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

Huan Wang; Hong Zhou; Li Cheng

doi:doi:10.11648/j.js.20200802.11

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

Huan Wang, Hong Zhou, Li Cheng

Published in Journal of Surgery (Volume 8, Issue 2)

Received: 1 February 2020 Accepted: 17 February 2020 Published: 6 March 2020

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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.

Published in	Journal of Surgery (Volume 8, Issue 2)
DOI	10.11648/j.js.20200802.11
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), 2020. Published by Science Publishing Group

Keywords

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

References

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[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.
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[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.
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[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.
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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

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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

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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

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@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://article.sciencepublishinggroup.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}
}

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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  -

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Author Information

Huan Wang

Outpatient Office of Department, The First Affiliated Hospital of Jinan University, Guangzhou, China
Hong Zhou

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

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

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Plain Text BibTeX RIS

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

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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

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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://article.sciencepublishinggroup.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  -

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