PELVIC MUSCLES STRENGTHENING
BY HIFEM® PROCEDURE AND
ELECTROSTIMULATION FOR TREATMENT
OF PELVIC FLOOR DYSFUNCTION
ELECTROMYOGRAPHIC EVALUATION OF THE PELVIC MUSCLES ACTIVITY AFTER
HIGH INTENSITY FOCUSED ELECTROMAGNETIC PROCEDURE AND ELECTRICAL
STIMULATION IN WOMEN WITH PELVIC FLOOR DYSFUNCTION
Silantyeva Elena MD, PhD, Doctor of Medical Sciences1
;
Zarkovic Dragana MSc2; Soldatskaia Ramina MD1
; Astafeva Evgeniia MD1
, Mekan
Orazov MD, PhD3.
1. Hospital Lapino MD Medical Group, Moscow, Russia
2. Charles University, Faculty of Physical Education and Sport, Department of Anatomy and Biomechanics, Prague, Czech Republic
3. RUDN University, Medical Faculty, Moscow, Russia
Published in Sexual Medicine journal: February, 2020
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HIGHLIGHTS
• HIFEM procedure considerably enhanced pelvic floor muscles (PFM) activation in subjects with pelvic floor dysfunction (PFD).
• Subjects were able to produce stronger contractions of greater endurance after HIFEM.
• HIFEM procedure resulted in far greater improvement in PFIQ-7 questionnaire when compared to electrostimulation.
• 36% of HIFEM patients reported a score of 0 on PFIQ-7 after the treatments.
• Two groups of post partum women with various PFD symptoms were established and treated by HIFEM (N=50, 1.76 deliveries on average) or electrostimulation (N=25; 1.56 deliveries on average).
• Both treated groups completed 10 therapies according their allocation.
• Electromyographic (EMG) evaluation was used to determine activation of PFM.
• A control group (N=20, 1.25 deliveries on average) was included to determine EMG normative values.
• Pelvic Floor Impact Questionnaire 7 (PFIQ-7) was used to asses life impact of PFD.
• Data was collected at the baseline and after completion of treatments.
• HIFEM significantly (P<0.001) modified PFM activity, since the EMG results of HIFEM group moved towards the values of healthy population.
• The mean change of EMG values after HIFEM ranged from 48% to 59%, while electrostimulation resulted in mild-to-moderate improvement of 7-36%.
• In comparison to electrostimulation, HIFEM patients were able to generate PFM contractions of higher intensity and endurance.
• PFIQ-7 questionnaire showed significantly (P=0.01) more pronounced results in HIFEM group (improved by 57.16%), than in electrostimulation group (improved by 32.18%)
• Additionally, 35.56% of subjects reported zero PFIQ score after HIFEM and almost 90% of subjects from HIFEM group showed none or mild life impact of PFD post treatment.
• HIFEM procedure was substantially more effective in restoration of PFM strength and treatment of PFD in postpartum women when compared to the electrostimulation.
