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Articles    H4'ed 12/5/09

The Use of Electromyographic Biofeedback for Training Pelvic Floor Musculature

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Conclusion

Incontinence is an extremely prevalent disorder. Biofeedback has had a great impact upon incontinence, due to its ease of use, low cost and very high success rate. Most patients can use EMG biofeedback successfully at home. Although treatment time varies, in most people, continence can generally be restored in 4-8 weeks for both fecal and urinary incontinence by using the techniques described in this protocol, which combine clinical assessment and training with EMG biofeedback.

References

  1. N.R. Binnie, B.M. Kawimbe, M. Papachrysostomou, N. Clare, and A.N. Smith, "The importance of the orientation of the electrode plates in recording the external anal sphincter EMG by non-invasive anal plug electrodes", Int. J. Colorect. Dis. (1991) 6:5-8.

  2. Bo, Kari, et al: Pelvic Floor Muscle Exercise for Treatment of Female Stress Urinary Incontinence, Neurology and Urodynamics 9:471-477, 1990.

  3. Burns, Patricia, et al. Treatment of stress incontinence with pelvic floor exercises and biofeedback. J.A.G.S. 38: 341-344, 1990.

  4. Ferguson, Karen, L., et al: Stress urinary incontinence. Effect of pelvic muscle exercises. Obst. & Gyn, Vol. 75, No. 4, 671-675, April 1990.

  5. Hording, V. Pedersen, K., & Sidenius, K: Urinary incontinence in 45 year old women. Scandinavian Journal of Urology Nephrology 20: 183-186, 1986.

  6. Maeglia, James, P. et al: Post prostatectomy urinary incontinence; Response to behavioural training. Jour of Urology, Vol. 144, 674-675, Sept. 1990.

  7. Maizels, M. Firlit, C.F.: Pediatric urodynamics: a clinical comparison of surface versus needle pelvic floor/external sphincter electromyography. Journal of Urology 122: 518-522, 1979.

  8. Maizels, M. Kaplan, W.E., Lowell, R. King, L.R., & Firlit, C.F.: The vesical sphincter electromyogram in children with normal and abnormal voiding patterns. Journal of Urology 129: 92-95, 1983.

  9. Perry, John D. Hullett, Leslie T.: The role of home trainers in Kegel's Exercise Program for the treatment of incontinence. Ostomy/Wound Management 30: 51, Sept-Oct, 1990.

  10. Perry, John D.: The Perry Protocol for Treatment of Incontinence. Biotechnologies Inc., 1990.

  11. Portnoi, V.A.: Urinary incontinence in the elderly. Am. Fam. Physician 23: 151-154, 1981.

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RN, Fellow, BCIA-C, CCCN Chairperson for SUNA/WOCN Continence Coalition
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