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FES-biofeedback versus intensive pelvic floor muscle exercise for the prevention and treatment of genuine stress incontinence

Title
FES-biofeedback versus intensive pelvic floor muscle exercise for the prevention and treatment of genuine stress incontinence
Authors
Sung M.S.Hong J.Y.Choi Y.H.Baik S.H.Yoon H.
Ewha Authors
최영희윤하나
SCOPUS Author ID
최영희scopus; 윤하나scopus
Issue Date
2000
Journal Title
Journal of Korean Medical Science
ISSN
1011-8934JCR Link
Citation
vol. 15, no. 3, pp. 303 - 308
Indexed
SCI; SCIE; SCOPUS; KCI WOS scopus
Abstract
We undertook this work to compare the treatment efficades and the changes of quality of life after pelvic floor muscle (PFM) exercise and the functional electrical stimulation (FES)-biofeedback treatment, both of which are being widely used as conservative treatment methods for female urinary incontinence. We randomly selected 60 female incontinence patients who visited our department and divided them evenly into two groups. They were treated for a period of 6 weeks. The subjective changes in the severity of incontinence and discomfort in daily and social life were measured using a translated version of the questionnaire by Jackson. Objective changes of pelvic muscle contraction force were measured using a perineometer. Pre- and post-treatment maximal pelvic floor muscle contractile (PMC) pressure and changes in the severity of urinary incontinence and discomfort of the two groups showed statistically significant differences (p<0.001). In particular the FES-biofeedback group showed significantly increased maximal PMC pressure and a decreased severity of urinary incontinence and discomfort compared to the intensive PFM exercise group (p<0.001). In conclusion, FES-biofeedback proved more effective than simple PFM exercise. Copyright © The Korean Academy of Medical Sciences.
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