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| Efficacy of myofascial fingering relaxation combined with neuromuscular electrical stimulation for treating patients with pelvic floor pain and its influence on the pelvic floor muscle strength and complications |
| Jiaozhou Center Hospital, Qingdao, Shandong Province, 266300 |
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Abstract To explore the efficacy of myofascial fingering relaxation combined with neuromuscular electrical stimulation for treating patients with pelvic floor pain, and to study its influence on the clinical symptoms, pelvic floor muscle strength and complications of the patients. Methods: 198 patients with pelvic floor pain who visited the hospital were enrolled and were divided into two groups (99 cases in each group) according to the random number table method from August 2021 to July 2023. The patients in group A were treated with neuromuscular electrical stimulation, while the patients in group B were given myofascial fingering relaxation combined with neuromuscular electrical stimulation. The clinical efficacy, the clinical symptoms scores evaluated by visual analogue scale (VAS) and Oswestry dysfunction index (ODI) before treatment, in 7 and 28 days of treatment and after 14 days of treatment, the pelvic floor muscle strength grading, the pelvic floor electromyography indicators before and after treatment, such as anterior resting potential, posterior resting potential, rapid contraction and continuous contraction, the score of pelvic floor impact questionnaire (PFIQ-7), the complications rate and the recurrence of the pelvic floor pain of the patients were compared between the two groups. Results: After 4 weeks of treatment, the total effective rate (89.9%) of the patients in group B was significantly higher than that (79.8%) of the patients in group A (P<0.05). In 7 days of treatment, in 28 days of treatment, and after 14 days of treatment, the VAS and ODI scores of the patients in the two groups had decreased gradually, and which of the patients in group B were significantly lower than those of the patients in group A. The pelvic floor muscle strength grade of the patients in the two groups after treatment was significantly better than that before treatment, and which of the patients in group B was significantly better than that of the patients in group A. The amplitude of anterior and posterior resting potential of the patients in the two groups had decreased significantly, and the rapid contraction and sustained contraction of the patients in the two groups had increased significantly. The amplitude of anterior and posterior resting potential of the patients in group B was significantly lower than that of the patients in group A. The score of PFIQ-7 of the patients in both groups had decreased significantly, and which of the patients in group B was significantly lower than that of the patients in group A (all P<0.05). There was no patient with obvious complication in the two groups during the treatment. In 3 months of follow-up after treatment, there was no significant difference in the pain recurrence rate (8.1% vs. 3.0%) of the patients between the two groups (P>0.05). Conclusion: Myofascial fingering relaxation combined with neuromuscular electrical stimulation for treating the patients with pelvic floor pain can improve their curative effect, effectively relieve their clinical symptoms, improve the pelvic floor muscle strength and functional function, and with the safety of treatment.
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