel biyoelektrik aktivitelerini araştırmayı amaçladık. Yöntem: Kliniğimize alt üriner sistem semptomları (AÜSS) ile başvuran 25 çocuk çalışmaya alındı. Pelvik taban kaslarının istirahat fazı olan işeme sonrası dönemde yüzeyel elektrodlar kullanılarak pelvik taban kas aktivitesi (PTKA) ölçüldü. Ölçüm esnasında 5 saniye kasılma ve 5 saniye gevşeme yaptırılarak 50 saniyelik periyodun ortalama değerleri kaydedildi. Sonuçlar: En iyi gevşeme sırtüstü pozisyonda izlendi ve 1.43 ± 0.8 mV idi. En zayıf gevşeme ayakta pozisyonda izlendi ve sırtüstü, yüzüstü, yan yatış ve oturma pozisyonlarından istatistiksel anlamlı olarak yetersizdi (p=0.001; 0.001; 0.001; 0.001, sırasıyla). Kasılma en iyi ayakta sağlandı ve sırtüstü ve oturma pozisyonları ile arasında istatistiksel olarak anlamlı fark bulundu (p=0.009; 0.006). En zayıf kasılma oturur pozisyonda idi. Tartışma: Çocuklarda PTK gevşemesi en iyi sırtüstü pozisyonda sağlanmaktadır ve disfonksiyonel işeyen çocukların tedavisinde önemli olabilir. En zayıf gevşemenin ve en kuvvetli kasılmanın ayakta pozisyonda sağlanmış olmasını yer çekiminin yaptığı etkiye bağlı olduğunu düşünüyoruz.

Keywords

pelvik taban, pozisyonlar, elektromiyografi, çocuk

PELVIC FLOOR MUSCLE FUNCTION IN 5 DIFFERENT POSITIONS IN CHILDREN

Abstract

Purpose: There is little information in the literature regarding the functional activity of the pelvic floor muscles (PFM) in children in both physiological and pathological conditions. In this study, we aimed to investigate the resting and functional bioelectrical activities of PFM in 5 different positions (supine, prone, sitting, side lying, standing). Methods: Twenty-five children with lower urinary tract symptoms (LUTS) were included in the study. Pelvic floor muscle activity (PFMA) was measured using surface electrodes in the postvoid period, which is the resting phase of the pelvic floor muscles. During the measurement, 5 seconds of contraction and 5 seconds of relaxation were performed, and the average values of the 50-second period were recorded. Results: The best relaxation was observed in the supine position and was 1.43 ± 0.8 mV. The weakest relaxation was observed in the standing position and was statistically significantly inadequate in supine, prone, side lying and sitting positions (p=0.001; 0.001; 0.001; 0.001 respectively). Contraction was best achieved in the standing position, but a statistically significant difference was found in the supine and sitting position (p=0.009; 0.006 respectively). The weakest contraction was in the sitting position. Conclusion: PFM relaxation in children is best achieved in the supine position and may be important in the treatment of dysfunctional voiding children. We think that the weakest relaxation and strongest contraction in the standing position is due to the effect of gravity.

Keywords

pelvic floor, positions, electromyography, children

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