Objective This study was designed to evaluate the clinical efficacy of Waff exercise combined with electrical stimulation and biofeedback in the treatment of postpartum stress urinary incontinence. Methods 90 patients with postpartum stress urinary incontinence treated in the Pelvic Floor and Postpartum Rehabilitation Center of Changsha Maternity and Child Health Hospital from February 2022 to March 2023 were selected . They were randomly classified into the control group and the intervention group, with 45 cases in each group. The control group was treated with conventional electrical stimulation and biofeedback for the pelvic floor, whereas the intervention group was treated with Waff exercise on the basis of the control group. The patients were supervised to complete all the treatments within 3 months. The results of the urine pad test and clinical symptoms, the questionnaire of Urinary Incontinence Short Form (ICIQ-UI) and the Urinary Incontinence Quality of Life Scale (I-QOL) were compared before and after the treatment. Results After treatment, the urine leakage in the one-hour urine pad test and the questionnaire of Urinary Incontinence Short Form (ICIQ-UI) in the two groups were decreased, while the patients' self-conscious symptoms, pelvic floor muscle strength and the Urinary Incontinence Quality of Life Scale (I-QOL) were improved. Compared with the control group, the patients in intervention group had statistically significant differences in subjective aspects, including self-conscious symptoms and quality of life, and objective aspects, e. g. , 1 hour urine pad test, the pelvic-abdominal dynamic disorder of postpartum women, and floor muscle strength. Conclusion Waff exercise combined the elctrical stimulation enhance the pelvic floor muscle's movement perception and pelvic floor muscles strength, and it reduces urine leakage to improve the life quality of patients.
Key words
Waff exercise /
pelvic-abdominal dynamics /
stress urinary incontinence /
movement perception
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References
[1] SHIH E, HIRSCH H, THACKER HL.Medical management of urinary incontinence in women[J]. Cle Velalld Clin J Medi, 2017, 84(2): 15l-158.
[2] 马立苹. 盆底生物反馈训练联合针灸对产后尿失禁患者疗效的影响[J]. 河北医药, 2017, 39(15): 2362-2364, 2368.
[3] 祖力胡玛·阿布来提, 祖菲娅·艾力. 盆底功能障碍性疾病诊疗新进展[J]. 临床医学进展, 2024, 14: 1840-1852.
[4] 亚慧, 高行, 张堃, 等. 轻中度压力性尿失禁保守治疗的研究进展[J]. 医学综述, 2021, 27(13): 2594-2599.
[5] 王忠民. 女性慢性盆腔痛诊疗精要[M]. 北京: 北京科学出版社, 2020: 1-296.
[6] 彭越, 李翠英, 祖月娥, 等. Waff核心运动在产后腹直肌分离中的应用效果[J]. 湖南师范大学学报 (医学版), 2024, 21(3): 137-140, 156.
[7] 中华医学会妇产科学分会妇科盆底学组. 女性压力性尿失禁诊断和治疗指南 (2017)[J]. 中华妇产科杂志, 2017, 52(5): 289-293.
[8] 王陶然, 李晓燕, 蒋丽君等. 微点阵激光治疗老年女性压力性尿失禁的效果[J]. 中国临床保健杂志, 2023, 26(1): 74-77.
[9] WAGNER TH, PATRICK DL, BAVENDAM TG, et al. Quality of life of persons with urinary incontinence: development of a new measure[J]. Urology, 1996, 47(1): 67- 71; discussion 71-72.
[10] AVERYK, DONOVANJ, PETERSTJ, et al. ICIQ: a brief and robust measure for evaluating the symptoms and impact of urinary incontinence[J]. Neurourol Urodyn, 2004, 23(4): 322-330.
[11] 林忠, 朱雪红. 妊娠和分娩对盆底功能的影响及治疗的研究进展[J]. 中国计划生育和妇产科, 2023, 15(1): 15-18.
[12] WF A, YI B, MS C, et al.Pelvic movements during walking throughout gestation-the relationship between morphology and kinematic parameters[J]. Clin Biomech (Bristol), 2020, 71: 146-151.
[13] YU L, LI H, GAO LL, et al.Hierarchical biomechanical properties and constitutive relationships of bone tissues[J]. J Med Biomech, 2019, 34(4): 434-439.
[14] 王金平. 仿生物电刺激改变盆腹生物力学治疗产后压力性尿失禁的机理研究及疗效观察[D]. 石家庄: 河北医科大学, 2023.
[15] 陈婉莹, 贾秋成, 陈继明, 等. 女性压力性尿失禁治疗的研究进展[J]. 手术电子杂志, 2024, 11(03): 58-62.
[16] 王继鹏, 闫泽浩, 张炯, 等. 盆底功能障碍性疾病骶神经调控术治疗进展[J]. 中国现代神经疾病杂志, 2025, 25(01): 78-83.
[17] 张沛祺. 基于盆腹力学的女性整体康复运动治疗产后腰盆痛的临床研究[D]. 沈阳: 中国医科大学, 2022.
[18] 孙秀丽, 朱红梅, 高蕾, 等. 基于妊娠期盆底功能障碍一级预防策略中国专家共识 (2024年版)[J]. 中国实用妇科与产科杂志, 2024, 40(07): 737-742.
[19] 邬婉蓉, 唐静, 胡笛, 等. 悬吊运动训练结合盆底生物反馈电刺激治疗女性压力性尿失禁的临床观察[J]. 湖南中医药大学学报, 2023, 43(01): 138-142.
[20] 邹燕. 产后康复指南[M]. 北京: 人民卫生出版社, 2022: 07, 511.
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