Analyze the effects of various pelvic floor rehabilitation training approaches on postpartum patients suffering from pelvic floor dysfunction.

Corresponding author: Pan Zhengbin, shengfang123sh@163.com

DOI: 10.12201/bmr.202409.00058

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  Abstract: Purpose The objective is to examine the impact of various pelvic floor rehabilitation techniques on postpartum individuals experiencing pelvic floor dysfunction. Techniques Our study included 100 patients with postpartum pelvic floor dysfunction who were selected from our hospital between January 2022 and May 2023. The patients were placed into two groups: a control group and an observation group, each consisting of 50 patients. The groups were assigned using a numerical table randomization approach. The control group received Kegel exercise treatment, while the observation group received a combination of Kegel exercise, biofeedback, and electrical stimulation. The clinical effectiveness of both groups was compared, along with the electrical parameters of the pelvic floor muscles before and after therapy. Additionally, the mobility range of the bladder neck and the angle of rotation of the urethra were evaluated before and after treatment. Outcome Compared to the pre- and post-treatment periods, both the average EMG value of the anteroposterior resting muscle and the average EMG value of the slow muscle, as well as the maximum EMG value of the fast muscle, increased significantly in both groups (P<0.05). Additionally, the observation group had significantly higher values (P<0.05). After treatment, both groups showed a decrease in bladder neck movement and urethral rotation angle compared to before treatment (P < 0.05). The observation group had a significantly lower decrease in both measurements (P < 0.05). The observation group exhibited a significantly greater total effective rate compared to the control group (P < 0.05). Following treatment, both groups saw an increase in the duration of vaginal contraction and the score of sexual satisfaction compared to before treatment. Additionally, there was a decrease in the score of coital pain (P < 0.05). The improvement in these measures was more pronounced in the observation group (P < 0.05). In conclusion Combining Kegel exercise training with biofeedback and electrical stimulation has a notable impact on postpartum pelvic floor dysfunction. This treatment can enhance pelvic floor function, muscle strength, sexual function, and urine function in patients. Therefore, it is highly recommended for promotion.

  Key words: Postpartum pelvic floor dysfunction; Pelvic floor function; Kegel exercise training; Biofeedback; Electrical stimulation

  Submit time: 26 September 2024

  Copyright: The copyright holder for this preprint is the author/funder, who has granted biomedRxiv a license to display the preprint in perpetuity.
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  2	2024-08-21	bmr.202409.00058V2	Download
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