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Chinese Journal of Clinicians(Electronic Edition) ›› 2021, Vol. 15 ›› Issue (09): 646-651. doi: 10.3877/cma.j.issn.1674-0785.2021.09.002

• Clinical Research • Previous Articles     Next Articles

Efficacy of combined treatment with magnetic and electrical stimulation as a comprehensive rehabilitation therapy for patients with pelvic floor relaxation

Ran Zhang1,(), Ming Zhang2, Fengping Liu1, Jingli Guo1   

  1. 1. Outpatient Department, China Aerospace Science & Industry Corporation 731 Hospital, Beijing 100074, China
    2. Outpatient Department, Beijing Hospital, National Center of Gerontology; Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing 100730, China
  • Received:2021-06-16 Online:2021-09-15 Published:2022-01-20
  • Contact: Ran Zhang

Abstract:

Objective

To evaluate the clinical efficacy of combined treatment with magnetic and electrical stimulation as a comprehensive rehabilitation therapy for patients with pelvic floor relaxation.

Methods

A total of 292 patients diagnosed with pelvic floor relaxation at the Department of Obstetrics and Gynecology of China Aerospace Science and Industry Corporation 731 Hospital from August 1, 2019 to April 30, 2021 were included in this study. Among these patients, 147 were randomly selected into an observation group (combined treatment with magnetic and electrical stimulation), and the other 145 cases were assigned to a control group (electrical stimulation treatment) according to the registered number. Both groups of patients conducted home training and received Glazer assessment before and after treatment to observe changes in the surface electromyography (sEMG) of the pelvic floor muscles (PFMs) in order to evaluate the clinical efficacy.

Results

Compared with the values before treatment, the sEMS measurements were improved in both groups after treatment in terms of the pre-resting average value, the tension contraction average value, and the endurance contraction average value (P<0.05 each). For the observation group, the maximum value of fast muscle contraction significantly increased after treatment (P<0.05), while the control group had no statistical change (P>0.05). After treatment, the rangeability of the maximum value of fast muscle contraction in the observation group was significantly larger than that of the control group (P<0.05), while there was no significant difference in the pre-resting average value, tension contraction average value, endurance contraction average value, and post-resting average value between the two groups after treatment (P>0.05 each). The total effective rate of improving pelvic floor muscle strength after treatment in the observation group was 76.87%, with 39.82% showing marked improvement. The total effective rate of improving pelvic floor muscle strength after treatment in the control group was 73.10%, with 20.75% showing marked improvement. There was no statistically significant difference in the total effective rate of treatment between the two groups (P>0.05), but the difference in the rate of marked improvement was statistically significant (P<0.05).

Conclusion

Combined treatment with magnetic and electrical stimulation and pure electrostimulation treatment both can improve the pelvic floor muscle function of patients with pelvic floor relaxation. Combined treatment has better results in improving the fast muscle contraction, is a more effective therapy, and it is worthy of promotion.

Key words: Pelvic floor relaxation, Pelvic floor rehabilitation, Magnetic stimulation, Electrical stimulation, Combined treatment with magnetic and electrical stimulation, Pelvic floor muscle assessment

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