Traditional Biofeedback vs. Pelvic Floor Physical Therapy—Is One Clearly Superior?

Ladi‐Seyedian, Seyedeh‐Sanam; Sharifi‐Rad, Lida; Nabavizadeh, Behnam; Kajbafzadeh, Abdol‐Mohammad

doi:10.1007/s11934-019-0901-9

Cited by 10 publications

(7 citation statements)

References 101 publications

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“…The goal of biofeedback is to increase awareness of the function of the pelvic floor muscles and to develop better voluntary control of these muscles and the external urethral sphincter during voiding. Biofeedback is not a therapy by itself but an adjunct to PFMT in measuring the response from the contraction of the pelvic floor muscles (10,11).…”

Section: Introductionmentioning

confidence: 99%

Is biofeedback-assisted pelvic floor muscle training superior to pelvic floor muscle training alone in the treatment of dysfunctional voiding in women? A prospective randomized study

et al. 2022

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Purpose: To compare the effectiveness of biofeedback-assisted pelvic fl oor muscle training (PFMT) and PFMT alone on voiding parameters in women with dysfunctional voiding (DV). Materials and Methods:The patients in group 1 (34 patients) were treated with biofeedback-assisted PFMT, and the patients in group 2 (34 patients) were treated with PFMT alone for 12 weeks. The 24-hour frequency, average voided volume, maximum urine fl ow rate (Q max ), average urine fl ow rate (Q ave ), post-void residual urine volume (PVR), and the validated Turkish Urogenital Distress Inventory (UDI-6) symptom scores were recorded before and after 12 weeks of treatment. Results: At the end of treatment sessions, the Q max and Q ave values of the patients in group 1 were signifi cantly higher than those in group 2, and the PVR in the patients in group 1 was signifi cantly lower than those in group 2 (p=.026, .043, and .023, respectively). The average UDI-6 symptom scores of the patients in group 1 were signifi cantly lower than those in group 2 (p=.034). Electromyography activity during voiding, in group 1 was signifi cantly lower than in group 2 (41.2 vs. 64.7, respectively, p=.009). Conclusion: Biofeedback-assisted PFMT is more effective than PFMT alone in improving clinical symptoms, urofl owmetry parameters, and EMG activity during voiding.

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Section: Introductionmentioning

confidence: 99%

Is biofeedback-assisted pelvic floor muscle training superior to pelvic floor muscle training alone in the treatment of dysfunctional voiding in women? A prospective randomized study

et al. 2022

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“…Accordingly, children could become informed about the physiological activities that happen during filling and voiding phases. 1 I appreciate the work of Donmez et al that reported the long-term clinical outcomes of biofeedback therapy on 64 children with dysfunctional voiding and determining the need for maintenance biofeedback therapy due to clinical relapse in these children. 2 The authors reported clinical success in 75.0% of children following a median of 6 biofeedback sessions.…”

Section: Editorial Commentmentioning

confidence: 98%

“…The success of the treatment in biofeedback therapy depends on patients' effort, motivation to the program, an appropriate developmental age, and a safe and practical environment with a specially educated professional. Accordingly, children could become informed about the physiological activities that happen during filling and voiding phases 1 …”

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confidence: 99%

Editorial Comment to Maintenance biofeedback therapy for dysfunctional voiding: Does every child need it?

Sharifi‐Rad

2022

Int J of Urology

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“…Semptomlardaki düzelme Grup 2'de %53,6 (15/28) iken, Grup 1'de %77,8 (21/27) idi (p=0,06) (Tablo 1). Grup 2'de BF tedavisi sonrası İBSS skoru medyan değeri 19'dan çeyrekler arası aralık [interquartile range "IQR" (11-23)] 12'ye [IQR (7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)], Grup 1'de ise 15'ten [IQR (10-20)] 8'e [IQR (6)(7)(8)(9)(10)(11)(12)(13)(14)] azaldı (p<0,001).…”

Section: Bulgularunclassified

“…2,6 BF tedavisinde amaç, çocuğun işeme sırasında dış sfinkter kaslarıyla PTK'nin farkındalığını sağlaması ve bunları gevşetmeyi öğrenmesidir. [7][8][9] BF'nin etkisinin kesin mekanizması bilinmese de sinir ileti yollarındaki etkisiyle Dİ ve AAM'si olan çocuklarda semptomları düzeltmede olumlu yönde etkisi olduğu görülmüştür. 2 Literatürde, Dİ'li hastalarda BF kullanımı ile ilgili birçok çalışma bildirilmiştir.…”

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Efficacy of Biofeedback Therapy in the Treatment-Resistant Dysfunctional Voiding in Children: Retrospective Cohort Study

Özçift¹

2022

J Reconstr Urol

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Disfonksiyonel işeme, idrar kaçırma sorunu olan çocukların %30'u kadarında bulunabilen yaygın bir sorundur. Biofeedback, disfonksiyonel işemeyi tedavi etmek için farmakolojik olmayan ve invaziv olmayan bir yöntemdir. Bu çalışmanın amacı, tedaviye dirençli aşırı aktif mesane+disfonksiyonel işemesi olan ve sadece disfonksiyonel işemesi olan çocuklarda biofeedback tedavisinin etkinliğini değerlendirmek ve karşılaştırmaktır. Gereç ve Yöntemler: Bu çalışmaya, Haziran 2017-Ağustos 2020 tarihleri arasında disfonksiyonel işemesi olan, standart üroterapiye yanıt vermeyen çocuklar dâhil edildi. Tüm hastalara 8 seans biofeedback tedavisinin ardından, evde 3 aylık pelvik taban kas egzersizi uygulandı. Hastaların biofeedback öncesi ve biofeedbackten 3 ay sonrası semptomları, üroflovmetri parametreleri ve tedaviye yanıt oranları karşılaştırıldı. Bulgular: Elli beş çocuk (ortalama yaş 9,60±2,90 yıl, 41 kız, 14 erkek) çalışmaya dâhil edildi. Aşırı aktif mesane+disfonksiyonel işemesi olan hastalarda idrar yolu enfeksiyonları, gece ve gündüz inkontinans, kesintili işeme, kabızlık, işeme hacmi, maksimum akış hızı, ortalama akış hızı, işeme süresi ve işeme sonrası kalıntı idrarda iyileşme görüldü (p<0,05). Sadece disfonksiyonel işemesi olan çocuklarda idrar yolu enfeksiyonları, kesintili işeme, kabızlık, maksimum akış hızı, ortalama akış hızı ve işeme sonrası kalıntı idrarda iyileşme görüldü (p<0,05). Genel olarak, sadece disfonksiyonel işemesi olan hastalarda biofeedback tedavisine daha iyi yanıt gözlendi (%77,8'e karşı %53,6). Sonuç: Tedaviye dirençli aşırı aktif mesane+disfonksiyonel işeme ve sadece disfonksiyonel işemesi olan çocuklarda biofeedback etkili bir tedavi yöntem olup, tatmin edici yanıt elde edilmektedir. Bununla birlikte, sadece disfonksiyonel işemesi olan hastalarda daha iyi tedavi yanıtı alınmaktadır. Anah tarKe li me ler: Biofeedback; çocuk; disfonksiyonel işeme; aşırı aktif mesane; üroflovmetri ABS TRACT Objective: Dysfunctional voiding is a common problem that can be found in up to 30% of children with urinary incontinence. Biofeedback is a non-pharmacological and non-invasive method for treating dysfunctional voiding. The aim of this study was to evaluate and compare the effectiveness of biofeedback treatment in children with treatment-resistant overactive bladder+dysfunctional voiding and only dysfunctional voiding. Material and Methods: Children with dysfunctional voiding who did not respond to standard urotherapy between June 2017-August 2020 were included in this study. After 8 sessions of biofeedback treatment in all patients, 3 months of pelvic floor muscle exercise was performed at home. The patients' symptoms, uroflowmetry parameters, and response rates to treatment were compared before and 3 months after biofeedback. Results: Fifty-five children (mean age 9.60±2.90 years, 41 girls, 14 boys) were included in the study. Patients with overactive bladder+dysfunctional voiding showed improvement in urinary tract infections, day and night incontinence, staccato voiding, constipation, voiding volume, maximum ...

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Traditional Biofeedback vs. Pelvic Floor Physical Therapy—Is One Clearly Superior?

Cited by 10 publications

References 101 publications

Is biofeedback-assisted pelvic floor muscle training superior to pelvic floor muscle training alone in the treatment of dysfunctional voiding in women? A prospective randomized study

Is biofeedback-assisted pelvic floor muscle training superior to pelvic floor muscle training alone in the treatment of dysfunctional voiding in women? A prospective randomized study

Editorial Comment to Maintenance biofeedback therapy for dysfunctional voiding: Does every child need it?

Efficacy of Biofeedback Therapy in the Treatment-Resistant Dysfunctional Voiding in Children: Retrospective Cohort Study

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