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Cited by 51Pelvic floor disorders treatmentsPregnancy-related medical researchSexual function and dysfunction studies

The effect of rehabilitation exercises combined with direct vagina low voltage low frequency electric stimulation on pelvic nerve electrophysiology and tissue function in primiparous women: A randomised controlled trial

Yang, Sumian, Sang, Wenshu, Feng, Jing, Zhao, Haifeng, Li, Xian, Li, Ping, Fan, Hongfang, Tang, Zengjun +1 more·2017·Journal of Clinical Nursing
DOI 10.1111/jocn.13790
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Abstract

Aim and Objective: To evaluate the effect of rehabilitation exercises combined with Direct Vagina Low Voltage Low Frequency Electric Stimulation ( DES ) on pelvic nerve electrophysiology and tissue function after delivery. Background: Whether and how DES effects pelvic floor dysfunction ( PFD ) are not known clearly. Design: This was a randomised, controlled clinical trial. Methods: The 189 primiparous women 20–35 years old and with an episiotomy or second degree episiotomy tear were divided into three groups: the control group ( n = 60) received routine postpartum guidance 2 hr postpartum, the training group ( n = 63) performed rehabilitation exercises (Kegel exercises and pelvic movements) from 2 days postpartum until 3 months postpartum, and the combination group ( n = 66) received DES 15 times (3 times a week for 30 min at a time) beginning at the sixth week postpartum in addition to performing rehabilitation exercises. Adopt international standard scale and score method to inspect maternal life treatment, such as pelvic organ prolapse situation ( POP ‐Q division), the degree of incontinence score and pelvic floor muscle intensity of muscular contraction. Data were collected during the third month after delivery. Results: Three months postpartum, there were differences among the three groups in the POP ‐Q grade, the degree of incontinence score, the Oxford grade for pelvic floor muscle strength and the pelvic floor muscle electrophysiology condition. Additionally, there were significant differences regarding the pubic symphysis clearance. Rehabilitation exercises can promote healing of the maternal pubic symphysis and recovery of the pelvis. The total electrical value, type I muscle fibre strength and type II muscle fibre strength were significantly increased in the combination group after treatment than before treatment. Conclusion: Rehabilitation exercises combined with DES were beneficial to the recovery of postpartum pelvic nerve tissue function, and a synergistic effect was observed when the two methods were combined. Relevance to clinical practice: These conclusions justify that rehabilitation exercise combined with DES can better relieve uncomfortable symptoms postpartum and improve the women's quality of life.

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Authors
Yang, S., Sang, W., Feng, J., Zhao, H., Li, X., Li, P., Fan, H., Tang, Z., & Gao, L.
Affiliations
  • Hebei General Hospital (CN)
  • Department of Anesthesiology Shijiazhuang Obsterics and Gynecological Hospital Shijiazhuang China
  • Department of Postpartum Rehabilitation Shijiazhuang Maternal and Child Health Care Hospital Shijiazhuang China
  • Department of Obsterics and Gynecology Hebei General Hospitaly Shijiazhuang China
Corresponding author
Yang, Sumian
ORCID
Venue
Journal of Clinical Nursing
Publisher
Wiley
Published
2017-05-23
Volume
26
Issue
23-24
Pages
4537-4547
ISSN
  • 0962-1067 (ISSN-L)
  • 1365-2702
DOI
10.1111/jocn.13790
OpenAlex
W2592883199
Cited by
51
References
22
Citations by year
2026: 6 · 2025: 6 · 2024: 6 · 2023: 5 · 2022: 9 · 2021: 7 · 2020: 6 · 2019: 3 · 2018: 2 · 2017: 1
FWCI
2.87
Type
journal article
Language
en
Open access
closed
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations
  • Journal of Clinical Nursing (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Rheumatology › Pelvic floor disorders treatments
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Pregnancy-related medical research
  • Health Sciences › Medicine › Psychiatry and Mental health › Sexual function and dysfunction studies
Keywords
postpartum pelvic floor dysfunction, pelvic floor muscle training, pelvic floor rehabilitation, primiparous women, episiotomy, pelvic organ prolapse, urinary incontinence, pelvic floor muscle strength, pubic symphysis
MeSH terms
Adult, Electric Stimulation Therapy, Episiotomy, Exercise Therapy, Female, Humans, Pregnancy, Quality of Life, Urinary Incontinence, Vagina, Case-Control Studies, Pelvic Floor, Delivery, Obstetric, Postpartum Period, Young Adult, Pelvic Organ Prolapse

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