Improvement in Quality of Life with Pelvic Floor Muscle Training and Biofeedback in Patients with Painful Bladder Syndrome/Interstitial Cystitis

Abstract

Objective: To prove the benefits of pelvic floor muscle training with biofeedback (BFB) as a complementary treatment in women with bladder pain syndrome/interstitial cystitis (BPS/IC). Methods: Prospective, randomized study in 123 women with BPS/IC. Groups: BFB+ (n = 48): women with oral drug treatment (perphenazine and amitriptyline) plus intravesical instillations (sodium hyaluronate) plus pelvic floor muscle training with BFB; BFB−: (n = 75): women with oral drug treatment plus intravesical instillations. Variables: age, body mass index (BMI), time of follow-up, length of disease, time free of disease, diseases and health conditions concomitant, and responses to the SF-36 health-related quality of life questionnaire at the first consultation (SF-36 pre-treatment), and at the end of the study (SF-36 post-treatment). The treatment was considered successful when the SF-36 score reached values equal to or greater than 80 points or when the initial value increased by 30 or more points. Results: Mean age was 51.62 years old (23–82). BMI was higher in BFB−. The mean length of BPS/IC condition was 4.92 years (1–20), shorter in BFB+ than in BFB−. Mean SF-36 score pre-treatment was 45.92 points (40–58), lower in BFB+ than in BFB−. Post-treatment SF-36 score was higher than pre-treatment SF-36 score both in BFB+ and BFB−. SF-36 values were higher in BFB+ compared to BFB− over the follow-up. Conclusions: BFB improves quality of life in women with BPS/IC as adjunct therapy to combined oral and intravesical treatment.

Multimodal therapies and strategies for the treatment of interstitial cystitis/bladder pain syndrome in Taiwan

“…[113][114][115][116][117] The other two studies investigated the treatment of pelvic floor muscle myofascial pain (PFMP). 118,119 According to these studies, LESW and PTNS/TENS could improve bladder symptoms in most NHIC patients, [108][109][110]113,116,117 whereas education, CBT, and lifestyle modification might assist patients in coping with their symptoms regardless of their bladder condition. 96,98,100 PFMP may benefit from a combination of pelvic floor muscle treatment in patients who have pelvic floor myofascial pain.…”

“…96,98,100 PFMP may benefit from a combination of pelvic floor muscle treatment in patients who have pelvic floor myofascial pain. 119 Most experimental studies have indicated that the trigger points of PFMP contribute to peripheral and central sensitizations because they can affect peripheral nociceptors, spinal dorsal horn neurons, and brainstem. 120 Although HIC is a severe inflammation of the urinary bladder wall, accompanied by lymphoplasmacytic infiltration and urothelial…”

Dubens dugno raumenų stiprinimo pratimų poveikis šlapimo nelaikymo sutrikimui moterims po gimdos pašalinimo operacijos

“…Anot A. Hill ir M. Alappattu (2017) GR (EMG) -tai potencialiai naudinga intervencija bendrajai gyvenimo kokybei pagerinti. Kitų autorių teigimu (Borrego-Jimenez et al, 2021), GR ir DDRT derinamas teigiamai veikia gyvenimo kokybės rezultatus, vertinamus SF-36 klausimynu, bet tik tada, kai poveikis taikomas bent 6 sav. Mūsų tyrime poveikis tęsėsi trumpiau -15 darbo dienų.…”

Pelvic Floor Myofascial Pain Might Influence Treatment Outcome of Interstitial Cystitis/bladder Pain Syndrome

“…1 IC/BPS has been included in myofascial pain and neuropathic pain syndromes interrelated with the immune and in ammatory systems. 2 The prevalence rate of IC/BPS is between 3% and 10% and more frequent among women. 3 To date, classic Hunner's lesion interstitial cystitis (HIC) is a bladder disease, and bladder treatment improves symptoms.…”

“…8 Several researchers also noted that PFM hypertonicity (PFH), also called pelvic oor myofascial pain (PFMP), could affect treatment outcome and quality of life. 2,[7][8][9] The prevalence of PFMP in patients with IC/BPS ranges from 50% to 90%. 4 When muscle ber trauma occurs, in ammatory mediators, such as bradykinin, serotonin, prostaglandins, adenosine triphosphate, and histamine, are released locally, which sensitize muscle nociceptors and reduce their mechanical threshold and result in muscle hyperalgesia and mechanical allodynia.…”