Kołodyńska Gabriela, Zalewski Maciej, Piątek Aleksandra, Mucha Anna, Rożek-Piechura Krystyna, Andrzejewski Waldemar
Department of Physiotherapy, Wroclaw University of Health and Sport Sciences, 51-612 Wrocław, Poland.
Faculty of Medical Sciences and Health Sciences, University of Social and Medical Sciences in Warsaw, 04-367 Warszawa, Poland.
Bioengineering (Basel). 2025 Jun 10;12(6):633. doi: 10.3390/bioengineering12060633.
The number of people suffering from urinary incontinence increases every year. Along this trend, the knowledge of society increases regarding the various methods available for treating this ailment. Both patients and researchers are constantly looking for new treatments for urinary incontinence. One of the new solutions is sonofeedback of the pelvic floor muscles, which may help to strengthen them and thus reduce the problem. The aim of this study was to evaluate the effectiveness of sonofeedback and transvaginal electrostimulation in increasing the bioelectrical activity of pelvic floor muscles in postmenopausal women with stress urinary incontinence. Sixty women with stress urinary incontinence were enrolled in the study. The patients were divided into two groups: A, where sonofeedback was used, and B, where electrostimulation of the pelvic floor muscles was performed with biofeedback training. In patients, the resting bioelectrical activity of the pelvic floor muscles was assessed using an electromyograph. The assessment of the resting bioelectrical activity of the pelvic floor muscles was performed before the therapy, after the 5th training, and after the therapy. It was observed that after the end of the therapy, the average bioelectrical potential increased by 1.1 µV compared with the baseline in group A. It can be suggested that the sonofeedback method is comparatively effective in reducing symptoms that are associated with urinary incontinence as an electrostimulation method with biofeedback training.
尿失禁患者的数量逐年增加。随着这一趋势，社会对治疗这种疾病的各种可用方法的了解也在增加。患者和研究人员都在不断寻找尿失禁的新治疗方法。新的解决方案之一是盆底肌肉的声反馈，这可能有助于增强盆底肌肉，从而减少问题。本研究的目的是评估声反馈和经阴道电刺激对增加压力性尿失禁绝经后妇女盆底肌肉生物电活动的有效性。60名压力性尿失禁妇女参与了该研究。患者被分为两组：A组使用声反馈，B组进行盆底肌肉电刺激并结合生物反馈训练。使用肌电图评估患者盆底肌肉的静息生物电活动。在治疗前、第5次训练后和治疗后对盆底肌肉的静息生物电活动进行评估。观察到治疗结束后，A组的平均生物电势与基线相比增加了1.1µV。可以认为，作为一种结合生物反馈训练的电刺激方法，声反馈方法在减轻与尿失禁相关的症状方面相对有效。
