Clinical effects of various rehabilitation modalities for postpartum pelvic floor dysfunction assessed by pel-vic floor surface electromyography and four-dimensional ultrasound
10.3969/j.issn.1001-1242.2025.08.005
- VernacularTitle:基于盆底表面肌电和超声评估的磁电联合治疗对产后盆底功能障碍的疗效观察
- Author:
Qianyi ZHANG
1
;
Siyan CAI
;
Xiaotong ZU
Author Information
1. 苏州大学附属第四医院(苏州市独墅湖医院),江苏省苏州市,215124;江苏省荣军医院
- Publication Type:Journal Article
- Keywords:
postpartum pelvic floor dysfunction;
biofeedback electrical stimulation therapy;
functional magnetic stimulation;
transperineal four-dimensional ultrasound;
combined treatment
- From:
Chinese Journal of Rehabilitation Medicine
2025;40(8):1163-1168
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the clinical effects of a combined pelvic floor rehabilitation magneto-electric therapy approach in women with postpartum pelvic floor dysfunction(PFD).Method:Sixty patients with PFD were randomly divided into three groups:an electrical stimulation group,a magnetic stimulation group,and a combined group,with 20 patients in each group.The evaluation indexes were pelvic floor surface electromyography(sEMG)Glazer assessment,four-dimensional ultrasound of the pel-vic floor,MOS rating,PFDI-20,and PISQ-12 scores.All indexes were evaluated at baseline and after 6 weeks of treatment.Result:After 6 weeks of treatment,the pelvic floor sEMG Glazer assessment,MOS ratings,PISQ-12,PFDI-20 scores,and pelvic floor four-dimensional ultrasound indexes of the patients in all three groups were im-proved compared with those of the pre-treatment period(P＜0.05).Compared with the electrical stimulation group,the combined group showed superior improvement for pelvic floor sEMG Glazer assessment(except for rapid contraction maxima),PFDI-20 scores,and pelvic floor four-dimensional ultrasound(except for area of levator hiatus)(P＜0.05).Compared to the magnetic stimulation group,the combined group showed superior improvement in pelvic floor sEMG Glazer assessment,MOS ratings,PISQ-12 scores,PFDI-20 scores,blad-der neck mobility,and area of levator hiatus(P＜0.05).None of the differences were statistically significant in the electrical stimulation group compared to the magnetic stimulation group(P＞0.05).Conclusion:Magneto-electricity therapy can significantly improve the pelvic floor structure and function of pa-tients with postpartum pelvic floor dysfunction and improve the quality of life,making it worthy of clinical promotion.
