Comparative prospective study of biofeedback therapy and neuromuscular electrical stimulation in rehabilitation of patients with pelvic floor dysfunctions

Aim. To evaluate the effectiveness of the combined effects of biological feedback (BFB therapy) and electroimpulse stimulation (EIS) in rehabilitation of patients with pelvic floor dysfunctions. Materials and methods. A comparative prospective study included 235 women with clinical and ultrasound signs...

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Main Authors: V. A. Krutova, A. V. Nadtochy
Format: Article
Language:Russian
Published: Federal State Autonomous Educational Institution of Higher Education I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University) 2019-09-01
Series:Сеченовский вестник
Subjects:
Online Access:https://www.sechenovmedj.com/jour/article/view/108
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author V. A. Krutova
A. V. Nadtochy
author_facet V. A. Krutova
A. V. Nadtochy
author_sort V. A. Krutova
collection DOAJ
description Aim. To evaluate the effectiveness of the combined effects of biological feedback (BFB therapy) and electroimpulse stimulation (EIS) in rehabilitation of patients with pelvic floor dysfunctions. Materials and methods. A comparative prospective study included 235 women with clinical and ultrasound signs of genital prolapse stages I-IV according to POP-Q. The observation program was completed by 209 patients who were divided into group 1 with stage I-II prolapse and group 2 with stage III-IV prolapse. Vaginal extraperitoneal vaginopexy with installation of mesh implant was performed in group 2 patients before inclusion in the study. Lifestyle modification was recommended for all patients. In each group, patients were divided into subgroups of control and treatment (BOS-therapy and EIS). Group 1: subgroup A - control (n=47), subgroup B - treatment (n=56); group 2: subgroup C - control (n=49), subgroup D - treatment (n=57). Index of influence on the quality of life (IQOLI) and parameters of ultrasound were evaluated.Results. After a year of observation, in subgroup A, the IQOLI decreased by 5%, in subgroup B by 64% ( p< 0.05); in subgroup C, IQOLI decreased by 32%, in subgroup D - by 63% of the initial value ( p
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spelling doaj.art-d7c520024bbd4f89b81e01f6a0e8c99e2025-03-02T09:29:55ZrusFederal State Autonomous Educational Institution of Higher Education I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University)Сеченовский вестник2218-73322658-33482019-09-01103132110.47093/22187332.2019.3.13-21107Comparative prospective study of biofeedback therapy and neuromuscular electrical stimulation in rehabilitation of patients with pelvic floor dysfunctionsV. A. Krutova0A. V. Nadtochy1Kuban State Medical UniversityKuban State Medical UniversityAim. To evaluate the effectiveness of the combined effects of biological feedback (BFB therapy) and electroimpulse stimulation (EIS) in rehabilitation of patients with pelvic floor dysfunctions. Materials and methods. A comparative prospective study included 235 women with clinical and ultrasound signs of genital prolapse stages I-IV according to POP-Q. The observation program was completed by 209 patients who were divided into group 1 with stage I-II prolapse and group 2 with stage III-IV prolapse. Vaginal extraperitoneal vaginopexy with installation of mesh implant was performed in group 2 patients before inclusion in the study. Lifestyle modification was recommended for all patients. In each group, patients were divided into subgroups of control and treatment (BOS-therapy and EIS). Group 1: subgroup A - control (n=47), subgroup B - treatment (n=56); group 2: subgroup C - control (n=49), subgroup D - treatment (n=57). Index of influence on the quality of life (IQOLI) and parameters of ultrasound were evaluated.Results. After a year of observation, in subgroup A, the IQOLI decreased by 5%, in subgroup B by 64% ( p< 0.05); in subgroup C, IQOLI decreased by 32%, in subgroup D - by 63% of the initial value ( phttps://www.sechenovmedj.com/jour/article/view/108pelvic dysfunctiongenital prolapsebiofeedbackelectroimpulse stimulationquality of life
spellingShingle V. A. Krutova
A. V. Nadtochy
Comparative prospective study of biofeedback therapy and neuromuscular electrical stimulation in rehabilitation of patients with pelvic floor dysfunctions
Сеченовский вестник
pelvic dysfunction
genital prolapse
biofeedback
electroimpulse stimulation
quality of life
title Comparative prospective study of biofeedback therapy and neuromuscular electrical stimulation in rehabilitation of patients with pelvic floor dysfunctions
title_full Comparative prospective study of biofeedback therapy and neuromuscular electrical stimulation in rehabilitation of patients with pelvic floor dysfunctions
title_fullStr Comparative prospective study of biofeedback therapy and neuromuscular electrical stimulation in rehabilitation of patients with pelvic floor dysfunctions
title_full_unstemmed Comparative prospective study of biofeedback therapy and neuromuscular electrical stimulation in rehabilitation of patients with pelvic floor dysfunctions
title_short Comparative prospective study of biofeedback therapy and neuromuscular electrical stimulation in rehabilitation of patients with pelvic floor dysfunctions
title_sort comparative prospective study of biofeedback therapy and neuromuscular electrical stimulation in rehabilitation of patients with pelvic floor dysfunctions
topic pelvic dysfunction
genital prolapse
biofeedback
electroimpulse stimulation
quality of life
url https://www.sechenovmedj.com/jour/article/view/108
work_keys_str_mv AT vakrutova comparativeprospectivestudyofbiofeedbacktherapyandneuromuscularelectricalstimulationinrehabilitationofpatientswithpelvicfloordysfunctions
AT avnadtochy comparativeprospectivestudyofbiofeedbacktherapyandneuromuscularelectricalstimulationinrehabilitationofpatientswithpelvicfloordysfunctions