Application of bioadaptive control in diagnostics of functional state of pelvis floor muscles during conservative treatment of overactive bladder
Keywords:overactive bladder, electromyography, biofeedback, EMG – trigger electrical stimulation
AbstractThe objective: determination of the peculiarity of bioelectrical activity of the muscular system of the pelvic floor; Assessment of changes in electromyography (EMG) in women with a hyperactive bladder (GAMP); Study of the possibility of correction of the adaptive capacity of the bladder by the method of biofeedback (BF) in combination with ETS (EMG-trigger electrostimulation) of the muscles of the pelvic floor. Patients and methods. 73 women with symptoms of OAB were involved in the study. The EMG study of striated perineal muscles in 78.2 % of women with emergent form of urinary incontinence revealed pelvic sphincter apparatus dysfunction. In women with «sensory» symptoms of OAB without incontinence dysfunctions of muscles of the perineum and sphincter apparatus have been observed in 36,8% and 53,4% of the patients with algic syndrome. Results. Also it have been found that during the application of the method of BFB in combination with ETS indicators of the sphincter muscle of the pelvic contributed in improvement of EMG indices in 52% of the patients in 2 weeks, in 61% of the patients after 4 weeks, and in 68% of the patients the progress in the muscle work by the 15th lesson has been recorded. Conclusion. The study found that treatment by biofeedback combined with EMG-triggered electrical stimulation of the muscles of the pelvic floor functional disorders of the lower urinary tract HASM helps restore miktsiyi process control, allows you to create optimal physiological type maximum muscle contraction and regulation of conscious control the act of urination.
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