Biostimulation feedback treatment improves surface electromyography value of pelvic floor muscle during contraction in women with mild and moderate stress urinary incontinence

doi:10.3969/j.issn.2095-4344.2014.33.017

Abstract

Abstract:

BACKGROUND: Biostimulation feedback treatment has been widely used for female stress urinary incontinence. The treatment principle is based on the electromyographic signal measured and the combination of biofeedback technique and electrotherapy technique.
OBJECTIVE: To evaluate the effect of biofeedback electrical stimulation in treatment of female stress urinary incontinence.
METHODS: Thirty female patients suffering from light or moderate stress urinary incontinence received biofeedback electrical stimulation for 4-8 weeks. The stimulation parameters were 60 Hz, 20-60 mA, 12-second feedback. The patients were instructed to contract pelvic floor muscle. The peak value of surface electromyography in pelvic floor muscular 2-second-rapid-contraction, mean value of pelvic floor muscular 10-second-contraction, mean value of the pelvic floor muscular 60-second-tolerance-contraction, and the rate of urine leakage were observed before and after treatment.
RESULTS AND CONCLUSION: The peak value of surface electromyography in pelvic floor muscular 2-second-rapid-contraction, mean value of pelvic floor muscular 10-second-contraction, and mean value of the pelvic floor muscular 60-second-tolerance-contraction were significantly increased after treatment, compared with before treatment (P < 0.05). The rate of urine leakage was decreased obviously after treatment (P < 0.05). Biofeedback electrical stimulation can significantly increase surface electromyography value of pelvic floor muscles during contraction, and is an effective treatment for female stress urinary incontinence.

中国组织工程研究杂志出版内容重点：组织构建；骨细胞；软骨细胞；细胞培养；成纤维细胞；血管内皮细胞；骨质疏松；组织工程

全文链接：

Key words: tissue engineering, feedback, urinary incontinence, pelvic floor

CLC Number:

R318

Feng Ling. Biostimulation feedback treatment improves surface electromyography value of pelvic floor muscle during contraction in women with mild and moderate stress urinary incontinence[J]. Chinese Journal of Tissue Engineering Research, 2014, 18(33): 5346-5350.

Figures/Tables 1

References

[1]张珂,贺晶.产后盆底功能重建的研究进展[J].国际妇产科学杂志, 2011,38(1):24-26.
[2]黄健,华克勤,程明军,等.大鼠产后压力性尿失禁模型的建立与探讨[J].中国实验动物学报,2012,20(2):21-23.
[3]温醒华,石少权,王建英.盆底肌肉锻炼对产后压力性尿失禁的影响[J].中国实用医药,2010,5(15):72-73.
[4]周竞,罗琼,刘志顺,等.女性压力性尿失禁发生机制、影响因素及保守治疗[J].陕西医学杂志,2014,3(42):371-373.
[5]耿玲,吴美兰,叶素华,等.盆底肌功能锻炼联合仿生物理治疗对产后压力性尿失禁的影响[J].河南外科学杂志,2011,17(6): 146-147.
[6]范能胜.妇女尿失禁多媒体生物反馈治疗仪的研制[D].广州:暨南大学,2006.
[7]张耀华,邓萍萍,江小群.盆底肌肉康复器防治产后压力性尿失禁的疗效观察[J].山西医药杂志,2011,40(5):505-506.
[8]陈燕辉,杨卫萍,邓敏端.盆底肌肉训练对女性盆底功能障碍性疾病的康复效果[J].广东医学,2012,33(6):757-759.
[9]State Council of the People's Republic of China. Administrative Regulations on Medical Institution. 1994-09-01.
[10]丛芳,李建军,周红俊,等.Glazer盆底表面肌电评估方案在脊髓损伤患者中的应用[J].中华物理医学与康复杂志,2012,34(3): 201-205.
[11]Dietz HP, Lanzarone V. Levator trauma after vaginal delivey. Obstet Gynecol. 2005;106(4):707-712.
[12]刘小宝.盆底肌功能训练预防和治疗产后尿失禁的临床观察[J].中国医药指南,2011,9(2):21-22.
[13]王庭槐.生物反馈及其机理进展[J].医学信息,2002,15(10): 610-611.
[14]符碧红.电刺激加生物反馈及盆底Kegel锻炼治疗压力性尿失禁疗效观察[J].吉林医学,2012,33(21):4591-4592.
[15]Dumoulin C, Glazener C, Jenkinso D. Determining the optimal pelvic floor muscle training regimen for women with stress urinary incontinence. Neurourol Urodyn. 2011;30(5): 746-753.
[16]Dumoulin C, Hay-Smith J. Pelvic floor muscle training versus no treatment for urinary incontinence in women. A Cochrane systematic review. A Cochrane systematic review. Eur J Phys Rehabil Med. 2008;44(1):47-63.
[17]张琼,管玉涛,郑伟,等.生物反馈联合盆底肌锻炼治疗女性压力性尿失禁的疗效评价[J].中国康复理论与实践,2011,17(2):173-175.
[18]陈军,常宝元,刚向辉,等.电刺激联合盆底肌训练治疗压力尿失禁的疗效观察[J].现代泌尿外科杂志,2013,18(4):371-372.
[19]李晨,陈新建,古力米热,等.生物反馈电刺激治疗女性压力性尿失禁疗效评价(附30例报告)[J].中华现代外科学杂志,2006,27(21): 1716-1717.
[20]董延华,王宝金,王鲁文,等.生物反馈电刺激治疗轻中度女性压力性尿失禁的临床疗效观察[J].中国实用医刊,2010,6(36):21-24.
[21]Joewik M, Jocwik M, Adamkiewicz M. An updated overview on the anatomy and function of the female pelvic floor, with emphasis on the effect of vaginal delivery. Med Wieku Rozwoj. 2013;17(1):18-30.
[22]Resende AP, Petricelli CD, Bernardes BT, et al. Electromyographic evaluation of pelvie floor muscles in pregnant and nonpregnant women. Int Urogynecol J. 2012; 23(8):1041-1045.
[23]许晓英,任红红.电刺激结合生物反馈及康复锻炼治疗产后压力性尿失禁疗效分析[J].中国妇幼保健,2011,26(30):4785-4786.
[24]刘洪梅,张洁.电刺激联合生物反馈盆底肌锻炼治疗女性压力性尿失禁的疗效观察[J].中国妇幼保健,2011,26(35):5638-5639.
[25]陈燕辉,古彩茹,杨卫萍.电刺激疗法与生物反馈盆底肌训练联合在产后压力性尿失禁治疗中的临床应用分析[J].中国妇幼保健, 2012,27(21):3244-3245.
[26]王磊,胡新生,乔庆东,等.盆底肌肉生物反馈治疗女性轻中度压力性尿失禁24例临床观察[J].中国煤炭工业医学杂志,2011,14(11): 1607-1609.
[27]卢琴,刘佳华,林美姜.生物刺激反馈治疗对女性压力性尿失禁的疗效观察[J].当代医学,2012,18(13):144-145.
[28]那彦群.中国泌尿外科疾病诊断治疗指南[M].北京:人民卫生出版社,2007.
[29]黄剑婷.盆底肌肉锻炼在治疗产后压力性尿失禁的作用[J].西南军医,2011,13(2):237-238.
[30]黄惠娟,何春妮,宋岩峰,等.产后尿失禁的发病机理及诊治[J].国外医学妇产科学分册,2004,31(1):24-25.
[31]Chai TC, Richter HE, Moalli P, et al. Inflammatory and tissue remodeling urinary biomarkers before and after mid urethral sling surgery for stress urinary incontinence. J Urol. 2014; 191(3):703-709.
[32]Chen HY, Chen CJ, Lin YN, et al. Proteomic analysis related to stress urinary incontinence following vaginal trauma in female mice. Eur J Obstet Gynecol Reprod Biol. 2013;171(1): 171-179.
[33]Maher C, Feiner B, Baessler K, et al. Surgical management of pelvic organ prolapse in women. Cochrane Database Syst Rev. 201330;4:CD004014.
[34]Choi SJ, Oh SH, Kim IG, et al. Functional recovery of urethra by plasmid DNA-loaded injectable agent for the treatment of urinary incontinence. Biomaterials. 2013;34(20):4766-4776.
[35]Blaivas JG, Purohit RS, Weinberger JM, et al. Salvage surgery after failed treatment of synthetic mesh sling complications. J Urol. 2013;190(4):1281-1286.
[36]Min H, Li H, Bingshu L, et al. Meta-analysis of the efficacy and safety of the application of adjuvant material in the repair of anterior vaginal wall prolapsed. Arch Gynecol Obstet. 2013; 287(5):919-936.
[37]Ugurlucan FG, Erkan HA, Onal M, et al. Randomized trial of graft materials in transobturator tape operation: biological versus synthetic. Int Urogynecol J. 2013;24(8):1315-1323.
[38]Chun SY, Cho DH, Chae SY, et al. Human amniotic fluid stem cell-derived muscle progenitor cell therapy for stress urinary incontinence. J Korean Med Sci. 2012;27(11):1300-1307.
[39]Yurteri-Kaplan LA, Gutman RE. The use of biological materials in urogynecologic reconstruction: a systematic review. Plast Reconstr Surg. 2012;130(5 Suppl 2): 242S- 253S.
[40]Verbrugghe A, De Ridder D, Van der Aa F. A repeat mid-urethral sling as valuable treatment for persistent or recurrent stress urinary incontinence. Int Urogynecol J. 2013;24(6):999-1004.
[41]Ho CP, Bhatia NN. Development of stem cell therapy for stress urinary incontinence. Curr Opin Obstet Gynecol. 2012; 24(5):311-317.
[42]Spirka T, Kenton K, Brubaker L, et al. Effect of material properties on predicted vesical pressure during a cough in a simplified computational model of the bladder and urethra. Ann Biomed Eng. 2013;41(1):185-194.
[43]Zoorob D, Karram M. Role of autologous bladder-neck slings: a urogynecology perspective. Urol Clin North Am. 2012;39(3): 311-316.
[44]Du XW, Wu HL, Zhu YF, et al. Experimental study of therapy of bone marrow mesenchymal stem cells or muscle-like cells/calcium alginate composite gel for the treatment of stress urinary incontinence. Neurourol Urodyn. 2013;32(3): 281-286.
[45]Yip C, Kwok E, Sassani F, et al. A biomechanical model to assess the contribution of pelvic musculature weakness to the development of stress urinary incontinence. Comput Methods Biomech Biomed Engin. 2014;17(2):163-176.
[46]Surcel C, Savu C, Chibelean C, et al. Comparative analysis of different surgical procedures for female stress urinary incontinence. Is stem cell implantation the future? Rom J Morphol Embryol. 2012;53(1):151-154
[47]Cartwright R, Mangera A, Tikkinen KA, et al. What was hot at the ICS meeting Glasgow, Scotland, 2011. Neurourol Urodyn. 2012;31(1):2-6.
[48]Griebling TL, Liao Z, Smith PG. Systemic and topical hormone therapies reduce vaginal innervation density in postmenopausal women. Menopause. 2012;19(6):630-635.
[49]Conlon K, Miner W, McCleary S, et al. Identification of 5-HT(2C) mediated mechanisms involved in urethral sphincter reflexes in a guinea-pig model of urethral function. BJU Int. 2012;110(2 Pt 2):E113-E117.
[50]Wen Y, Whitin J, Yu T, et al. Identification of protein marker in vaginal wall tissues of women with stress urinary incontinence by protein chip array. J Obstet Gynaecol Res. 2012;38(1): 89-96.