Tags

Type your tag names separated by a space and hit enter

Effects of magnetic stimulation in the treatment of pelvic floor dysfunction.
BJU Int 2006; 97(5):1035-8BI

Abstract

OBJECTIVE

To correlate, in a pilot study, the clinical results of extracorporeal magnetic innervation therapy (ExMI) of the pelvic floor muscles with functional changes in the pelvic floor musculature, urodynamics and quality of life.

PATIENTS AND METHODS

In all, 74 patients (65 women and nine men) with urge incontinence, urgency/frequency, stress incontinence, mixed incontinence and defecation problems were included in a prospective study of ExMI using a 'electromagnetic chair'. All patients were treated twice weekly for 8 weeks. Digital palpation and biofeedback with a vaginal or anal probe were used for registration of the pelvic floor musculature. A urodynamic evaluation, a voiding diary, a pad-test, the King's Health Questionnaire (KHQ) and a visual analogue scale (VAS) were completed by the patient at baseline and at the end of the study.

RESULTS

In the group as a whole, there were no significant differences in the voiding diary, pad-test, quality of life, VAS score, biofeedback registration and urodynamics before and after treatment. Additional stratification was applied to the total patient group, related to the pretreatment rest tone of the pelvic floor, the basal amplitude registered on electromyography, to age and to previous treatments. However, there were no significant differences in the data before and after treatment within all subgroups (stress incontinence, urge incontinence, urgency/frequency, defecation problems, overactive pelvic floor, age, previous treatments), except for the KHQ domain of 'role limitations', where there was a significant improvement in all groups.

CONCLUSION

ExMI did not change pelvic floor function in the present patients. The varying outcomes of several studies on ExMI stress the need for critical studies on the effect and the mode of action of electrostimulation and magnetic stimulation. In our opinion 'the chair' is suitable to train awareness of the location of the pelvic floor. However, active pelvic floor muscle exercises remain essential.

Authors+Show Affiliations

Department of Urology, Leiden University Medical Center, the Netherlands. pjvoorham@lumc.nlNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Evaluation Study
Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

16643487

Citation

Voorham-van der Zalm, Petra J., et al. "Effects of Magnetic Stimulation in the Treatment of Pelvic Floor Dysfunction." BJU International, vol. 97, no. 5, 2006, pp. 1035-8.
Voorham-van der Zalm PJ, Pelger RC, Stiggelbout AM, et al. Effects of magnetic stimulation in the treatment of pelvic floor dysfunction. BJU Int. 2006;97(5):1035-8.
Voorham-van der Zalm, P. J., Pelger, R. C., Stiggelbout, A. M., Elzevier, H. W., & Lycklama à Nijeholt, G. A. (2006). Effects of magnetic stimulation in the treatment of pelvic floor dysfunction. BJU International, 97(5), pp. 1035-8.
Voorham-van der Zalm PJ, et al. Effects of Magnetic Stimulation in the Treatment of Pelvic Floor Dysfunction. BJU Int. 2006;97(5):1035-8. PubMed PMID: 16643487.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Effects of magnetic stimulation in the treatment of pelvic floor dysfunction. AU - Voorham-van der Zalm,Petra J, AU - Pelger,Rob C M, AU - Stiggelbout,Anne M, AU - Elzevier,Henk W, AU - Lycklama à Nijeholt,Guus A B, PY - 2006/4/29/pubmed PY - 2006/6/10/medline PY - 2006/4/29/entrez SP - 1035 EP - 8 JF - BJU international JO - BJU Int. VL - 97 IS - 5 N2 - OBJECTIVE: To correlate, in a pilot study, the clinical results of extracorporeal magnetic innervation therapy (ExMI) of the pelvic floor muscles with functional changes in the pelvic floor musculature, urodynamics and quality of life. PATIENTS AND METHODS: In all, 74 patients (65 women and nine men) with urge incontinence, urgency/frequency, stress incontinence, mixed incontinence and defecation problems were included in a prospective study of ExMI using a 'electromagnetic chair'. All patients were treated twice weekly for 8 weeks. Digital palpation and biofeedback with a vaginal or anal probe were used for registration of the pelvic floor musculature. A urodynamic evaluation, a voiding diary, a pad-test, the King's Health Questionnaire (KHQ) and a visual analogue scale (VAS) were completed by the patient at baseline and at the end of the study. RESULTS: In the group as a whole, there were no significant differences in the voiding diary, pad-test, quality of life, VAS score, biofeedback registration and urodynamics before and after treatment. Additional stratification was applied to the total patient group, related to the pretreatment rest tone of the pelvic floor, the basal amplitude registered on electromyography, to age and to previous treatments. However, there were no significant differences in the data before and after treatment within all subgroups (stress incontinence, urge incontinence, urgency/frequency, defecation problems, overactive pelvic floor, age, previous treatments), except for the KHQ domain of 'role limitations', where there was a significant improvement in all groups. CONCLUSION: ExMI did not change pelvic floor function in the present patients. The varying outcomes of several studies on ExMI stress the need for critical studies on the effect and the mode of action of electrostimulation and magnetic stimulation. In our opinion 'the chair' is suitable to train awareness of the location of the pelvic floor. However, active pelvic floor muscle exercises remain essential. SN - 1464-4096 UR - https://www.unboundmedicine.com/medline/citation/16643487/Effects_of_magnetic_stimulation_in_the_treatment_of_pelvic_floor_dysfunction_ L2 - https://doi.org/10.1111/j.1464-410X.2006.06131.x DB - PRIME DP - Unbound Medicine ER -