scholarly journals Biofeedback pelvic floor exercise therapy for pelvic floor dyssynergia: an observational study

2017 ◽  
Vol 4 (10) ◽  
pp. 3461
Author(s):  
Ashwin Porwal ◽  
Paresh Gandhi ◽  
Deepak Kulkarni
Keyword(s):  
Pelvic Floor ◽  
Exercise Therapy ◽  
Pelvic Floor Muscle ◽  
Obstructed Defecation ◽  
Treatment Method ◽  
Anorectal Function ◽  
Pelvic Floor Dyssynergia ◽  
Pelvic Floor Exercise ◽  
Resting Pressure ◽  
The Mean

Background: Pelvic floor dyssynergia (PFD) is one of the commonest subtypes of constipation and treated conservatively but is often unsatisfactory. Biofeedback Pelvic Floor Exercise Therapy (BFT) has been introduced as an alternative treatment. Method: A prospective study was conducted at Healing Hands Clinic, Pune. Total 35 patients diagnosed as having pelvic floor dyssynergia confirmed by MR defecography (MRD) enrolled in to the study. All patients trained for pelvic floor muscle exercise. Patient performed exercise 20 minutes per day for 12 weeks. Data have been collected using a standardized questionnaire (Longo's obstructed defecation syndrome (ODS) score, Patient Assessment of Constipation Quality of Life (PAC-QOL) and Bristol stool score and performed anal manomentry test (3-D HDAM) at every 4 weeks. Result: Study result demonstrated a statistically significant improvement in the mean resting pressure, maximum squeezing pressure and average of 10 seconds hold (from 69.83±6.40 to 39.87±5.51, 98.67±17.23 to 128.67±26.92, 78.70±15.41 to 109.00±22.23, P = 0.005 at week 12). The mean total ODS decreased significantly (p<0.0005) from baseline to 22.92±4.03 to 11.46±6.76 at week 12. Also, individuals ODS score items were significantly improved at week 8 and week 12. Bristol stool score significantly improved from 2.12±1.14 to 4.04±0.96 at 12 weeks (p<0.0005). Significant improvements were recorded in all four individual score domains (physical discomfort, psychosocial discomfort, worries and concerns, satisfaction) and total score of PAC-QOL at week 12. Conclusion: Biofeedback therapy provides improvement in bowel symptoms, anorectal function and reduces use of aperients in constipated subjects with pelvic floor dyssynergia

scholarly journals PERBEDAAN LEVEL RERATA KEKUATAN OTOT DASAR PANGGUL SEBELUM DAN SETELAH PERSALINAN SPONTAN PADA KELOMPOK INKONTINENSIA URIN DAN KELOMPOK NORMAL

2017 ◽  
Vol 1 (1) ◽  
pp. 7-14
Author(s):  
Bobby Indra Utama ◽  
Hasni Kemala Sari ◽  
Hafni Bachtiar
Keyword(s):  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Muscle Strength ◽  
Pelvic Floor ◽  
Pelvic Floor Muscle ◽  
Pelvic Floor Muscles ◽  
Mean Difference ◽  
Normal Group ◽  
Before And After ◽  
The Mean

Trauma to the pelvic floor during delivery is now recognized as a major etiological factor against PFM disorders such as urinary incontinence, pelvic organ prolapse and fecal incontinence. This study was conducted to analyze the differences in mean levels of differences of pelvic muscle strength before and after spontanous labor between stress urinary inconti-nence group and normal group. This research was done using analytic method with cross sectional design in 13 women with stress urinary incontinence, and 17 women with normal group. Subjects were collected in hospitals of Pariaman, Padang from May to December 2014. Examination of the pelvic floor muscle strength was performed with a perineometer. Differences between the mean difference in the strength of the pelvic floor muscles before and after spontaneous delivery between the two groups were analyzed using independent t test. The mean difference between the strength of the pelvic floor muscles before and after spontaneous labor in stress urinary incontinence group was larger than normal group (3.85 + 1.281 cmH2O vs 2,00 + 1.173 cmH2O, p = 0.000). The mean difference between the strength of the pelvic floor muscles before and after spontaneous labor in stress urinary incontinence group was significantly greater than the normal group.Keywords: Pelvic Floor Muscle, Urinary Incontinence, Spontaneous Labor

scholarly journals The Efficacy of Pelvic Floor Exercise for the Stress Urinary Incontinence

2021 ◽  
pp. 85-89
Author(s):  
Pradnya Gavhale ◽  
Manjusha Mahakarkar
Keyword(s):  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Pelvic Floor ◽  
Pelvic Floor Muscle ◽  
Sampling Technique ◽  
Abdominal Pressure ◽  
Pelvic Floor Exercise ◽  
Before And After ◽  
Grading Scale ◽  
Pressure Stress

Background: Stress urinary incontinence is an involuntary leaking of urine during physical activity, such as coughing, sneezing, laughing, or exercise that increases abdominal pressure. Stress urinaryincontinence has a wide variety of impacts on women's daily. Objectives: To assess the stress urinary incontinence among women before and after pelvic floor exercise, to assess the severity of stress urinary incontinence among women before and after pelvic floor exercise, to find out the association between stress urinary incontinence and severity with selected demographic variables. Methodology: A study will be conducted in the rural community area of the Wardha district. A total of 30 women will be selected as the study sample by using the non-probability purposive sampling technique as per the inclusion/exclusion criteria. An interventional evaluatory approach and time-series design will be used. In this study, the researcher will assess the stress urinary incontinence with the help of a structured questionnaire and again assess the severity of stress urinary incontinence with a grading scale after that pelvic floor exercise will be given to that woman after 2 weeks again researcher will assess the stress urinary incontinence and severity of the stress urinary incontinence with the grading scale. Outcome/results: The outcome will be the pelvic floor exercise or training (PFE) will minimize the incidence rate of stress urinary incontinence among women it also helps to increase the pelvic floor muscle strength.

scholarly journals Factors Associated with Pelvic Floor Muscle Strength in Women with Pelvic Floor Dysfunction Assessed by the Brink Scale

2019 ◽  
Author(s):  
Sirirat Sarit-apirak ◽  
Jittima Manonai ◽  
Umaporn Udomsubpayakul
Keyword(s):  
Pelvic Floor ◽  
Elderly Women ◽  
Pelvic Floor Muscle ◽  
Pelvic Floor Dysfunction ◽  
P Value ◽  
Factors Affecting ◽  
Younger Women ◽  
Apical Compartment ◽  
The Mean ◽  
Potential Factors

Objective: (1) to examine the pelvic floor muscle (PFM) function using the Brink scale and (2) to investigate the correlation between potential factors and PFM function.Material and Methods: From January 2011 and December 2014, women with at least one pelvic floor symptom attending the urogynecology clinic were included in a medical record review. Demographic and pelvic floor symptoms were assessed. The Brink scoring system was used to assess the PFM function. The association between factors and Brink scale scores was measured using Pearson’s Correlation Coefficient.Results: Five hundred and seventy-nine women with a mean age of 64.40±10.11 years were included in the analysis. Forty-seven women (8.1%) were unable to contract their pelvic floor muscle at all, while 55 (9.5%) could both powerfully and properly. The mean Brink scale score was 7.82±2.56. Elderly women had a significantly lower score than younger women (mean scores of 7.56±2.60 and 8.08±2.50, respectively) with the mean score in nulliparous and parous women being 8.66±2.63 and 7.76±2.55, respectively (p-value=0.046). A negatively weak correlation was found among those with higher total scores and advancing age (correlation (r)=-0.106), advanced anterior (r=-0.095) and apical compartment (r=-0.105) prolapse (p-value<0.05).Conclusion: Almost all the women with pelvic floor dysfunction had compromised pelvic floor function. Important factors affecting PFM strength are age, parity, and history of hysterectomy. Increasing age, higher stage of anterior and apical compartment prolapse were negatively correlated with PFM function.

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