Effect of electromyographic biofeedback as an add-on to pelvic floor muscle exercises on neuromuscular outcomes and quality of life in postmenopausal women with stress urinary incontinence: A randomized controlled trial

Neurourology and Urodynamics
Adriane BertottoMaria Celeste Osório Wender

Abstract

To compare the efficacy of pelvic floor muscle exercises (PFME) with and without electromyographic biofeedback (BF) in increasing muscle strength, improving myoelectric activity, and improving pre-contraction and quality of life in postmenopausal women with stress urinary incontinence. Randomized controlled trial of 49 postmenopausal women with stress urinary incontinence. Participants were allocated across three groups: control, PFME alone, and PFME + BF. Forty-five women completed the study (14 control, 15 PFME, 16 PFME + BF; mean age 58.26 years). Outcome assessment was carried out using digital palpation (modified Oxford grading scale), electromyography, and the International Consultation Incontinence Questionnaire-Short Form (ICIQ-SF) quality of life instrument. The treatment protocol consisted of eight twice-weekly, 20-min one-on-one sessions. Controls were assessed only at baseline and after 1 month. The PFME and PFME + BF groups exhibited significant increases in muscle strength (Oxford scale) (P < 0.0001), precontraction while coughing (P < 0.0001), maximum voluntary contraction, duration of endurance contraction, and ICIQ-SF scores (P < 0.0001). PFME + BF was associated with significantly superior improvement of muscl...Continue Reading

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Citations

Oct 6, 2018·The Cochrane Database of Systematic Reviews·Chantale DumoulinE Jean C Hay-Smith
Oct 1, 2020·International Journal of Environmental Research and Public Health·Thi Mai NguyenJin Hee Kim
Jan 15, 2019·Journal of Back and Musculoskeletal Rehabilitation·Kazunori OkamuraSadaaki Oki
Apr 29, 2020·Journal of Clinical Medicine·Agnieszka Irena Mazur-BialySabina Tim
Dec 6, 2020·Journal of Gynecology Obstetrics and Human Reproduction·Véronique BlanchardAnne-Cécile Pizzoferrato
Feb 19, 2020·Progrès en urologie : journal de l'Association française d'urologie et de la Société française d'urologie·V BlanchardA C Pizzoferrato
Nov 20, 2020·Female Pelvic Medicine & Reconstructive Surgery·Kara Lauren BarnesGena C Dunivan

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