Progressive resistance exercise in the functional restoration of the perineal muscles.

作者: Arnold H. Kegel

DOI: 10.1016/0002-9378(48)90266-X

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摘要: Abstract The passage of the fetal head through vagina during delivery is invariably attended by muscle injury. Excessive tension sever motor endplates attached to cells from terminal nerve filaments which they are normally connected. This partial loss innervation in large measure responsible for relaxation perineal muscles so commonly observed after childbirth. Experience has shown that a demand use most important factor restoring functional capacity any skeletal muscle. Active exercise will aid reinnervation injured and bring about return normal contractility. shorter time elapsing between injury due childbirth or surgical procedure beginning exercise, less be amount tissue atrophy necessary re-establish function. Exercise with Perineometer useful function tone immediate postpartum period, improving early cystocele rectocele childbearing years, vaginal contraceptive diaphragm may retained, relieving urinary stress incontinence. Surgical procedures correction vaginal, urethral, rectal incompetence facilitated preoperative postoperative improves texture, tone, muscles. “Perineometer,” an instrument devised register contraction, great value as visual guiding patient course her exercises encouraging continue until desired result attained. method described suggests new approach studies physiology related physics.

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