Physiotherapy Review

Abstract

4/2024 vol. 28
Review paper

Telecare intervention for pelvic floor muscle training in postpartum women: a pilot study

  1. Reha-Active Rahabilitation Center, Głogówek, Poland
  2. Department of Nursing, Physiotherapy and Medicine, Universidad de Almería, Almería, Spain
  3. Department of Nursing and Physiotherapy, University of Cádiz, Cádiz, Spain
  4. Healthcare Innovation Technology Lab., IRCCS San Camillo Hospital, Venice, Italy
  5. Department of Physical Education and Physiotherapy, Opole University of Technology, Opole, Poland
Physiotherapy Review, 2024, 28(4), 26-33
Online publish date: 2024/12/20
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Background

Pelvic floor muscle dysfunction is associated with reduced quality of life, diminished self-esteem, and feelings of unattractiveness. However, early prophylaxis can decrease the risk of various related disorders.

Aims

This pilot study aimed to assess whether an innovative telecare-based training program could improve the strength of pelvic floor muscles (PFM) in postpartum women at risk for pelvic floor disorders.

Material and methods

Twelve participants who were within two years postpartum underwent a home-based pelvic floor muscle training program. Each participant performed PFM exercises three to five times per week for 5–10 minutes per session, depending on her individualized training plan. The intervention lasted for 90 days. Changes in maximum PFM contraction strength were analyzed using 100% maximum voluntary contraction (MVC) values.

Results

The analysis revealed that increased muscle contraction strength contributed to enhanced PFM efficiency. The mean 100% MVC value of the pelvic floor muscles was 23.46 ± 9.59 mmHg before training and 35.34 ± 13.61 mmHg after 90 days of training (p = 0.036).

Conclusions

The findings of this pilot study suggest that a telecare intervention using an endovaginal device can improve pelvic floor muscle strength, potentially aiding in the prevention of pelvic floor disorders associated with pregnancy.

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