The study performed a comparison of short-term results after high intensity electromagnetic treatment and electrostimulation for improvement of urinary incontinence.

Background: Level of spasticity in post-stroke patients allow for the predictability of the patient's level of recovery. The study aimed to assess the anti-spastic effect of high-intensity electromagnetic field stimulation in post-stroke condition.Methods: 30 post-stroke patients, randomized into two groups participated. The treatment group (TG) was delivered ten therapies to spastic muscles with high-intensity electromagnetic stimulation. The control group (CG) was delivered ten electrotherapy sessions in the spastic muscle area combined with kinesiotherapy. Modified Ashworth Scale (MAS) was used as a primary outcome measure to evaluate the level of spasticity. Secondary outcome measure, Barthel Index of Activities of Daily Living (ADL) was used to evaluate the patient's quality of life. Results were obtained pre-treatment, post-treatment and after 1-month follow-up was completed. Results:During the 1-month follow-up, TG improved results up to 66% decreasing spasticity from 2.33±0.90 in the beginning to 0.87±0.64 points on the MAS. The CG, during the 1-month follow-up, improved up to 31% decreasing spasticity from 2.13±0.74 in the beginning to 1.47±0.74 points on the MAS. According to Barthel Index, 81% level of improvement was observed in TG during 1-month follow-up vs. 72% level of improvement observed for the CG in a 1-month follow-up. Conclusion:The evaluation showed greater spasticity reduction in TG -66% vs. 31% in the CG after the 1-month follow-up visit. Results suggest that high-intensity electromagnetic stimulation is an effective extracorporeal physical modality for spasticity management in post-stroke patients.

Introduction: Impaired coordination, relaxation, and atrophy of pelvic floor muscles (PFMs) may cause various health issues referred to as pelvic floor dysfunction (PFD). In recent years, electromagnetic noninvasive stimulation of the pelvic floor was successfully used to treat PFD symptoms. Aim: This study aims to compare the effectiveness of electrical and magnetic noninvasive stimulation for the treatment of PFD in postpartum women. Methods: 2 intervention groups treated with high-intensity focused electromagnetic ([HIFEM]; G1) procedure and electrical stimulation (G2) were established along with the control group (G3). Patients received 10 therapies delivered at the hospital (G1; 2e3 times per week) or self-administered at home (G2; every other day) after initial training. The protocol was identical for both modalities. Functionality of the PFM was examined by surface electromyography measurements (maximal voluntary contraction [MVC]; mean MVC; muscle activity at rest; endurance of contraction) while patient's subjective perception of pelvic floor functionality was assessed by Pelvic Floor Impact QuestionnaireeShort Form 7 (PFIQ-7) standardized questionnaire. Changes in electromyography values and PFIQ-7 scores were statistically evaluated from baseline to after all treatments. Main Outcome Measure: The main outcome measure was enhancement of PFM activity. Results: In total, 95 patients (G1 ¼ 50; G2 ¼ 25; G3 ¼ 20) participated in the study. The MVC, mean MVC, and endurance were lowered in symptomatic patients. After the treatments, these parameters significantly increased (P < .001) and moved toward the values of healthy population. Electrogenesis at relaxation revealed divergent tendencies in the G1 and G2 groups. PFIQ-7 scores significantly improved in treated patients (P < .001). In general, superior results were documented in the HIFEM group as it reached improvement of electromyography parameters from 48% to 59% (electrical stimulation from 7% to 36%) and similarly the improvement of PFIQ-7 score by 57% (electrical stimulation by 32%). Conclusion: This study documented that the HIFEM procedure was significantly more effective than electrical stimulation in treatment of PFD in postpartum women. Both the objective and subjective evaluation indicates more profound effects of magnetic stimulation. Elena S, Dragana Z, Ramina S, et al. Electromyographic Evaluation of the Pelvic Muscles Activity After High-Intensity Focused Electromagnetic Procedure and Electrical Stimulation in Women With Pelvic Floor Dysfunction. Sex Med 2020;8:282e289.