Electro stim for pelvic floor rehab

Hi all,
regarding electrical stimulation for improving urinary stress +/ urge incontinence and pelvic floor muscle rehab:

Can anyone offer an explanation of how this works? I have my doubts, due to the passive nature of the treatment, but am hoping someone can direct me to some evidence to support the historical (and continuing) use of electrical stim in pelvic floor rehab.

Thankyou!

Since posting this thread, I have been reading up on electrical stim for pelvic floor rehab, and found Laycock J et al (2001) Clinical Guidelines for PT Mgt of females 16-65 with Stress Urinary Incontinence, Chartered Soc of PT, London.

Thanks to whoever posted the link - it is really useful, from both a theoretical and practical perspective.

re ES: it says electrical stim is useful for people with grade 0/1/2 pelvic floor contractions. (By grade 3 they could focus on active PFX's). It also makes suggestions about treatment parameters.

I still haven't found out exactly how ES improves pelvic floor neuromuscular facilitation or muscle action for long term treatment effects. From what I read, ES seems to be a passive kick start for the pelvic floor muscles which needs to be followed by active / volountary effort by the client. Anyone have more light on the subject?

[QUOTE=mojo1;11504]Since posting this thread, I have been reading up on electrical stim for pelvic floor rehab, and found Laycock J et al (2001) Clinical Guidelines for PT Mgt of females 16-65 with Stress Urinary Incontinence, Chartered Soc of PT, London.

Thanks to whoever posted the link - it is really useful, from both a theoretical and practical perspective.

re ES: it says electrical stim is useful for people with grade 0/1/2 pelvic floor contractions. (By grade 3 they could focus on active PFX's). It also makes suggestions about treatment parameters.


Dear mojo

Thanks really for ur useful inputs ,,
and plz if uhave any recommended websites or books plz would u be so kind and write them down ..

Regards

very beutiful
thanks

[QUOTE=junior_physiotherapist;11521]

Quote:

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Originally Posted by mojo1

Since posting this thread, I have been reading up on electrical stim for pelvic floor rehab, and found Laycock J et al (2001) Clinical Guidelines for PT Mgt of females 16-65 with Stress Urinary Incontinence, Chartered Soc of PT, London.

Thanks to whoever posted the link - it is really useful, from both a theoretical and practical perspective.

re ES: it says electrical stim is useful for people with grade 0/1/2 pelvic floor contractions. (By grade 3 they could focus on active PFX's). It also makes suggestions about treatment parameters.


Dear mojo

Thanks really for ur useful inputs ,,
and plz if uhave any recommended websites or books plz would u be so kind and write them down ..

Regards

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are you palestinian?
i palestinian but i live in cairo ?

hi ....urine incontenence is due to quiet weakness of pelvic floor muscles in femais usually after 50 years,well mostly we use direct current or farradic to improve its strength,its continuos Re-education of muscles.
i had many old pt to whom i treated by DC current (EMS) and get best results
regards.........

Electrical stimulation in any form whether it is faradic, Interferential (or IDC) is only used to train or reeducate the muscles of pelvic floor so that patient may join and can perform the movement by himself. However, when the patient is able to perform the action by himself, the active exercises should be encourged.

Have a look over the guidelines by the Chartered Society of Physiotherapy for Stress Incontinence.

Clinical guidelines for the physiotherapy management of females aged 16–65 years with stress urinary incontinence

Hi,

In addition to using the electrical stimulation, please don't forget that neural drive (where the brain tells the muscles what to do) is the most important factor in rehabilitation.

This applies to all muscles - both global (big) muscles and local (core) muscles.

Otherwise we wouldn't need to go to the gym to lift weights, we would just switch on a motor TENS and look like Arnold Schwarzenegger!!