Biofeedback versus electrical stimulation for sexual dysfunction: a randomized clinical trial

Aalaie, Behnaz; Tavana, Behroz; Rezasoltani, Zahra; Aalaei, Solmaz; Ghaderi, Jamshid; Dadarkhah, Afsaneh

doi:10.1007/s00192-020-04373-7

Cited by 9 publications

(20 citation statements)

References 27 publications

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“…2014 [ 47 ] Brazil RCT, (3 arm: multimodal + sham vs. local vs. distal electrotherapy) 30 (30) 10/30 Woman with multiple sclerosis + sexual dysfunction PF muscle training with EMG BFB—alone or combined with intravaginal EGS or transcutaneous tibial nerve stimulation—contributes to the improvement of sexual dysfunction in patients with multiple sclerosis Aalaie et al. 2020 [ 48 ] Iran RCT (2 arm: 2 different interventions) 11 (22) 1/22 (in BFB group) Female sexual pain dysfunction (DSM‑5 criteria [ 49 , 50 ], FSFI) + stress urinary incontinence Both BFB and EGS increased the FSFI score. Both interventions decreased pain during vaginal penetration similarly.…”

Section: Methodsmentioning

confidence: 99%

“…Only 10/37 studies stated how they arrived at the sample size. A minority of studies explicitly stated to have used reliable [21,29,34,40,45,48,55] and valid [21,25,26,34,35,37,40,47,[53][54][55] outcome measures. For several tools, however, the psychometric properties are described in the literature.…”

Section: Study Characteristicsmentioning

confidence: 99%

“…The arbitrary sum score ranged between 5 and 13 (mean 9.2). Table 9 shows the quality assessment of the 9 RCTs according to the PEDro scale [81], resulting in 2 studies of fair [26,55] and 7 studies of good [16,21,42,44,45,47,48] quality. The mean PEDro score of these studies was 6 (range 5-8).…”

Section: Study Characteristicsmentioning

confidence: 99%

“…With respect to the 11 studies on female chronic pelvic pain, several could improve pain [37][38][39][40]48] or symptoms [38,39,41,43,44,[46][47][48], at least in the longer term. Again, several studies lacked p-values or measures of clinical relevance.…”

Section: K Review Articlementioning

confidence: 99%

“…Most studies compare improvements within an intervention group which reduces the strength of evidence. Most authors drew their conclusions based on the statistical significance, only two papers [45,48] reported on effect sizes and confidence intervals of pain and symptom outcomes. Ten studies [21,26,29,35,36,[40][41][42][43][44] provided data to calculate effect sizes and confidence intervals to evaluate the clinical relevance of the results [85].…”

Section: Qualitymentioning

confidence: 99%

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The effect of biofeedback interventions on pain, overall symptoms, quality of life and physiological parameters in patients with pelvic pain

Wagner

Steiner

Huber

et al. 2021

Wien Klin Wochenschr

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Summary Background Biofeedback is recognized as an effective additive method for treating certain phenotypes of chronic pelvic pain syndrome and is a therapeutic option in other pelvic pain conditions. This review aims to evaluate evidence from the literature with a focus on the effect of biofeedback on pain reduction, overall symptom relief, physiological parameters and quality of life. Methods A systematic literature search was conducted using the databases PubMed, MEDLINE, Embase, Cochrane Library and PEDro from inception to July 2020. Data were tabulated and a narrative synthesis was carried out, since data heterogeneity did not allow a meta-analysis. The PEDro scale and the McMaster Critical Review Form—Quantitative Studies were applied to assess risk of bias. Results Out of 651 studies, 37 quantitative studies of primary research evaluating pelvic pain conditions in male and female adults and children were included. They covered biofeedback interventions on anorectal disorders, chronic prostatitis, female chronic pelvic pain conditions, urologic phenotypes in children and adults and a single study on low back pain. For anorectal disorders, several landmark studies demonstrate the efficacy of biofeedback. For other subtypes of chronic pelvic pain conditions there is tentative evidence that biofeedback-assisted training has a positive effect on pain reduction, overall symptoms relief and quality of life. Certain factors have been identified that might be relevant in improving treatment success. Conclusions For certain indications, biofeedback has been confirmed to be an effective treatment. For other phenotypes, promising findings should be further investigated in robust and well-designed randomized controlled trials.

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