Journal of Surgery

| Peer-Reviewed |

Preventive Effect of Electrical Stimulation Biofeedback Combined With Family Individualized Pelvic Floor Rehabilitation Training on Postpartum Pelvic Floor Dysfunction

Received: 01 February 2020    Accepted: 17 February 2020    Published: 06 March 2020
Views:       Downloads:

Share This Article

Abstract

Objective: To explore the preventive effect of electrical stimulation biofeedback combined with family individualized pelvic floor rehabilitation training on postpartum pelvic floor dysfunction (PFD). Methods: From June 2018 to June 2019, 124 women who underwent the first postpartum review (Postpartum4-6 weeks, lochia clean, no vaginal bleeding) in our hospital were randomly divided into observation group and control group, 62 cases in each group. The control group received routine pelvic floor muscle training intervention, while the observation group received family individualized pelvic floor rehabilitation training combined with electrical stimulation biofeedback intervention. Six months after the intervention, the pelvic floor muscular fibre strength and A3 reflex, pelvic organ prolapse quantitative (POP-Q) score, pelvic floor dysfunction questionnaire (PFDI20), pelvic floor disease quality of life questionnaire (PFIQ7) and pelvic organ prolapse, urinary incontinence function questionnaire (PISQ-12) were compared between the two groups. Results: After 6 months of intervention, there was no significant difference in the muscle strength of type I muscle fibers between the two groups (Z=-0.918, P=0.358), while the muscle strength of type II muscle fibers in the observation group was significantly better than that in the control group (Z=-2.372, P=0.018). There was no significant difference in A3 reflex between the two groups before and after treatment (before: χ2=0.387, P=0.534; after: χ2=0.683, P=0.409). The POP-Q score of the observation group was significantly better than that of the control group (Z=-2.073, P=0.038). There was no significant difference in PFDI20, PFIQ7 and PISQ-12 scores between the two groups before and after treatment (P > 005). In the observation group, there were 2 cases of vaginal relaxation, 1 case of mild uterine prolapse, no stress urinary incontinence and vaginal wall bulge, the incidence was 4.84%. In the control group, 4 cases had vaginal relaxation, 2 cases had mild uterine prolapse, 1 case had stress urinary incontinence and no vaginal wall bulge, the incidence was 11.29%. Conclusion: Electrical stimulation biofeedback combined with family individualized pelvic floor rehabilitation training has a better effect on pelvic floor muscle rehabilitation, which is helpful to prevent the occurrence of PFD.

DOI 10.11648/j.js.20200802.11
Published in Journal of Surgery (Volume 8, Issue 2, April 2020)
Page(s) 43-47
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Electrical Stimulation Biofeedback, Individualization, Pelvic Floor Rehabilitation Training, Postpartum, Pelvic Floor Dysfunction Disease

References
[1] Dan Yang. Research progress of female pelvic floor dysfunction [J]. CHINESE JOURNAL OF FAMILY PLANNING & GYNECOTOKOLOGY Volume 9 Number 2 2017: 11-15.
[2] Van Geelen H, Ostergard D, Sand P. A review of the impact of pregnancy and childbirth on pelvic floor function as assessed by objective measurement techniques [J]. Int Urogynecol J, 2018, 29 (3): 327-338.
[3] Schofield C, Newton RU, Cohen PA, et al. Health-related quality of life and pelvic floor dysfunction in advanced-stage ovarian cancer survivors: associations with objective activity behaviors and physiological characteristics [J]. Support Care Cancer, 2018, 26 (7): 2239-2246.
[4] Zhijing Sun, Lan Zhu, Jinghe Lang, et al. Postpartum pelvic floor rehabilitation on prevention of female pelvic floor dysfunction: a multicenter prospective randomized controlled study [J]. Chin J Obstet Gynecol, June 2015, Vol. 50, No. 6: 420-427.
[5] Rivalta M, Sighinolfi MC, Micali S, et al. Sexual function and quality of life in women with urinary incontinence treated by a complete pelvic floor rehabilitation program (biofeedback, functional electrical stimulation, pelvic floor muscles exercises, and vaginal cones) [J]. J Sex Med, 2010, 7 (3): 1200-1208.
[6] Yun Zhao. Effect of short-term postpartum biofeedback electrical stimulation on pelvic floor muscle strength [J]. Maternal and child health care in China, 2019, 34 (6): 123-126.
[7] Elmelund M, Biering-Sorensen F, Due U, et al. The effect of pelvic floor muscle training and intravaginal electrical stimulation on urinary incontinence in women with incomplete spinal cord injury: an investigator-blinded parallel randomized clinical trial [J]. Int Urogynecol J, 2018, 29 (11): 1597-1606.
[8] Yuanyuan Su, Yanhua Han, Li Cao. Pelvic electrophysiological evaluation in patients with pelvic organ prolapse before and after operation. [J]. Chinese Journal of practical Gynecology and Obstetrics, 2017, 33 (10): 1038-1040.
[9] ACOG Committee on Practice Bulletins--Gynecology. ACOG Practice Bulletin No. 85: Pelvic organ prolapse [J]. Obstet Gynecol, 2007, 110 (3): 717-729.
[10] Bilgic D, Gokyildiz S, Kizilkaya NB, et al. Quality of life and sexual functıon in obese women with pelvic floor dysfunction [J]. Women Health, 2018, 59 (1): 101-113.
[11] Hill AM, McPhail SM, Wilson JM, et al. Pregnant women's awareness, knowledge and beliefs about pelvic floor muscles: a cross-sectional survey [J]. Int Urogynecol J, 2017, 28 (10): 1557-1565.
[12] Zhao Y, Zou L, Xiao M, et al. Effect of different delivery modes on the short-term strength of the pelvic floor muscle in Chinese primipara [J]. BMC Pregnancy Childbirth, 2018, 18 (1): 275-283.
[13] Verbeek M, Hayward L. Pelvic floor dysfunction and its effect on quality of sexual life [J]. Sex Med Rev, 2019, 24 (1): 1-9.
[14] Guzman Rojas R, Wong V, Shek KL, et al. Impact of levator trauma on pelvic floor muscle function [J]. Int Urogynecol J, 2014, 25 (3): 375-380.
[15] Qiongcheng Zhang, Shan Yu, Jichun Shao. Influence of electrical stimulation biofeedback therapy on the pelvic floor muscle and serum related indexes of patients with pelvic floor dysfunction [J]. Journal of Clinical Medicine in Practice, 2016, 20 (15): 57-59.
[16] Lamin E, Parrillo LM, Newman DK, et al. Pelvic floor muscle training: underutilization in the USA [J]. Curr Urol Rep, 2016, 17 (2): 10-19.
[17] Nguyen MT, Armstrong AA, Wieslander CK, et al. Now anyone can kegel: one-time office teaching of pelvic floor muscle exercises [J]. Female Pelvic Med Reconstr Surg, 2019, 25 (2): 149-153.
[18] Yuqi Li, Haiyi Liu, Yuanyuan Wu, et al. Effect of biofeedback combined with electrical stimulation and Kegel training in the treatment of postpartum pelvic floor dysfunction [J]. Journal of Xinxiang Medical University, 2017, 34 (7): 619-622.
[19] Lin Cao, Shiqi Xiao, Lina Ge, et al. The influence of continuing care on long-term postoperative prognosis of pelvic floor dysfunction [J]. Modern Medical Journal. 2015, Jul; 43 (7): 891-896.
Author Information
  • Outpatient Office of Department, The First Affiliated Hospital of Jinan University, Guangzhou, China

  • Outpatient Department of Obstetrics and Gynecology, The First Affiliated Hospital of Jinan University, Guangzhou, China

  • Outpatient Department of Obstetrics and Gynecology, The First Affiliated Hospital of Jinan University, Guangzhou, China

Cite This Article
  • APA Style

    Huan Wang, Hong Zhou, Li Cheng. (2020). Preventive Effect of Electrical Stimulation Biofeedback Combined With Family Individualized Pelvic Floor Rehabilitation Training on Postpartum Pelvic Floor Dysfunction. Journal of Surgery, 8(2), 43-47. https://doi.org/10.11648/j.js.20200802.11

    Copy | Download

    ACS Style

    Huan Wang; Hong Zhou; Li Cheng. Preventive Effect of Electrical Stimulation Biofeedback Combined With Family Individualized Pelvic Floor Rehabilitation Training on Postpartum Pelvic Floor Dysfunction. J. Surg. 2020, 8(2), 43-47. doi: 10.11648/j.js.20200802.11

    Copy | Download

    AMA Style

    Huan Wang, Hong Zhou, Li Cheng. Preventive Effect of Electrical Stimulation Biofeedback Combined With Family Individualized Pelvic Floor Rehabilitation Training on Postpartum Pelvic Floor Dysfunction. J Surg. 2020;8(2):43-47. doi: 10.11648/j.js.20200802.11

    Copy | Download

  • @article{10.11648/j.js.20200802.11,
      author = {Huan Wang and Hong Zhou and Li Cheng},
      title = {Preventive Effect of Electrical Stimulation Biofeedback Combined With Family Individualized Pelvic Floor Rehabilitation Training on Postpartum Pelvic Floor Dysfunction},
      journal = {Journal of Surgery},
      volume = {8},
      number = {2},
      pages = {43-47},
      doi = {10.11648/j.js.20200802.11},
      url = {https://doi.org/10.11648/j.js.20200802.11},
      eprint = {https://download.sciencepg.com/pdf/10.11648.j.js.20200802.11},
      abstract = {Objective: To explore the preventive effect of electrical stimulation biofeedback combined with family individualized pelvic floor rehabilitation training on postpartum pelvic floor dysfunction (PFD). Methods: From June 2018 to June 2019, 124 women who underwent the first postpartum review (Postpartum4-6 weeks, lochia clean, no vaginal bleeding) in our hospital were randomly divided into observation group and control group, 62 cases in each group. The control group received routine pelvic floor muscle training intervention, while the observation group received family individualized pelvic floor rehabilitation training combined with electrical stimulation biofeedback intervention. Six months after the intervention, the pelvic floor muscular fibre strength and A3 reflex, pelvic organ prolapse quantitative (POP-Q) score, pelvic floor dysfunction questionnaire (PFDI20), pelvic floor disease quality of life questionnaire (PFIQ7) and pelvic organ prolapse, urinary incontinence function questionnaire (PISQ-12) were compared between the two groups. Results: After 6 months of intervention, there was no significant difference in the muscle strength of type I muscle fibers between the two groups (Z=-0.918, P=0.358), while the muscle strength of type II muscle fibers in the observation group was significantly better than that in the control group (Z=-2.372, P=0.018). There was no significant difference in A3 reflex between the two groups before and after treatment (before: χ2=0.387, P=0.534; after: χ2=0.683, P=0.409). The POP-Q score of the observation group was significantly better than that of the control group (Z=-2.073, P=0.038). There was no significant difference in PFDI20, PFIQ7 and PISQ-12 scores between the two groups before and after treatment (P > 005). In the observation group, there were 2 cases of vaginal relaxation, 1 case of mild uterine prolapse, no stress urinary incontinence and vaginal wall bulge, the incidence was 4.84%. In the control group, 4 cases had vaginal relaxation, 2 cases had mild uterine prolapse, 1 case had stress urinary incontinence and no vaginal wall bulge, the incidence was 11.29%. Conclusion: Electrical stimulation biofeedback combined with family individualized pelvic floor rehabilitation training has a better effect on pelvic floor muscle rehabilitation, which is helpful to prevent the occurrence of PFD.},
     year = {2020}
    }
    

    Copy | Download

  • TY  - JOUR
    T1  - Preventive Effect of Electrical Stimulation Biofeedback Combined With Family Individualized Pelvic Floor Rehabilitation Training on Postpartum Pelvic Floor Dysfunction
    AU  - Huan Wang
    AU  - Hong Zhou
    AU  - Li Cheng
    Y1  - 2020/03/06
    PY  - 2020
    N1  - https://doi.org/10.11648/j.js.20200802.11
    DO  - 10.11648/j.js.20200802.11
    T2  - Journal of Surgery
    JF  - Journal of Surgery
    JO  - Journal of Surgery
    SP  - 43
    EP  - 47
    PB  - Science Publishing Group
    SN  - 2330-0930
    UR  - https://doi.org/10.11648/j.js.20200802.11
    AB  - Objective: To explore the preventive effect of electrical stimulation biofeedback combined with family individualized pelvic floor rehabilitation training on postpartum pelvic floor dysfunction (PFD). Methods: From June 2018 to June 2019, 124 women who underwent the first postpartum review (Postpartum4-6 weeks, lochia clean, no vaginal bleeding) in our hospital were randomly divided into observation group and control group, 62 cases in each group. The control group received routine pelvic floor muscle training intervention, while the observation group received family individualized pelvic floor rehabilitation training combined with electrical stimulation biofeedback intervention. Six months after the intervention, the pelvic floor muscular fibre strength and A3 reflex, pelvic organ prolapse quantitative (POP-Q) score, pelvic floor dysfunction questionnaire (PFDI20), pelvic floor disease quality of life questionnaire (PFIQ7) and pelvic organ prolapse, urinary incontinence function questionnaire (PISQ-12) were compared between the two groups. Results: After 6 months of intervention, there was no significant difference in the muscle strength of type I muscle fibers between the two groups (Z=-0.918, P=0.358), while the muscle strength of type II muscle fibers in the observation group was significantly better than that in the control group (Z=-2.372, P=0.018). There was no significant difference in A3 reflex between the two groups before and after treatment (before: χ2=0.387, P=0.534; after: χ2=0.683, P=0.409). The POP-Q score of the observation group was significantly better than that of the control group (Z=-2.073, P=0.038). There was no significant difference in PFDI20, PFIQ7 and PISQ-12 scores between the two groups before and after treatment (P > 005). In the observation group, there were 2 cases of vaginal relaxation, 1 case of mild uterine prolapse, no stress urinary incontinence and vaginal wall bulge, the incidence was 4.84%. In the control group, 4 cases had vaginal relaxation, 2 cases had mild uterine prolapse, 1 case had stress urinary incontinence and no vaginal wall bulge, the incidence was 11.29%. Conclusion: Electrical stimulation biofeedback combined with family individualized pelvic floor rehabilitation training has a better effect on pelvic floor muscle rehabilitation, which is helpful to prevent the occurrence of PFD.
    VL  - 8
    IS  - 2
    ER  - 

    Copy | Download

  • Sections