Application of biofeedback electrical stimulation combined with Kegel exercises using vaginal dumbbell in pelvic floor muscle strength rehabilitation of patients with postpartum pelvic floor dysfunction(PDF)
《中国医学物理学杂志》[ISSN:1005-202X/CN:44-1351/R]
- Issue:
- 2025年第2期
- Page:
- 256-260
- Research Field:
- 医学生物物理
- Publishing date:
Info
- Title:
- Application of biofeedback electrical stimulation combined with Kegel exercises using vaginal dumbbell in pelvic floor muscle strength rehabilitation of patients with postpartum pelvic floor dysfunction
- Author(s):
- TAO Min; HAN Lin; HUANG Junjie; CHEN Lina; LUO Yuanyuan
- Department of Rehabilitation Medicine, Yulin First Peoples Hospital, Yulin 537000, China
- Keywords:
- Keywords: postpartum pelvic floor dysfunction biofeedback electrical stimulation vaginal dumbbell Kegel exercise pelvic floor muscle strength
- PACS:
- R493
- DOI:
- DOI:10.3969/j.issn.1005-202X.2025.02.018
- Abstract:
-
Abstract: Objective To investigate the application effect of biofeedback electrical stimulation combined with Kegel exercises using vaginal dumbbell in pelvic floor muscle strength rehabilitation of patients with postpartum pelvic floor dysfunction (PFD). Methods A prospective study was conducted on 70 PFD patients who were divided into control group (n=34) and combined group (n=36) according to random numbers generated by Excel. Control group received Kegel exercises using vaginal dumbbell, while combined group was given biofeedback electrical stimulation on this basis. Both groups underwent 3 months of continuous treatment. GRRUG method was adopted to assess pelvic floor muscle strength after treatment a low-frequency neuromuscular stimulation therapy device was used to detect the pelvic floor muscle fiber electromyography value and fatigue value and female sexual function index (FSFI) was utilized to evaluate the quality of sexual life. The pelvic floor function impairments in two groups were also recorded and compared. Results After treatment, compared with control group, combined group had greater proportions of above grade III muscle strength of class I and class II muscle fibers (P<0.05), higher mean pelvic floor electromyography values of class I and class II muscle fibers (P<0.05), and lower fatigue value of pelvic floor muscle (P<0.05). In addition, combined group had higher FSFI scores for sexual desire, sexual arousal, vaginal lubrication, orgasm, satisfaction and dyspareunia, and the total score than control group (P<0.05), and the incidence rates of frequent and urgent urination, lumbosacral pain, and vaginal relaxation were lower in combined group as compared with control group (P<0.05). Conclusion The combination of biofeedback electrical stimulation and Kegel exercises using vaginal dumbbell in the treatment of patients with postpartum PFD can significantly improve pelvic floor muscle strength, alleviate symptoms such as frequent and urgent urination, lumbosacral pain and vaginal relaxation, and improve the quality of sexual life.
Last Update: 2025-01-22