Abdomen breathing training combined with electrogalvanic stimulation and biological feedback therapy for postpartum pelvic floor hypertonicity
10.3969/j.issn.1001-1242.2024.07.010
- VernacularTitle:腹式呼吸训练联合电刺激和生物反馈应用于产后盆底肌高张治疗的研究
- Author:
Yangyang REN
1
;
Fan YANG
;
Ling MEI
Author Information
1. 四川大学华西第二医院/出生缺陷与相关妇儿疾病教育部重点实验室,四川省成都市,610000;成都市成华区妇幼保健院
- Keywords:
pelvic floor hypertonicity;
pelvic floor myofascial pain;
abdomen breathing;
sexual dysfunction;
postpartum
- From:
Chinese Journal of Rehabilitation Medicine
2024;39(7):978-983
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the effects of abdomen breathing training combined with electrogalvanic stimulation and biological feedback therapy for postpartum pelvic floor hypertonicity. Method:Ninety-six women with postpartum pelvic floor hypertonicity in Chenghua Women's and Children's Pel-vic Floor Rehabilitation Clinic of West China Second Hospital from January to December 2022 were randomly divided into treatment and control groups.The control group(n=48)was treated with electrogalvanic stimula-tion for 10 minutes and biological feedback for 10 minutes.The treatment group(n=48)received electrogalvan-ic stimulation for 10 minutes,biological feedback for 10 minutes,and abdomen breathing training for 5-10 minutes.Two teams received treatment 2-3 times per week and 10 times in total.The visual analogue scale(VAS)of pelvic floor myofascial pain,pre-baseline rest and post-baseline rest,pelvic floor muscle strength(ac-cording to the 0-5 Oxford scale),phasic(flick)contractions,tonic contractions and the female sexual func-tion index(FSFI)scores of the two groups were evaluated before and after treatment. Result:The VAS score of the pelvic floor myofascial pain,pre-baseline rest,and post-baseline rest were lower than those before the intervention in both groups(P＜0.05).Pelvic floor muscle strength,phasic(flick)contrac-tions,tonic contractions,FSFI scores,were higher than those before the intervention(P＜0.05).After intervention,the VAS score of pelvic floor myofascial palpation tenderness and resting potential of pelvic floor muscles in the treatment group were all lower than those in the control group(P＜0.05),the scores of hand-tested pelvic floor muscle strength and female sexual function index scale were higher than those in the control group(P＜0.05). Conclusion:Abdomen breathing training combined with electrogalvanic stimulation and biological feedback sig-nificantly improved the postpartum pelvic floor hypertonicity and pelvic floor myofascial pain,boosted sexual function in postpartum,which is more advantageous than using the electrical stimulation and biofeedback alone.
