Abstract
Effect of pelvic floor biofeedback combined with bladder function training on neurogenic bladder and quality of life
  
DOI:
EN KeyWords: spinal cord injury  pelvic floor biofeedback myoelectric stimulation  bladder function training  neurogenic bladder  quality of life
Fund Project:甘肃省中医药管理局科研课题(GZK-2017-58)
作者单位
张艳 甘肃省康复中心医院脊髓损伤康复科兰州 730000 
于慧金 甘肃省康复中心医院脊髓损伤康复科兰州 730000 
李惠玲 兰州市城关区闵家桥社区门诊部兰州 730000 
牛见升 甘肃省康复中心医院脊髓损伤康复科兰州 730000 
曾伟杰 甘肃省康复中心医院脊髓损伤康复科兰州 730000 
赵力生 甘肃省康复中心医院脊髓损伤康复科兰州 730000 
孙军弟 甘肃省康复中心医院脊髓损伤康复科兰州 730000 
张亦舒 桂林医学院广西 桂林 541004 
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EN Abstract:
  Objective:To observe the effect of pelvic floor biofeedback myoelectric stimulation combined with bladder function training on quality of life in patients with urge urinary incontinence and spinal cord injury.Methods:Ninety-six patients with incomplete spinal cord injury neurogenic bladder were divided into the control group (n=45) and the observation group (n=51). Both groups received bladder function training, and the observation group received pelvic floor biofeedback myoelectric stimulation additionally. The bladder safe capacity, the residual urine volume, daily average urination frequency, the number of urine leakage and catheterization times in two groups were compared 1 week before and after treatment for 4 and 8 weeks. The quality of life of patients was assessed by Urinary Symptoms Distress Score (USDS) and Lower Urinary Tract symptom Score (LUTS).Results:After 4 and 8 weeks of treatment, the daily average number of urine leakage, residual urine volume and catheterization times were significantly decreased as compared with those before treatment in both groups (P<0.05), more significantly in the observation group than in the control group at each time point after treatment; the average daily urination frequency, daily average urine output and bladder safe capacity were significantly increased in both groups (P<0.05), more significantly in the observation group than in the control group at each time point after treatment (P<0.05). After 4 and 8 weeks of treatment, the USDS and LUTS scores in both groups were significantly decreased as compared with those before treatment (P<0.05), more significantly in the observation group than in the control group at each time point after treatment (P<0.05).Conclusion:Pelvic floor biofeedback myoelectric stimulation combined with bladder function training could further improve the urinary function of patients with neurogenic bladder of spinal cord injury, and enhance their quality of life.
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