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Pelvic Floor Muscle Exercise by Biofeedback and Electrical Stimulation to Reinforce the Pelvic Floor Muscle after Normal Delivery  

Lee, In-Sook (St. Michael's Hospital)
Choi, Euy-Soon (College of Nursing, The Catholic University of Korea)
Publication Information
Journal of Korean Academy of Nursing / v.36, no.8, 2006 , pp. 1374-1380 More about this Journal
Abstract
Purpose. This study was conducted to investigate the effectiveness of pelvic floor muscle exercise using biofeedback and electrical stimulation after normal delivery. Methods. The subjects of this study were 49 (experimental group: 25, control group: 24) postpartum women who passed 6 weeks after normal delivery without complication of pregnancy, delivery and postpartum. The experimental group was applied to the pelvic muscle enforcement program by biofeedback and electrical stimulation for 30 minutes per session, twice a week for 6 weeks, after then self-exercise of pelvic floor muscle was done 50-60 repetition per session, 3 times a day for 6 weeks. Maximum pressure of pelvic floor muscle contraction (MPPFMC), average pressure of pelvic floor muscle contraction (APPFMC), duration time of pelvic floor muscle contraction (DTPFMC) and the subjective lower urinary symptoms were measured by digital perineometer and Bristol Female Urinary Symptom Questionnaire and compared between two groups prior to trial, at the end of treatment and 6 weeks after treatment. Results. The results of this study indicated that MPPFMC, APPFMC, DTPFMC were significantly increased and subjective lower urinary symptoms were significantly decreased after treatment in the experimental group than in the control group. Conclusions. This study suggested that the pelvic floor muscle exercise using biofeedback and electrical stimulation might be a safer and more effective program for reinforcing pelvic floor muscle after normal delivery.
Keywords
Pelvic Floor; Exercise; Biofeedback; Electric Stimulation;
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1 Cosner, K. R., Dougherty, M. C., & Bishop, K. R. (1991). Dynamic characteristics of the circumvaginal muscles during pregnancy and the postpartum. J Nurse Midwif, 36(4), 221-225   DOI
2 Glavind, K., Walter, S., & Nohr, S. (1998). Biofeedback training of the pelvic floor muscles in the treatment of stress urinary incontinence. Int Urogynecol, 9, 151-153   DOI   ScienceOn
3 Kim, J. H., Seo, J. T., & Lee, Y. S. (1998). The efficacy of biofeedback treatment and functional electrical stimulation in the treatment of stress urinary incontinence patients. Korean J Urol, 39(7), 676-683
4 Lee, Y. S. (1997). Biofeedback therapy. Proceedings of Symposium of Korean Continence Society. 16-19
5 Park, J. O., & Lee, Y. S. (2000). Effects and dompliance of pelvic floor muscle exercise using biofeedback in women with stress urinary incontinence. Women Health, 1(2),67-92
6 Song, M. S. (1999). Development and application of urinary incontinence self management program for community elderly women. Seoul J Nursing, 13(2), 205-220
7 Wilson, P. D., & Herbison, G. P. (1998). A Randomised controlled trial of pelvic floor muscle exercise to treat post-natal urinary incontinence. Int Urogynecol J, 9, 257-264   DOI   ScienceOn
8 Bo, K., Oseid, S., & Kwastein, B. (1988). Knowledge about and ability to correct pelvic floor muscle exercises in women with urinary stress incontinence. Neurourol Urodyn, 7, 26-27
9 Choi, M. H., Kim, H. K., Kim, T.W., Lee, J. Y., Chung, D. Y., Shin, J. I., Hong, S. D., & Kim, C. Y. (1995). The effects of pregnancy and delivery on stress urinary incontinence. Korean Obstet Gynecol, 38(9), 1571-1576
10 Khan, Z., Mieza, M., & Bhola, A. (1988). Relative usefulness of physical examination, urodynamics and roentgenography in the diagnosis of urinary stress incontinence. Surg Gynecol & Obstet, 167, 39-44
11 Wilson, P. D., Herbison, R. M., & Herbison, G. P. (1996). Obstetric practice and the prevalence of urinary incontinence three months after delivery. Bri J Obstet and Gynaecol, 103, 154-161   DOI
12 Hong, J. Y. (1997). The efficacy of pelvic floor muscle exercise in patients with genuine stress incontinence. Korean J Urol, 38(6), 639-643
13 Miller, J., Kasper, C., & Sampselle, C. (1994). Review of muscle physiology with application to pelvic muscle exercise. Urol Nurs, 14(3),92-97
14 Yun. J, M., Kim, S. J., & Lee, K. S. (2000). The effect of pelvic floor muscle training with biofeedback and functional electrical stimulation for genuine stress urinary incontinence. Korean J Urol, 41, 627-632
15 Stein, M., Discippio, W., Davia, M., & Taub, H. (1995). Biofeedback for the treatment of stress and urge incontinence. J Urol, 153, 641-643   DOI   ScienceOn
16 Berghmans, L. C. M., Fredericks, C. M. A., Bie, R. A., Weil, E. H. J., & Smeets, L. W. H. (1996). Efficacy of biofeedback when included with pelvic floor muscle exercise treatment, for genuine stress. Neural and Urodyn, 15, 37-52   DOI   ScienceOn
17 Choi, Y. H., Sung, M. S., & Hong, J. Y. (1999). The Comparison of the Effectiveness of Pelvic Floor Muscle Exercise and Biofeedback Treatment for Stress Incontinence in Korean?Women. J Korean Acad Nurs, 29(1), 34-47   DOI
18 Morkved, S., & Bo, K. (1997). The effect of postpartum pelvic floor muscle exercise in the prevention and treatment of urinary incontinence. Int Urogynecol J, 8, 217-222   DOI   ScienceOn
19 Wagner, T. H., Patrick, D. L., Bavendam, T.G., & Martin, M.L. (1996). Quality of life of persons with urinary incontinence: development of a new measure. Urol, 47(1), 67-72   DOI   ScienceOn
20 Gorton, E., & Stanton, S. (1998). Urinary incontinence in elderly women. Europ Urol, 33, 241-247   DOI   ScienceOn
21 Jackson, S., Donovan, J., Brookes, S., Eckford, S., Swithinbank, L., & Abrams, P. (1996). The bristol female lower urinary tract symptoms questionnaire: Development and psychometric testing. Br J Urol, 77, 805-812   DOI   ScienceOn
22 Bump, R. C., Hurt, W. G., & Fantl, J. A. (1991). Assessment of kegel pelvic muscle exercise performance after brief verbal instruction. A J Obstet & Gynecol, 165(2), 322-328   DOI   ScienceOn
23 Payne, C. K. (1996). Consrevative therapy for female urinary incontinence. AUA Update Series, 15, 270-280
24 Palmer, M. H. (1994). A health-promotion perspective of urinary continence. Nurs Outlook, 42, 163-169   DOI   ScienceOn
25 Lee, G. S. (1997). Pelvic floor electrical stimulation. Korean continence society symposium. 25-28
26 Susset, J., Galea, G., Manbeck, K., & Susset, A. (1995). A predictive score index for the outcome of associated biofeedback and vaginal electrical stimulation in the treatment of female incontinence. J Urol, 153, 1461-1466   DOI   ScienceOn