Pelvic Floor Muscle Dysfunction and Pelvic Pain

Biofeedback for pelvic floor muscle dysfunction provides a practical and effective intervention for elimination disorders. Dysfunction in the pelvic floor muscles can affect bladder and bowel function and can cause pelvic pain. According to the National Association of Continence, there are 25 million Americans affected by bladder or bowel incontinence. Surface electromyographic (sEMG) sensors monitor the electrical activity of the pelvic floor muscles. Additional muscle co-contractions of the obturator internus, hip adductors, and transverse abdominis can facilitate improvements in symptoms affected by pelvic floor dysfunction. Pelvic floor therapy incorporates urge reduction techniques and functional control strategies. Dietary and lifestyle recommendations are also provided. The Biofeedback Certification International Alliance (BCIA) is the primary certifying body in the fields of biofeedback and neurofeedback. BCIA has a Blueprint of Knowledge specific for certification in pelvic muscle dysfunction biofeedback (PMDB). The Blueprint outlines the fundamental science, history, and theory of sEMG biofeedback as used for elimination disorders and chronic pelvic pain. You can find more information on PMDB at www.bcia.org.

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Faculty Opinions recommendation of High prevalence of pelvic floor muscle dysfunction in hospitalized elderly women with urinary incontinence.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.717977926.793470910 ◽

2013 ◽

Author(s):

Mary H Palmer

Keyword(s):

Urinary Incontinence ◽

Pelvic Floor ◽

Elderly Women ◽

Pelvic Floor Muscle ◽

Muscle Dysfunction ◽

Hospitalized Elderly ◽

High Prevalence

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Use of Pelvic Floor Ultrasound to Assess Pelvic Floor Muscle Function in Urological Chronic Pelvic Pain Syndrome in Men

Journal of Sexual Medicine ◽

10.1111/j.1743-6109.2011.02452.x ◽

2011 ◽

Vol 8 (11) ◽

pp. 3173-3180 ◽

Cited By ~ 27

Author(s):

Seth N. Davis ◽

Melanie Morin ◽

Yitzchak M. Binik ◽

Samir Khalife ◽

Serge Carrier

Keyword(s):

Pelvic Floor ◽

Pelvic Pain ◽

Muscle Function ◽

Chronic Pelvic Pain ◽

Pelvic Floor Muscle ◽

Chronic Pelvic Pain Syndrome ◽

Pain Syndrome ◽

Pelvic Pain Syndrome ◽

Pelvic Floor Ultrasound ◽

Pelvic Floor Muscle Function

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Attachment of the levator ani muscle extends to the superior ramus of the pubic bone through electrophysiological and anatomical examinations

Scientific Reports ◽

10.1038/s41598-021-89041-6 ◽

2021 ◽

Vol 11 (1) ◽

Author(s):

Hung-Yen Chin ◽

Chih-Wei Peng ◽

Ming-Ping Wu ◽

Chih-Hwa Chen ◽

Yu-Ting Feng ◽

...

Keyword(s):

Pelvic Floor ◽

Pelvic Pain ◽

Chronic Pelvic Pain ◽

Pelvic Floor Muscle ◽

Levator Ani ◽

Pubic Bone ◽

Levator Ani Muscle ◽

Cadaver Dissection ◽

Inferior Border ◽

Stimulation Of

AbstractMyofascial pelvic pain (MFPP) of pelvic floor muscles is a common cause of chronic pelvic pain (CPP). The pathological mechanisms and treatments of MFPP are complex and still unclear until now. The levator ani muscle (LAM) is the major pelvic floor muscle. The purpose of this study was to examine the fascia and attachment of LAM through the electromyogram (EMG) and cadaver dissection. Electrophysiological stimulation of the obturator fascia above the arcus tendinous levator ani (ATLA) could trigger contraction and electrophysiological changes in LAM insertion. The LAM of embalmed adult cadavers was examined especially in the area above the ATLA. Some skeletal muscle fibers were found above the ATLA within the obturator fascia and were confirmed by Masson’s trichrome section staining. Our electromyography (EMG) and anatomical data implied that the attachment of LAM aponeurosis extended beyond ATLA to the inferior border of the superior ramus of the pubic bone. The new discovered attachment of LAM could provide a reference position for clinical diagnosis and treatment of MFPP or CPP.

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Pelvic-floor relaxation techniques using biofeedback – more effective therapy for chronic prostatitis/chronic pelvic pain syndrome

Journal of Clinical Urology ◽

10.1177/2051415820939450 ◽

2020 ◽

Vol 13 (6) ◽

pp. 454-459

Author(s):

Manish Pandey ◽

Vaibhav Shrivastava ◽

Vijay Patidar ◽

Sabby Dias ◽

Sameer Trivedi

Keyword(s):

Pelvic Floor ◽

Pelvic Pain ◽

Chronic Prostatitis ◽

Pelvic Floor Muscle ◽

Muscle Relaxation ◽

Chronic Pelvic Pain Syndrome ◽

Pain Syndrome ◽

Pelvic Pain Syndrome ◽

Group A ◽

Group B

Objective: Chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) is characterized by pelvic pain and voiding symptoms, the management of which is challenging. The present study was designed to assess the efficacy of biofeedback and pelvic-floor relaxation treatment for CP/CPPS. Methods: A total of 84 patients diagnosed with CP/CPPS were randomly assigned to one of the two groups: conventional therapy (group A) and pelvic-floor muscle relaxation and biofeedback (group B). The Biofeedback and Electrical Stimulation apparatus was used for pelvic-floor muscle electrical stimulation and relaxation with biofeedback. National Institutes of Health Chronic Prostatitis Symptom Index (NIH-CPSI) scores were evaluated at the start of therapy, after 3 months of treatment and at 6 months (3 months after last treatment received). Results: At 3 months, patients in both groups had a significant decrease (improvement in symptoms) in NIH-CPSI scoring. However, at 6 months, only 19 (47.5%) patients in group A maintained a fall in NIH-CPSI score >6 compared with 37 (94.8%) patients in group B ( p<0.05). At 6 months, there was significant decrease in NIH-CPSI score in group B, whereas in group A, scores had increased (worsening of symptoms). Conclusions: Pelvic-floor muscle relaxation and biofeedback training is a safe and effective treatment for CP/CPPS with sustained efficacy.

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