scholarly journals Electromyographic features of the perineum and pelvic floor in patients with an artificial bladder

2021 ◽  
Vol 26 (3) ◽  
pp. 33-39
Author(s):  
R.V. Savchuk ◽  
F.I. Kostyev ◽  
S.V. Golovko ◽  
Y.M. Dekhtiar ◽  
K.A. Zalyva

Aim – to assess the electromyographic features of the pelvic floor muscles and the sphincter apparatus in patients who underwent radical cystprostatectomy with the formation of an artificial bladder.The main study group consisted of 57 patients with muscle invasive bladder cancer who underwent a standard radical cystprostatectomy with ileocystoplasty. The study of the pelvic floor muscular bioelectric activity with computed electromyography (EMG) of the sphincter apparatus of the pelvic organs was carried out on a 2-channel computer electromyograph "NeuroTrac ™ MyoPlus4". The obtained results of the study of the bioelectric activity of the pelvic floor muscles showed a decrease in the amplitude of contractions in the Work Average mode by 42.1% (p≤0.001) for the perineal electrode, and by 35.7% (p≤0.05) for the rectal electrode, compared with the control group, which indicates a low contractility of the muscular diaphragm of the pelvis and may cause incontinence in patients with an artificial bladder. The average deviation over the entire duration of the session in Work mode in the group of patients with neobladder in channels A and B was 2.3 (p≤0.05) and 1.9 (p≤0.05) times higher, respectively, compared with control group. These data indicate an imbalance in the muscle tone of the pelvic floor in patients after extensive reconstructive intervention on the pelvic organs and can potentiate urodynamic disorders in the study group of patients. The average amplitude (Rest Average) of the activity of biopotentials in the resting state of the pelvic floor muscles along channels A and B is higher by 42.4% and 47.6% (p≤0.05), in comparison with the control group, which indicates insufficient relaxation and rest of striated muscles and sphincter. Despite the change in bioelectric potentials from the rectal electrode in the study group of patients, there were no signs of functional insufficiency of the anal sphincter, in contrast to the severity of urinary incontinence, which correlated and corresponded to the results of bioelectrical changes obtained through channels A and B, up to oscillations and loss of complete control. The EMG analysis of the pelvic floor muscles revealed characteristic changes in the biopotentials of the pelvic sphincters and indicated their relationship with the clinical features of the rehabilitation of this group of patients and the prospect of including the biofeedback method. It is a derivative form of the electromyographic signal in the treatment of incontinence in patients with neobladder.

2014 ◽  
Vol 60 (5) ◽  
pp. 428-433 ◽  
Author(s):  
Silvia Ferreira ◽  
Margarida Ferreira ◽  
Alice Carvalhais ◽  
Paula Clara Santos ◽  
Paula Rocha ◽  
...  

Objective: to verify the effectiveness of the pelvic floor muscles rehabilitation program (PFMRP) in female volleyball athletes, analyzing the amount and frequency of urinary leakage. Methods: experimental study. The sample consisted of 32 female athletes from Famalicão Athletic Volleyball Club (Portugal). The athletes were selected by convenience and distributed randomly into two groups: experimental group (EG = 16 athletes) and the control group (CG = 16 athletes). The EG underwent PFMRP for three months. The PFMRP was the awareness and identification of the pelvic floor muscles (PFM), pre-timed PFM contraction prior to occasions of increased intra-abdominal pressure, and 30 daily contractions of MPP at home. The CG had only access to the pamphlet. The assessment instruments included the questionnaires, the Pad Test (amount of urinary leakage) and frequency record of urinary leakage (7-day diary) before and after PFMRP. Results: the amount of urine leakage decreased in 45.5% of athletes under PFMRP intervention, and in 4.9% of athletes in CG, with statistical differences between the groups (p < 0.001). The reduction in the frequency of urinary leakage was 14.3% in EG, and 0.05% in CG, a statistically significant difference between the groups (p < 0.001). Conclusion: PFMRP in this study was effective to reduce stress urinary incontinence in female volleyball athletes. The program allowed significant improvement of symptoms of quantity and frequency of urinary leakage.


2021 ◽  
Vol 7 (5) ◽  
pp. 3948-3956
Author(s):  
Zaixu Zhang ◽  
Donghui Ma ◽  
Hongkun Wu ◽  
Shengchun Wang

Objective: At present, intramural block anesthesia is mostly used clinically for vaginal delivery, but it is unclear whether intraocular block anesthesia has an effect on postpartum pelvic floor muscles and immune function after vaginal delivery. Therefore, this study investigated the effect of intraspinal block anesthesia on vaginal delivery parturients and its effect on postpartum pelvic floor muscle strength and immune function.Patients and Methods:A total of 182 parturients with vaginal delivery were selected as the study subjects. They were admitted in our hospital from March 2015 to January 2017. Among them, 92 parturients receiving intraspinal block anesthesia were enrolled in the study group and 90 parturients without intraspinal block anesthesia in the control group. The pelvic floor muscle damage and muscle strength recovery in the two groups were measured 3 months after delivery. The peripheral blood T lymphocyte subsets of parturients at different time points in the two groups was detected to investigate the effect of intraspinal block anesthesia on pelvic floor muscle strength and immune function after vaginal delivery. Results: The pain degree during delivery in the study group was significantly lower than that in the control group (p<0.05). The pelvic floor muscle damage, pelvic organ prolapse, pelvic floor function damage and stress urinary incontinence in the study group were all lower than those in the control group (p<0.05). The recovery of postpartum pelvic floor muscle strength in the study group was significantly better than that in the control group(p< 0.05). Both the first and second labor durations in the study group were significantly lower than those in the control group (p<0.05).Conclusion:lntraspinal block anesthesia has a better analgesic effect on the vaginal delivery parturients,can effectively shorten the labor. It also has a certain improvement effect on the recovery of postpartum pelvic floor muscle and immune function of parturients.


1985 ◽  
Vol 78 (11) ◽  
pp. 906-911 ◽  
Author(s):  
M Swash ◽  
M M Henry ◽  
S J Snooks

Denervation of pelvic floor sphincter muscles is a feature of pelvic floor disorders. When severe, it may be accompanied by stress incontinence of faeces, or of urine. The extent of chronic partial denervation of these pelvic floor muscles can be quantified by electromyography (EMG), and its cause identified by electrophysiological studies of the motor innervation of these striated muscles. Damage to this innervation is often initiated by childbirth, but appears to progress during a period of many years so that the functional disorder usually presents in middle life. Incontinence develops in some patients, but not in others. This can be predicted by the severity of the abnormalities found in EMG studies of the pelvic sphincter musculature and motor latency studies of its innervation. The results of such investigations in the six common types of pelvic floor disorder are presented. Recognition of the causative factors leading to damage to the innervation of the pelvic sphincter muscles implies new approaches to treatment and to prevention of pelvic floor disorders and incontinence.


2018 ◽  
Vol 2018 ◽  
pp. 1-12 ◽  
Author(s):  
Joanna Majewska ◽  
Katarzyna Zajkiewicz ◽  
Kamila Wacław-Abdul ◽  
Joanna Baran ◽  
Daniel Szymczyk

Introduction. The aim of this study was to evaluate and compare the level of neuromotor function and somatic development in 6- and 7-year-old children born before the 30th week gestation with that in full-term children at the same age, as well as the correlation between prematurity and motor development. Material and Methods. The study group consisted of prematurely born 40 children. Their mean gestational age at birth was 27.8±1.6 weeks (range 24–30 weeks). The control group consisted of 40 healthy children born with normal birth weight (>2500 g). The neuromotor function was assessed using Touwen neurological examination criteria. During the examination, the attention was focused on the hand preference, laterality, synkinesis, and asymmetry. In addition, children’s weight, height, and BMI index were measured. Results. Premature children showed much worse results than full-term ones in hand function (p<0,001). They obtained the best results in paper tearing while crossing the body midline turned out to be the most difficult. Considering the quality of walking, the biggest difficulty for the premature children was to walk backwards along the straight line while during normal walking they showed the best results. The results for the muscle tone subcategory in the study group were also significantly worse than those in control group (p<0,001), as well as the total outcome for the movement coordination and diadochokinesis subcategories (p<0,001). Conclusion. The nondisabled, prematurely born children have significantly lower average outcomes regarding hand function, quality of walking, muscle tone, coordination, and diadochokinesis at age of six to seven, compared to the full-term peers.


2020 ◽  
Vol 8 (2) ◽  
pp. 21
Author(s):  
Tyseer Marzouk ◽  
Hanan Nabil

Objective: This study aimed to evaluate effectiveness of pelvic floor muscles training on females’ sexual function throughout pregnancy and postpartum.Methods: A quasi experimental research design was applied at the antenatal clinic of Mansoura University hospital, Egypt. A purposive sample of 72 nulliparous singleton pregnant client free from any connotation affect sexual practice was studied. The subjects were allocated into two groups; control group received conventional antenatal and postnatal care, while the intervention group received the same care besides performing pelvic floor muscle exercise at 20 weeks pregnancy until 10-12 weeks postpartum. Female sexual function, sexual quality of life, and strength of the pelvic floor muscle contraction were evaluated at baseline, at 28-30 weeks gestation, and at 10-12 weeks postpartum, by using the female sexual function index scale, sexual quality of life-female, and the Oxford grading scale.Results: The total female sexual quality of life index scores in the intervention group were higher than those of the control group at the pregnancy and postpartum follow ups (22.3 ± 6.9 vs. 15.9 ± 6.8 & 26.0 ± 6.7 vs. 13.5 ± 6.3 respectively; p < .001). The sexual quality of life-female scores were significantly higher in the intervention group than in the control group at the pregnancy follow up evaluation (54.2 ± 15.9 vs. 36.9 ± 9.7 respectively, p < .001) and at the postpartum follow up evaluation (59.8 ± 13.5 vs. 30.3 ± 7.0 respectively, p < .001). The pelvic floor muscles strength was significantly better in the intervention group than in the control group at the pregnancy follow up evaluation and at the postpartum follow up evaluation.Conclusions: Pelvic floor muscle training during early gestation weeks was an effective tool for improvement of the female sexual function, sexual quality of life-female, and pelvic floor muscles strength during pregnancy and postpartum. Thus, it should be encouraged for pregnant mothers at early weeks and continued till postpartum.


Joints ◽  
2017 ◽  
Vol 05 (01) ◽  
pp. 007-011 ◽  
Author(s):  
Massimo Innocenti ◽  
Michele Mancini ◽  
Marina Faccio ◽  
Christian Carulli ◽  
Paolo Buselli ◽  
...  

Purpose After total knee arthroplasty (TKA), pain and swelling, especially in older and less cooperative patients, can limit the retrieval of a good range of motion and muscle tone and consequently the achievement of an optimal function outcome. A high-tech knee pad made of metal fibers emitting infrared energy was used in a group of patients undergoing TKA to assess its efficacy in the postoperative period with respect to a group with a placebo. Methods Twelve patients used knee pads after surgery for 3 weeks and were evaluated using visual analog scale (VAS), Knee Society Rating Score, Cincinnati Knee Rating Score, and painkillers at specific timings. Results At 3 weeks, all scores improved in a significant manner in the treated group compared with the placebo group. At 2 months after surgery, VAS was better in the study group than the control group, whereas other parameters were similar. However, the use of rescue drugs was less in the study group than in the placebo group. Conclusion A high-tech knee pad may contribute to a faster recovery within the first week after a knee replacement, limiting the use of painkillers and allowing a quick functional recovery by the control of pain and postoperative effusion. Level of Evidence Level II, randomized prospective study with small sample size.


Author(s):  
Brigita Stančikaitė ◽  
Brigita Liutkutė

Background. Motor development delay is a term used to describe children who exhibit insuffcient motor coordination skills in comparison with that expected for their chronological age and intellect. It is important to start physiotherapy, which should be interesting, attractive and motivating as early as possible for children with developmental motor disorders. We expect physiotherapy sessions with visual supports (the cards) to be more effective compared to usual physiotherapy (without visual supports) while dealing with children’s developmental motor disorders. The aim was to evaluate effect of physiotherapy with visual support (the cards) and usual physiotherapy (without visual support) on gross motor skills in children four years of age. Methods. The study was conducted in a sanatorium. Thirty children with motor development delay (age – 4 years) were included in the study. Subjects were randomly divided into two groups: the study group (n = 15) and the control group (n = 15). The study group subjects received physiotherapy with visual support – cards and controls received usual physiotherapy sessions. Motor age, motor coeffcient, balance and muscle tone were assessed before and after intervention. Results. Before physiotherapy motor age in controls was 33.7 ± 1.6 months, in the study group – 33.4 ± 1.6 months. After physiotherapy it increased significantly respectively to 38.33 ± 1.64 and 37.0 ± 2.0 months. Motor coeffcient before physiotherapy in study group was 69.6 ± 3.4, in the control group – 70.3 ± 3.4, after physiotherapy it improved respectively to 75.2 ± 3.2 and 72.5 ± 3.9 (p < 0.05). Balance before physiotherapy in the study group was 35.4 ± 2.2 points, in the control group – 35.1 ± 3.4 points, followed by physiotherapy it signifcantly improved in both groups respectively to 42.2 ± 3.2 and 38.9 ± 3.6 points. Muscle tone before physiotherapy in the study group was 2.3 ± 0.7 points in the control – 2.2 ± 0.7 points, followed by physiotherapy muscle tone did not change signifcantly, and it was respectively 2.1 ± 0.4 and 2.1 ± 0.4 points. Conclusions. Physiotherapy program with visual support (cards) was effective in improving gross motor skills as well as usual physiotherapy (without cards). There were no signifcant differences between two physiotherapy programs in improving gross motor skills in children 4 years of age.Keywords: children, gross motor skills, physiotherapy, method using cards, motor development delay.


Author(s):  
Kamal Singh ◽  
Piyush Kumar ◽  
Aarti Rohilla ◽  
Namrata Katoch ◽  
Kamalpreet Kaur

The ligaments along with the pelvic floor muscles are important supports of uterus and are supposed to help in maintaining the normal positioning of the uterus and prevent its prolapse. In present case report an unknown uteroumbilical ligament have been found extending from the uterus to the anterior abdominal wall of a female cadaver during the dissection. The ligament provides extra support to the uterus. It would have presumably helped in preventing uterine prolapse and retroversion of uterus. Such kind of structures around uterus and other pelvic organs when go unnoticed may complicate pregnancies and pose risk to life during surgeries. Thus, present case report will help in enhancing our knowledge related to gross anatomy as well as it will further enrich the literature data.


2017 ◽  
pp. 41-44
Author(s):  
O.V. Grischenko ◽  
◽  
T.A. Kozub ◽  

The objective: to study the efficacy of complex treatment of inflammatory diseases of the pelvic organs (vaginitis), occurring in conjunction with urinary tract infection (cystitis), with a combined medication of plant origin Tutukon produced by Miguel and Garriga, S. A. ("Grand medical Group AG", Spain/Switzerland) in women of reproductive age. Patients and methods. Were examined 60 women of reproductive age with the presence of vaginitis and associated cystitis. All the patients were divided into two clinical groups. In group I (control; n=30) treatment was carried out according to the standard scheme with the use of antimicrobial drugs, antispasmodics, local antiseptics for the sanitation of the vagina. In group II (study group; n=30) treatment was carried out according to the standard scheme with the inclusion of the drug Tutukon. All the patients were examined at 3-rd, 7-th, 10-th day of treatment and 30 days after discontinuation of therapy. Results. During the research was given the analysis of the dynamics of clinical and laboratory parameters in women of both groups before and after treatment. In patients of study group, the standard therapy which included Tutukon, the treatment was more effective than in patients of control group: a rapid onset of clinical effect, reducing the duration of the disease, a complete clinical response in 90% of cases versus 63%, alkalization of urine - pH 6.5±0.10, the absence of recurrence within 30 days after the end of therapy. Conclusion. Tutukon medicine is recommended for complex treatment of vaginitis, occurring in combination with cystitis in women of reproductive age. Key words: vaginitis, cystitis, dysuria, urine pH, Tutukon.


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