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The effect of EMG biofeedback assisted pelvic floor muscle therapy on symptoms of the overactive bladder syndrome in women: A randomized controlled trial.
Neurourol Urodyn. 2017 Sep; 36(7):1796-1803.NU

Abstract

AIMS

The overactive bladder syndrome (OAB) is defined as urinary urgency, usually accompanied by frequency and nocturia, with or without urgency urinary incontinence. Biofeedback-assisted pelvic muscle therapy (BAPFMT) is a first-line treatment option for OAB. The aims of this study were to determine the efficacy and effectiveness of BAPFMT on symptoms of OAB after 9 weeks of treatment and to detect changes EMG activity of individual pelvic floor muscles (PFM) with the MAPLe.

METHODS

Patients were randomly divided into an intervention group that received BAPFMT with the MAPLe or into a control group which received only toilet behavior and lifestyle instructions. The Pelvic Floor Inventories (PeLFIs), the King's Health Questionnaire (KHQ), a voiding dairy, a 24 h pad-test, and vaginal EMG registration of the pelvic floor with the MAPLe were used at inclusion and after 9 weeks follow-up to determine the effect of BAPFMT on complaints of OAB and Quality of Life (QoL).

RESULTS

Fifty-eight patients were included. The PeLFIs, KHQ, voiding dairy, and 24 h pad-test showed significant improvements in the intervention group compared to the control group in complaints of OAB and QoL. EMG activity showed significant improvements for specific individual muscles at the different sides and depths for rest, maximal voluntary contraction, and endurance.

CONCLUSIONS

EMG BAPFMT is effective in the OAB syndrome in women. It significantly reduces symptoms and complaints of OAB and increases QoL for patients. It shows that EMG changes in individual PFM, measured with the MAPLe, are relevant and related to symptom reduction.

Authors+Show Affiliations

Department of Urology, Leiden University Medical Center, Leiden, The Netherlands.Department of Urology, University Hospital Antwerpen, Antwerpen, Belgium.Department of Urology, Leiden University Medical Center, Leiden, The Netherlands.Department of Medical Statistics, Leiden University Medical Center, Leiden, The Netherlands.Department of Urology, Leiden University Medical Center, Leiden, The Netherlands.Department of Urology, Leiden University Medical Center, Leiden, The Netherlands.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

27869312

Citation

Voorham, Jeroen C., et al. "The Effect of EMG Biofeedback Assisted Pelvic Floor Muscle Therapy On Symptoms of the Overactive Bladder Syndrome in Women: a Randomized Controlled Trial." Neurourology and Urodynamics, vol. 36, no. 7, 2017, pp. 1796-1803.
Voorham JC, De Wachter S, Van den Bos TWL, et al. The effect of EMG biofeedback assisted pelvic floor muscle therapy on symptoms of the overactive bladder syndrome in women: A randomized controlled trial. Neurourol Urodyn. 2017;36(7):1796-1803.
Voorham, J. C., De Wachter, S., Van den Bos, T. W. L., Putter, H., Lycklama À Nijeholt, G. A., & Voorham-van der Zalm, P. J. (2017). The effect of EMG biofeedback assisted pelvic floor muscle therapy on symptoms of the overactive bladder syndrome in women: A randomized controlled trial. Neurourology and Urodynamics, 36(7), 1796-1803. https://doi.org/10.1002/nau.23180
Voorham JC, et al. The Effect of EMG Biofeedback Assisted Pelvic Floor Muscle Therapy On Symptoms of the Overactive Bladder Syndrome in Women: a Randomized Controlled Trial. Neurourol Urodyn. 2017;36(7):1796-1803. PubMed PMID: 27869312.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The effect of EMG biofeedback assisted pelvic floor muscle therapy on symptoms of the overactive bladder syndrome in women: A randomized controlled trial. AU - Voorham,Jeroen C, AU - De Wachter,Stefan, AU - Van den Bos,Tine W L, AU - Putter,Hein, AU - Lycklama À Nijeholt,Guus A, AU - Voorham-van der Zalm,Petra J, Y1 - 2016/11/21/ PY - 2016/06/06/received PY - 2016/10/28/accepted PY - 2016/11/22/pubmed PY - 2018/9/12/medline PY - 2016/11/22/entrez KW - EMG biofeedback assisted pelvic floor therapy KW - elektromyography KW - overactive bladder KW - quality of life KW - randomized controlled trial KW - urge urinary incontinence KW - urgency/frequency SP - 1796 EP - 1803 JF - Neurourology and urodynamics JO - Neurourol Urodyn VL - 36 IS - 7 N2 - AIMS: The overactive bladder syndrome (OAB) is defined as urinary urgency, usually accompanied by frequency and nocturia, with or without urgency urinary incontinence. Biofeedback-assisted pelvic muscle therapy (BAPFMT) is a first-line treatment option for OAB. The aims of this study were to determine the efficacy and effectiveness of BAPFMT on symptoms of OAB after 9 weeks of treatment and to detect changes EMG activity of individual pelvic floor muscles (PFM) with the MAPLe. METHODS: Patients were randomly divided into an intervention group that received BAPFMT with the MAPLe or into a control group which received only toilet behavior and lifestyle instructions. The Pelvic Floor Inventories (PeLFIs), the King's Health Questionnaire (KHQ), a voiding dairy, a 24 h pad-test, and vaginal EMG registration of the pelvic floor with the MAPLe were used at inclusion and after 9 weeks follow-up to determine the effect of BAPFMT on complaints of OAB and Quality of Life (QoL). RESULTS: Fifty-eight patients were included. The PeLFIs, KHQ, voiding dairy, and 24 h pad-test showed significant improvements in the intervention group compared to the control group in complaints of OAB and QoL. EMG activity showed significant improvements for specific individual muscles at the different sides and depths for rest, maximal voluntary contraction, and endurance. CONCLUSIONS: EMG BAPFMT is effective in the OAB syndrome in women. It significantly reduces symptoms and complaints of OAB and increases QoL for patients. It shows that EMG changes in individual PFM, measured with the MAPLe, are relevant and related to symptom reduction. SN - 1520-6777 UR - https://www.unboundmedicine.com/medline/citation/27869312/The_effect_of_EMG_biofeedback_assisted_pelvic_floor_muscle_therapy_on_symptoms_of_the_overactive_bladder_syndrome_in_women:_A_randomized_controlled_trial_ L2 - https://doi.org/10.1002/nau.23180 DB - PRIME DP - Unbound Medicine ER -