Influence of pelvic abdominal mechanics rehabilitation exercise combined with biofeedback electrical stimulation on pelvic floor function in patients with postpartum stress urinary incontinence
LI Li
WANG Min
CHANG Guixiang
SUN Rui
Abstract：Objective To investigate the effect of combination of pelvic abdominal mechanics rehabilitation exercise and biofeedback electrical stimulation(BFES)on pelvic floor function in patients with postpartum stress urinary incontinence(SUI).Methods A total of 100 patients with postpartum SUI in the hospital were selected from January 2024 to December 2024,and were divided into combined group and control group by means of the random number table method,with 50 cases in each group.The control group received pelvic abdominal mechanics rehabilitation exercise,whereas the combined group was added with BFES on the basis of the control group.The treatment cycle was 8 weeks.The international consultation on incontinence questionnaire-short form(ICIQ-SF)score,24-hour urine pad test,pelvic floor muscle strength(Oxford score),vaginal resting pressure(VRP),vaginal contraction pressure(VCP),maximum urinary flow rate(Qmax),post-void residual(PVR),pelvic floor distress inventory-20(PFDI-20)score,patient global impression of improvement(PGI-I)score and adverse reactions were compared between groups before and after treatment.Results After 8 weeks of treatment,the ICIQ-SF score,PFDI-20 score and PGI-I score in the combined group were significantly lower than those in the control group(t=8.185,9.660,6.008,P<0.05).24-hour urine pad test revealed that the urine leakage volume in both groups was significantly reduced,and the volume was less in the combined group than that in the control group(t=7.734,P<0.05).The pelvic floor muscle function was improved in the two groups after 8 weeks of treatment,and the Oxford score,VRP and VCP in the combined group were higher than those in the control group(t=5.273、2.620、2.436、6.914、4.624,P<0.05).After 8 weeks of treatment,the Qmax in the combined group was significantly higher than that in the control group while the PVR was significantly lower(P<0.05).During treatment,there were no statistical differences in the incidence rates of adverse reactions between groups(P>0.05).Conclusion Pelvic abdominal mechanics rehabilitation exercise combined with BFES can strengthen the pelvic floor muscle strength in SUI patients,enhance the urinary control ability,improve the bladder urethral function,and reduce the urinary incontinence symptoms,and it has high clinical application value.
Keywords：postpartum stress urinary incontinencepelvic abdominal mechanics rehabilitation exercisebiofeedback electrical stimulationpelvic floor functionurinary control ability
Publication Date：2025-12-31
Online Publishing Date：2026-01-06(First online date of this platform, not the publication date of the document)
Pages：5( 1043-1047 )