Effect of pelvic floor muscle electrical stimulation on lumbopelvic control in women with stress urinary incontinence: randomized controlled trial

Hwang, Ui‐jae; Lee, Min-Seok

doi:10.1080/09593985.2022.2067508

Cited by 2 publications

References 34 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

Electrical Muscle Stimulation for Conservative Management of Female Pelvic Floor Muscle Dysfunction: A Scoping Review

Guitar,

Akbari,

Dzieduszycki

et al. 2024

Preprint

View full text Add to dashboard Cite

Background Electrical muscle stimulation (EMS) is a conservative management tool for the treatment of pelvic floor dysfunctions (PFDs). This review aims to: (1) summarize available evidence on various types of EMS treatment and associated outcomes on PFDs in adult women; and (2) investigate the clinical utility of intra-vaginal EMS compared to extra-vaginal; high-intensity parameters compared to low-intensity; and differences in outcomes between EMS with, or without, a magnetic component. As a scoping review, this research aims to facilitate the generation of hypotheses for future investigation. Methods Arksey and O’Malley’s framework supplemented the Joanna Briggs Institute methodology for scoping reviews. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews was used. Three databases were searched. Included studies were analyzed using Arksey and O'Malley’s content analysis and t-tests. Results A total of 40 included studies had low risk of bias (PEDro score = 6.38, SD = 1.47). Low-intensity and intra-vaginal protocols were found to require greater lengths of overall treatment time when compared to high-intensity protocols; however, only magnetic EMS treatments were found to result in significant improvement in symptoms (p < 0.01) when compared to non-magnetic EMS. Due to the heterogeneity of the outcome measures used among the included studies, effect sizes could not be evaluated. Conclusions EMS demonstrates positive effect for improving outcomes related PFDs in adult women. Included studies support the use of EMS for stress, urgency and mixed urinary incontinence. All versions of EMS studied were found to provide significant improvements in symptoms. However, high intensity, extra-vaginal approach and EMS with a magnetic component required less time to achieve significant therapeutic effect.

show abstract

Electrical Muscle Stimulation for Conservative Management of Female Pelvic Floor Muscle Dysfunction: A Scoping Review

Guitar,

Akbari,

Dzieduszycki

et al. 2024

Preprint

View full text Add to dashboard Cite

show abstract

Electrical Muscle Stimulation for the Conservative Management of Female Pelvic Floor Muscle Dysfunction: A Scoping Review

Guitar,

Akbari,

Dzieduszycki

et al. 2024

Clin. Exp. Obstet. Gynecol.

View full text Add to dashboard Cite

Background: Electrical muscle stimulation (EMS) is a conservative management tool for the treatment of pelvic floor dysfunctions (PFDs). The aim of this review was to scope, summarize and critically evaluate available research investigating the impact of various modes of EMS on PFDs in females. Methods: Joanna Briggs Institute methodology for scoping reviews was used with The Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews. Three databases were searched. Articles published in English that included female participants living with pelvic floor muscle dysfunction where EMS was used as a conservation care intervention were included in the review. Included studies were analyzed following Arksey and O’Malley’s framework. The Cochrane Risk of Bias Tool for randomized trials was used to assess risk of bias for the randomized controlled trials (RCTs), and Hawker and Payne’s quality appraisal criteria was used to appraise the data from the other included papers systematically. Results: A total of 37 studies, including 20 RCTs were included. A favorable impact, across various outcomes, was found across trials which investigated different types of EMS with varying protocols. The heterogenous nature of intervention protocols limited the ability to apply any statistical or meta-analyses. EMS demonstrates a positive effect for improving outcomes related to PFDs in adult women. Included studies support the use of EMS for stress, urgency and mixed urinary incontinence. All versions of EMS studied were found to provide significant improvements, which included them being used as a sole intervention or as an adjunct intervention. High intensity forms of EMS were consistently found to require shorter intervention times. Conclusions: EMS demonstrates improvement across outcomes for PFDs among adult women. In particular, the results of this review suggest that EMS may be particularly useful in women living with stress urinary incontinence (SUI) or who those are unable to perform voluntary muscle contractions when pelvic floor muscle training is attempted. Further research related to more novel versions of high intensity EMS approaches is needed.

show abstract

Effect of pelvic floor muscle electrical stimulation on lumbopelvic control in women with stress urinary incontinence: randomized controlled trial

Cited by 2 publications

References 34 publications

Electrical Muscle Stimulation for Conservative Management of Female Pelvic Floor Muscle Dysfunction: A Scoping Review

Electrical Muscle Stimulation for Conservative Management of Female Pelvic Floor Muscle Dysfunction: A Scoping Review

Electrical Muscle Stimulation for the Conservative Management of Female Pelvic Floor Muscle Dysfunction: A Scoping Review

Contact Info

Product

Resources

About