Biofeedback in pelvic floor muscle training for women with prolapsed pelvic organs

Abstract

Objective To explore the curative effect of biofeedback-controlled electrical stimulation combined with the pelvic floor muscle training among women with prolapsed pelvic organs. Methods Sixty women with pelvic organ prolapse were divided at random into an observation group and a control group, each of 30. Both groups were given biofeedback-controlled electrical stimulation of the vaginal muscles, but the observation group also received Kegel training and pelvic floor function training using a vaginal dumbbell. The intervention consisted of 2 courses with an interval of 2 weeks. One course met 15 times, 3 times a week, lasting 30 minutes each time. Before and after the treatment, both groups were assessed using pelvic floor electromyography and the GRRUG method was used to evaluate their pelvic floor muscle strength. Results Before the treatment, there were no significant differences between the observation and control groups in terms of the average amplitude of the potentials generated by the pelvic floor muscles in resting, in rapid contraction or in endurance contraction. After the treatment the observation group generated significantly higher potentials than the control group on average. The pelvic floor muscle strength of the observation group reached level V in 23 cases, significantly more than the 9 cases observed in the control group. The total effectiveness rate of the observation group was 96.7%, significantly higher than the control group′s 73.3%. Conclusion Biofeedback-controlled electrical stimulation combined with pelvic floor muscle training is effective in treating females with pelvic organ prolapse. Key words: Biofeedback; Electrical stimulation; Pelvic organs; Prolapse