F.I. Kostev, Y.N. Dekhtyar, A.M. Chaika
Importance methods of biological feedback diagnostic functional state pelvis floor muscles at conservative treatment of overactive bladder
The aim of the study was to assess changes in electromyography (EMG) parameters in women with overactive bladder (OAB) and explore the possibility of correction adaptive capacities of the bladder using biofeedback (BFB) in conjunction with ETS (EMG-trigger electrical stimulation) muscles of the pelvic floor. The study involved 73 women with symptoms of OAB. The study of EMG dysfunction symptoms striated perineal muscles and pelvic sphincter apparatus were installed in 78.2% of women with emergent form of urinary incontinence. In women with a “sensory” symptoms OAB without incontinence dysfunction of muscles of the perineum and sphincter apparatus were installed in 36.8% and 53.4% of patients with algic syndrome. Also found that the application of the method of BFB in combination with ETS indicators sphincter muscle of the pelvic improved after 2 weeks in 52% of patients after 4 weeks of EMG indices improved in 61% of patients, and by the 15th class progress as m the muscle work recorded in 68% of patients.