A real-world retrospective study of pelvic floor muscle training efficacy using an APP-based home device
10.3969/j.issn.1672-8467.2024.01.014
- VernacularTitle:基于APP的国产家用盆底康复仪真实世界回顾性疗效研究
- Author:
Ji-Qiong ZHENG
1
;
Shi-Ping ZHOU
;
Zhong-Yun ZHANG
;
Wei-Qing QIAN
;
Zheng-Wang ZHANG
Author Information
1. 复旦大学附属华东医院泌尿外科 上海 200040
- Keywords:
pelvic floor dysfunction(PFD);
pelvic floor muscle training;
real world study(RWS);
APP
- From:
Fudan University Journal of Medical Sciences
2024;51(1):96-101
- CountryChina
- Language:Chinese
-
Abstract:
Objective To retrospectively investigate the efficacy of pelvic floor muscle training(PFMT)using APP-based home device in the real-world scenario.Methods A retrospective survey was conducted among 171 000 Chinese female users over 18 years old who freely registered APP and performed PFMT using a domestic manufactured home device from Oct 1,2019 to Mar 31,2021.The Patient Global Impression of Improvement(PGI-I)questionnaires concerning pelvic floor general condition,sexual satisfaction and other three major symptoms related to pelvic floor muscle laxity such as stress urinary incontinence(SUI),pelvic organ prolapse(POP),and vaginal laxity(VL)were broadcast public online for users to self-assess the improvement.The vaginal muscle strength values prior and post training recorded by APP were also reported.All data were collected anonymously for further stratified analysis.Results A total of 984 valid questionnaires were collected by systematic sampling.The PGI-I scores of pelvic floor general condition(P=0.000 1),sexual satisfaction(P=0.009),SUI(P=0.000 1),POP(P=0.044)and VL(P=0.034)were statistically significant in users who reported to use the device for 3 months or more compared with those less than 3 months.In addition,the increase of vaginal muscle strength was related to the improvement of PGI-I scores in SUI and POP with statistical significance.There were no significant difference in subgroups such as age,education,parity,and delivery mode.Conclusion The subjective benefit of pelvic floor function-related symptoms and the improvement of vaginal muscle strength could be observed after PFMT for three months or more using APP-based home device in Chinese women in the real-world scenario.
