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

Huan Wang,Li Cheng,Hong Zhou

doi: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.

Highlights

Pelvic floor dysfunction is a group of gynecological diseases caused by pelvic supporting structure damage or dysfunction, including stress urinary incontinence, pelvic floor organ prolapse and sexual dysfunction [1]
Previous studies have shown that the decrease of pelvic floor muscle strength is the influencing factor of pelvic floor dysfunction (PFD), and delivery leads to the injury of pelvic floor supporting tissue in varying degrees [2]
A randomized controlled study was conducted on 124 parturients to observe the changes of physiological indexes and quality of life in order to explore the preventive effect of electrical stimulation biofeedback combined with family individualized pelvic floor rehabilitation training on postpartum pelvic floor dysfunction

Summary

Introduction

Pelvic floor dysfunction (pelvic floor dysfunction, PFD) is a group of gynecological diseases caused by pelvic supporting structure damage or dysfunction, including stress urinary incontinence, pelvic floor organ prolapse and sexual dysfunction [1]. Huan Wang et al.: Preventive Effect of Electrical Stimulation Biofeedback Combined With Family Individualized. Pelvic Floor Rehabilitation Training on Postpartum Pelvic Floor Dysfunction screening of pelvic floor function and active intervention can reduce the incidence of PFD and improve the quality of life [3]. The commonly used clinical rehabilitation methods of pelvic floor function are pelvic floor muscle exercise and electrical stimulation biofeedback, both of which have achieved good results [4,5,6]. A randomized controlled study was conducted on 124 parturients to observe the changes of physiological indexes and quality of life in order to explore the preventive effect of electrical stimulation biofeedback combined with family individualized pelvic floor rehabilitation training on postpartum pelvic floor dysfunction

Methods

Results

Discussion

Conclusion