Intravaginal electrical stimulation increases voluntarily pelvic floor muscle contractions in women who are unable to voluntarily contract their pelvic floor muscles: a randomised trial

Antônio, Flávia Ignácio; Bø, Kari; Pena, Caroline Caetano; Bueno, Sabrina M; Mateus-Vasconcelos, Elaine Cristine Lemes; Fernandes, Ana Carolina Nociti Lopes; Ferreira, Cristine Homsi Jorge

doi:10.1016/j.jphys.2021.12.004

Cited by 14 publications

(3 citation statements)

References 19 publications

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“…However, studies have reported that more than 54% of women may be unable to contract the PFM correctly during the first week postpartum, but 70% of them were able to learn by simple teaching by a trained physiotherapist 39 . Other studies support that women with SUI can learn a correct contraction by verbal instruction, vaginal palpation, and electrical stimulation 40,41 …”

Section: Discussionmentioning

confidence: 99%

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Can you breathe yourself to a better pelvic floor? A systematic review

Bø

Driusso

Ferreira

2023

Neurourology and Urodynamics

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Introduction: Some authors suggest that breathing exercises should be recommended instead of or in combination with pelvic floor muscle training (PFMT) to prevent and treat urinary incontinence (UI) and pelvic organ prolapse (POP). Aims: The primary aim of the present study was to investigate the evidence for breathing as an intervention alone or in addition to PFM contraction in treatment of UI and POP.Materials & Methods: This systematic review included short-term experimental studies and randomize controlled trials (RCTs) indexed on PubMed, EMBASE, and PEDro database. A form was used to extract data that was analyzed qualitatively due to the heterogeneity in interventions and outcome measures of the included studies. The individual methodological quality of RCTs was analyzed using the PEDro scale. Results: A total of 18 studies were included, 374 participants from short-term experimental studies and 765 from nine RCTs. PEDro score varied from 4 to 8.Activation of the PFM during expiration was significantly less than during a PFM contraction. In general, the RCTs showed that training the PFM is significantly more effective to improve PFM variables and UI and POP than breathing exercises, and that adding breathing exercises to PFMT have no additional effect. Conclusion: This systematic review indicates that the evidence for incorporating breathing exercise in clinical practice in addition to or instead of PFMT is scant or non-existing, both based on short-term experimental studies and small RCTs.

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Section: Discussionmentioning

confidence: 99%

“…39 Other studies support that women with SUI can learn a correct contraction by verbal instruction, vaginal palpation, and electrical stimulation. 40,41…”

Section: Short-term Experimental Studiesmentioning

confidence: 99%

Can you breathe yourself to a better pelvic floor? A systematic review

Bø

Driusso

Ferreira

2023

Neurourology and Urodynamics

View full text Add to dashboard Cite

show abstract

“…It is, however, difficult to evaluate the information given regarding how the treatment was conducted. Pelvic floor electrical stimulation can provoke the muscles to contract as well as produce responses from the central nervous system, i.e., increase the awareness of the muscle contractions which could be important for women with a weak PFM [34]. Yet, use of electrical stimulation can be questioned in the early postpartum period and when women are breast-feeding.…”

Section: Main Findingsmentioning

confidence: 99%