title: Pelvic floor muscle exercise by biofeedback and electrical stimulation to reinforce the pelvic floor muscle after normal delivery.
abstract: OBJECTIVE
  This study was conducted to investigate the effectiveness of pelvic floor muscle exercise using biofeedback and electrical stimulation after normal delivery.
  
  
  METHODS
  The subjects of this study were 49 (experimental group: 25, control group: 24) postpartum women who passed 6 weeks after normal delivery without complication of pregnancy, delivery and postpartum. The experimental group was applied to the pelvic muscle enforcement program by biofeedback and electrical stimulation for 30 minutes per session, twice a week for 6 weeks, after then self-exercise of pelvic floor muscle was done 50-60 repetition per session, 3 times a day for 6 weeks. Maximum pressure of pelvic floor muscle contraction (MPPFMC), average pressure of pelvic floor muscle contraction (APPFMC), duration time of pelvic floor muscle contraction (DTPFMC) and the subjective lower urinary symptoms were measured by digital perineometer and Bristol Female Urinary Symptom Questionnaire and compared between two groups prior to trial, at the end of treatment and 6 weeks after treatment.
  
  
  RESULTS
  The results of this study indicated that MPPFMC, APPFMC, DTPFMC were significantly increased and subjective lower urinary symptoms were significantly decreased after treatment in the experimental group than in the control group.
  
  
  CONCLUSIONS
  This study suggested that the pelvic floor muscle exercise using biofeedback and electrical stimulation might be a safer and more effective program for reinforcing pelvic floor muscle after normal delivery.
authors.affiliation: St. Michael's Hospital, 30 Bond Street, Toronto ON M5B 1W8, Canada.
authors.forename: In Sook
authors.initials: IS
authors.lastname: Lee
authors.forename: Euy Soon
authors.initials: ES
authors.lastname: Choi
mesh_terms: D000328:Adult; D000704:Analysis of Variance; D001676:Biofeedback, Psychology / Q000379:methods*; D003131:Combined Modality Therapy; D036861:Delivery, Obstetric / Q000009:adverse effects / Q000379:methods; D004558:Electric Stimulation / Q000379:methods*; D005081:Exercise Therapy / Q000379:methods*; D005260:Female; D006801:Humans; D007723:Korea; D009119:Muscle Contraction; D015403:Nursing Evaluation Research; D010298:Parity; D017773:Pelvic Floor / Q000503:physiopathology; D011247:Pregnancy; D011644:Puerperal Disorders / Q000209:etiology / Q000503:physiopathology / Q000517:prevention & control*; D012307:Risk Factors; D016896:Treatment Outcome; D014550:Urinary Incontinence, Stress / Q000209:etiology / Q000503:physiopathology / Q000517:prevention & control*; D014563:Urodynamics