Posture Correction Therapy and Pelvic Floor Muscle Function Assessed by sEMG with Intravaginal Electrode and Manometry in Female with Urinary Incontinence

Abstract

Introduction: The aim of the study was to assess the influence of the implemented therapeutic programme, which consisted of body posture correction and of change of habits, on the pelvic floor muscle function in women with stress urinary incontinence. Material and methods: The 60 women were randomly divided into two groups: the study population and the clinical control group (subjects received envelopes with numbers of the group: 1- study population aged 38.3 ± 5.54, 2- clinical control group aged 35.5 ± 4.7. We used the following research methods: A personal questionnaire with subjects’ demographics and with questions related to the type of work, physical activity, childbirths and any issues related to the pelvic floor (pre-test), Pelvic floor muscle assessment with the use of the PERFECT Scheme and the Oxford scale palpation examination, sEMG with intravaginal electrode and manometry with an intravaginal probe—pre-test and post-test. Subjective assessment of body posture in the sagittal plane according to the McKenzie methodology. Results: In both groups, VRP (resting vaginal pressure) and resting PFM tension were significantly reduced. The strength and endurance of PFM, tension during MVC and VSP (intravaginal pressure during contraction) increased, with no difference between the groups. SUI decreased significantly, and quality of life improved significantly in both groups. Conclusions: Education of the pelvic floor and changing habits significantly affected the activity of PFM and improved the quality of life in the group of patients with SUI. The posture correction therapy with manual therapy and stretching exercises did not increase this effect.

The effects of one‐time soft tissue therapy on pelvic floor muscle electromyographic signals in women with urinary incontinence: A randomized intervention trial

“…However, both groups showed clinically significant improvements in SUI and quality of life, suggesting that manual intervention may have minimal or no effect on PFM electromyographic activity. 28 Arcanjo et al 29 compared two interventions with osteopathic manipulation on PFM electromyographic signals in 51 women with UI symptoms. Both interventions were performed once a week for 4 weeks, with Group 1 receiving a high-velocity, low-amplitude thrust, and Group 2 receiving a comprehensive osteopathic protocol.…”

“…Jórasz et al 28 applied 45 min of manual therapy once a week to women with SUI and obtained statistically significant effects only within the experimental group. However, both groups showed clinically significant improvements in SUI and quality of life, suggesting that manual intervention may have minimal or no effect on PFM electromyographic activity 28 . Arcanjo et al 29 compared two interventions with osteopathic manipulation on PFM electromyographic signals in 51 women with UI symptoms.…”

“…These studies have shown different effects on PFM electromyographic signals in women of different ages and with different complaints. Jórasz et al 28 applied 45 min of manual therapy once a week to women with SUI and obtained statistically significant effects only within the experimental group. However, both groups showed clinically significant improvements in SUI and quality of life, suggesting that manual intervention may have minimal or no effect on PFM electromyographic activity 28 .…”

Establishment and Validation of a Risk Prediction Model for Stress Urinary Incontinence in Pelvic Organ Prolapse：A simple screening tool

“…Consequently, pelvic oor SEMG theoretically holds value in evaluating SUI in patients with POP [12] . SEMG is often utilized as a secondary evaluation indicator for the outcomes of pelvic oor rehabilitation training, with several studies demonstrating statistically signi cant changes in SEMG readings before and after such training [13][14][15] . While SEMG serves as a common method for pelvic oor evaluation, its diagnostic and predictive role requires further investigation.…”