Turkiye Klinikleri Journal of Health Sciences

.: REVIEW
Pelvik Taban Kas Eğitimi ve Sanal Gerçeklik
Pelvic Floor Muscle Training and Virtual Reality
Seda YAKIT YEŞİLYURTa, Nuriye ÖZENGİNa, Yeşim BAKARb
aFizyoterapi ve Rehabilitasyon AD, Bolu Abant İzzet Baysal Üniversitesi Kemal Demir Fizik Tedavi ve Rehabilitasyon Yüksekokulu, Bolu, TÜRKİYE
bFizyoterapi ve Rehabilitasyon Bölümü, İzmir Bakırçay Üniversitesi Sağlık Bilimleri Fakültesi,İzmir, TÜRKİYE
Turkiye Klinikleri J Health Sci. 2019;4(3):381-9
doi: 10.5336/healthsci.2018-64206
Article Language: TR
Full Text
ÖZET
 Pelvik taban kasları (PTK), simfizis pubisten koksikse doğru genişleyen, çok katlı bir kas tabakasıdır. Pelvis içindeki pozisyonu bir trambolin gibi düşünülen bu yapı, pelvik açıklıklara (üretra, vajina ve anüs) yapısal destek verir. Ayrıca işeme, dışkılama, seksüel fonksiyon ve pelvik organların desteklenmesinden de sorumludur. Pelvik taban kaslarının ön, orta veya arka kompartmanlarının herhangi birinde meydana gelen bir patoloji; alt üriner sistem semptomları, bağırsak semptomları, prolapsus, seksüel fonksiyon ve ağrı ile ilişkili olan pelvik taban disfonksiyonuna (PTD) neden olmaktadır. PTD özellikle kadınları etkilemekte ve zaman içerisinde kasın yeniden eğitimini gerektirmektedir. PTD tedavi seçenekleri arasında cerrahi, medikal ve fizyoterapi ve rehabilitasyon yaklaşımları yer almaktadır. Fizyoterapi ve rehabilitasyonun amacı semptomları azaltmak, progresyonu önlemek, cerrahiyi önlemek ya da geciktirmek ve yaşam kalitesini arttırmaktır. Bu amaçlara ulaşmak için PTD tedavisinde uygulanan fizyoterapi ve rehabilitasyon yaklaşımları pelvik taban kas eğitimini (PTKE) içermektedir. PTKE; biofeedback, vajinal kon, foley kateter, tampon, üç boyutlu real time ultrasound ve sanal gerçeklik eğitimi ile birlikte uygulanabilir. Bu derleme, pelvik taban disfonksiyonunda; pelvik taban kas eğitimini ve bu eğitimde kullanılan yöntemleri tartışmaktadır. Ayrıca son dönemlerde oldukça popüler olan sanal gerçekliğin pelvik taban kas eğitimde uygulanabilirliğini ve avantajlarını vurgulamaktadır.

Anahtar Kelimeler: Sanal gerçeklik; pelvik taban; kadın sağlığı
ABSTRACT
 Pelvic floor muscles (PFMs) are a layered muscle layer that expands symphysis pubis to coccyx. This structure, which is thought to be a tombolin in the pelvis, provides structural support to the pelvic openings (urethra, vagina and anus). It is also responsible for voiding, defecation, sexual functioning and supporting pelvic organs. A pathology that occurs in any of the anterior, middle, or posterior compartments of the pelvic floor muscles that cause pelvic floor dysfunction (PFD) associated with lower urinary tract symptoms, intestinal symptoms, prolapse, sexual function and pain. PFD is particularly affecting women and that require muscle re-education. Treatment options for PFD include surgery, medical and physiotherapy and rehabilitation approaches. Physiotherapy and rehabilitation are aimed at reducing symptoms, preventing progression, preventing or delaying surgery and improving quality of life. Physiotherapy and rehabilitation approaches for PTD include pelvic floor muscle training (PFMT). PFMT can be applied with biofeedback, vaginal cone, foley catheter, tampon, three-dimensional real time ultrasound and virtual reality training. This review suggests that in pelvic floor dysfunction; pelvic floor muscle training and methods used in this training. It also emphasizes the applicability and advantageous aspects of pelvic floor muscle training in the virtual reality, which has recently become quite popular.

Keywords: Virtual reality; pelvic floor; women's health
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"Turkiye Klinikleri" is not responsible for executing late or never of this hereby "Terms of Use", privacy policy and "USER Contract" in any situation legally taken into account as force majeure. Being late or failure of performance or non-defaulting of this and similar cases like this will not be the case from the viewpoint of "Turkiye Klinikleri", and "Turkiye Klinikleri" will not have any damage liability for these situations. "Force majeure" term will be regarded as outside of the concerned party's reasonable control and any situation that "Turkiye Klinikleri" cannot prevent even though it shows due diligence. Also, force majeure situations include but not limited to natural disasters, rebellion, war, strike, communication problems, infrastructure and internet failure, power cut and bad weather conditions.

8. LAW AND AUTHORISATION TO FOLLOW

Turkish Law will be applied in practicing, interpreting the hereby "Terms of Use" and managing the emerging legal relationships within this "Terms of Use" in case of finding element of foreignness, except for the rules of Turkish conflict of laws. Ankara Courts and Enforcement Offices are entitled in any controversy happened or may happen due to hereby contract.

9. CLOSING AND AGREEMENT

Hereby "Terms of Use" come into force when announced in the "SITE" by "Turkiye Klinikleri". The users are regarded to agree to hereby contract terms by using the "SITE". "Turkiye Klinikleri" may change the contract terms and the changes will be come into force by specifying the version number and the date of change on time it is published in the "SITE".

 

30.03.2014

Privacy Policy

We recommend you to read the terms of use below before you visit our website. In case you agree these terms, following our rules will be to your favor. Please read our Terms of Use thoroughly.

www.turkiyeklinikleri.com website belongs to Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. and is designed in order to inform physicians in the field of health

www.turkiyeklinikleri.com cannot reach to user’s identity, address, service providers or other information. The users may send this information to the website through forms if they would like to. However, www.turkiyeklinikleri.com may collect your hardware and software information. The information consists of your IP address, browser type, operating system, domain name, access time, and related websites. www.turkiyeklinikleri.com cannot sell the provided user information (your name, e-mail address, home and work address, phone number) to the third parties, publish it publicly, or keep it in the website. Gathered information has a directing feature to be a source for the website’s visitor profile, reporting and promotion of the services.

www.turkiyeklinikleri.com uses the taken information:

-To enhance, improve and maintain the quality of the website

-To generate visitor’s profile and statistical data

-To determine the tendency of the visitors on using our website

-To send print publications/correspondences

-To send press releases or notifications through e-mail

-To generate a list for an event or competition

By using www.turkiyeklinikleri.com you are considered to agree that;

-Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. cannot be hold responsible for any user’s illegal and immoral behavior,

-Terms of use may change from time to time,

-It is not responsible for other websites’ contents it cannot control or the harms they may cause although it uses the connection they provided.

Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. may block the website to users in the following events:

-Information with wrong, incomplete, deceiving or immoral expressions is recorded to the website,

-Proclamation, advertisement, announcement, libelous expressions are used against natural person or legal identity,

-During various attacks to the website,

-Disruption of the website because of a virus.

Written, visual and audible materials of the website, including the code and the software are under protection by legal legislation.

Without the written consent of Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. the information on the website cannot be downloaded, changed, reproduced, copied, republished, posted or distributed.

All rights of the software and the design of the website belong to Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc.

Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. will be pleased to hear your comments about our terms of use. Please share the subjects you think may enrich our website or if there is any problem regarding our website.

info@turkiyeklinikleri.com