Clinical effect of electrical stimulation and exercise on the rehabilitation of the pelvic floor

Abstract

Objective To investigate the effect of biofeedback electrical stimulation and pelvic floor muscle training on the rehabilitation of pelvic floor muscle after delivery by vaginal delivery. Methods From January 2014 to June 2015, 90 cases who received pelvic floor rehabilitation treatment after vaginal delivery in Department of Gynecology and Obstetrics of our hospital were selected as the research subjects.According to whether the patients received pelvic floor rehabilitation training, they were divided into the treatment group and control group, 90 cases in each group.The treatment group received biofeedback electrical stimulation, pelvic floor muscle training methods of rehabilitation at 6 weeks postpartum.The control group did not take any measures of rehabilitation. Results 4 months postpartum, the bladder neck mobility, urethral rotation angle of the treatment group were significantly lower than those of the control group (t=6.052, 4.400, all P<0.05). the vaginal muscles voltage measured values of the treatment group was significantly higher than that of the control group (t=9.524, P<0.05).4 months postpartum, in the treatment group, vaginal muscle Ⅰ grade in 24.44%, grade Ⅱ in 55.56% and grade Ⅲ in 17.78%, grade Ⅳ in 2.22%; in the control group, the vaginal muscle strength grade Ⅰin 44.44%, grade Ⅱ in 55.56%; The vaginal muscle distribution in the treatment group was significantly better than the control group (Z=-2.865, P<0.05). Conclusion After vaginal delivery, maternal postpartum receiving biofeedback electrical stimulation, pelvic floor muscle exercise can significantly promote the recovery of pelvic floor muscle function. Key words: Vagina delivery; Biofeedback; Electrical stimulation; Pelvic floor muscle exercise; Rehabilitation