PNF and Movement

Korea Proprioceptive Neuromuscular Facilitation Association (대한고유수용성신경근촉진법학회)
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Effects of PNF Exercise on EMG Biofeedback Symptoms of Stress Urinary Incontinence Patients -A Case Study-

근전도 바이오피드백을 통한 PNF운동이 긴장성 요실금 환자의 증상에 미치는 영향 -사례연구-

  • Choi, Su-hong (Department of Rehabilitation Medicine, Pusan National University Hospital) ;
  • Lee, Seuong-Yun (Department of Rehabilitation Medicine, Pusan National University Hospital) ;
  • Lee, Tae-kyu (Department of Rehabilitation Medicine, Pusan National University Hospital) ;
  • Rhee, Min-Hyung (Department of Rehabilitation Medicine, Pusan National University Hospital)
  • 최수홍 (부산대학교병원 재활의학팀) ;
  • 이승윤 (부산대학교병원 재활의학팀) ;
  • 이태규 (부산대학교병원 재활의학팀) ;
  • 이민형 (부산대학교병원 재활의학팀)
  • Received : 2017.12.05
  • Accepted : 2018.01.08
  • Published : 2018.04.30
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Abstract

Purpose: The purpose of this study was to investigate changes in urinary frequency, residual urine volume, and quality of life following pelvic floor exercises using proprioceptive neuromuscular facilitation (PNF) exercise patterns and EMG biofeedback training in patients with stress urinary incontinence. Methods: The subjects were male patients diagnosed with stress urinary incontinence. This study used a single system design (A-B-C.) At baseline, the patients' symptoms prior to the treatment intervention were recorded (A section). Next, the patients performed the PNF exercise (B section). Thereafter, they performed the PNF exercise, with EMG biofeedback (C section). The subjects performed the exercises in each section for 1 week for a total of 3 weeks. Urinary frequency, residual urine volume, and quality of life of the subjects were measured. Results: The frequency of urination was 9 times in A, 8 times in A 'and B, and 7 times in C. The amount of residual urine decreased from 23.78ml in A to 21.85ml in A ', 14.85ml in B, and 14.63ml in C. The international prostate symptom score was 16 points in A, 14 points in A ', 11 points in B, and 7 points at A. The quality of life score was 4 points in A, 4 points in A ', 3 points in B, and 2 points in A. Conclusion: Both the PNF exercise and EMG biofeedback decreased urination frequency and residual urine volume and improved the quality of life of patients with stress urinary incontinence. EMG biofeedback training using the PNF technique was the most effective.

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References

  1. Abrams P, Cardozo L, Fall M, et al. The standardisation of terminology of lower urinary tract function: report from the standardisation sub-committee of the international continence society. American journal of obstetrics and gynecology. 2002;187(1):116-126. https://doi.org/10.1067/mob.2002.125704
  2. Adler S, Beckers D, Buck M. Pnf in practice: an illustrated guide. Heidelberg. Springer. 2007.
  3. Appell RA, Sand PK. Nocturia: etiology, diagnosis, and treatment. Neurourology and urodynamics. 2008;27(1):34-39. https://doi.org/10.1002/nau.20484
  4. Bae YK, Lee DH, Park SC, et al. The efficacy of biofeedback and electrical stimulation by kontinence hmt2000 in the treatment of stress urinary incontinence patients. Yeungnam University Journal of Medicine. 2003;20(1):36-44. https://doi.org/10.12701/yujm.2003.20.1.36
  5. Bertotto A, Schvartzman R, Uchoa S, et al. Effect of electromyographic biofeedback as an add-on to pelvic floor muscle exercises on neuromuscular outcomes and quality of life in postmenopausal women with stress urinary incontinence: a randomized controlled trial. Neurourology and Urodynamics. 2017;36(8):2142-2147. https://doi.org/10.1002/nau.23258
  6. Bosch J, Hop W, Kirkels W, et al. The international prostate symptom score in a community-based sample of men between 55 and 74 years of age: prevalence and correlation of symptoms with age, prostate volume, flow rate and residual urine volume. British Journal of Urology International. 1995;75(5):622-630. https://doi.org/10.1111/j.1464-410X.1995.tb07421.x
  7. Cho WJ, Oh SH, Kim IG, et al. Prevention of postsurgical tissue adhesion by a bi-layer membrane consisting of adhesion and lubrication layers. Tissue Engineering and Regenerative Medicine. 2010;7(1):49-56.
  8. Coyne K, Zhou Z, Bhattacharyya S, et al. The prevalence of nocturia and its effect on health-related quality of life and sleep in a community sample in the USA. British Journal of Urology International. 2003;92(9):948-954. https://doi.org/10.1111/j.1464-410X.2003.04527.x
  9. Criswell E. Cram's introduction to surface electromyography. Burlington. Jones & Bartlett Publishers. 2010.
  10. De Ridder D, Roumeguere T, Kaufman L. Overactive bladder symptoms, stress urinary incontinence and associated bother in women aged 40 and above; a belgian epidemiological survey. International Journal of Clinical Practice. 2013;67(3):198-204. https://doi.org/10.1111/ijcp.12015
  11. DeLancey JO. The pathophysiology of stress urinary incontinence in women and its implications for surgical treatment. World Journal of Urology. 1997;15(5):268-274. https://doi.org/10.1007/BF02202011
  12. Dursun N, Dursun E, Kilic Z. Electromyographic biofeedback-controlled exercise versus conservative care for patellofemoral pain syndrome. Archives of Physical Medicine and Rehabilitation. 2001;82(12):1692-1695. https://doi.org/10.1053/apmr.2001.26253
  13. Giggins OM, Persson UM, Caulfield B. Biofeedback in rehabilitation. Journal of Neuroengineering and Rehabilitation. 2013;10(1):60. https://doi.org/10.1186/1743-0003-10-60
  14. Han SH, Choi YW, Kam K. Effects of emg biofeedback training on the hand functions of stroke patients. Journal of Korean society of Occupational Therapy. 2009;17(4):13-24.
  15. Huang H, Wolf SL, He J. Recent developments in biofeedback for neuromotor rehabilitation. Journal of Neuroengineering and Rehabilitation. 2006;3(1):11. https://doi.org/10.1186/1743-0003-3-11
  16. Jirovec M. Urinary incontinence in nursing homes--inevitable or reversible? The Michigan nurse. 1988;61(7):13.
  17. Jolleys J, Donovan J, Nanachahal K, et al. Urinary symptoms in the community: how bothersome are they? British Journal of Uurology International. 1994;74(5):551-555. https://doi.org/10.1111/j.1464-410X.1994.tb09182.x
  18. Klein DA, Stone WJ, Phillips WT, et al. PNF training and physical function in assisted-living older adults. Journal of Aaging and Physical Activity. 2002;10(4):476-488. https://doi.org/10.1123/japa.10.4.476
  19. Lee H, Lee S, Song C. The influence of pelvic floor muscle training program on lower urinary tract symptom, maximum vaginal contraction pressure, and pelvic floor muscle activity in aged women with stress urinary incontinence. Korean Journal of Sport Science. 2009;20(3):466-474. https://doi.org/10.24985/kjss.2009.20.3.466
  20. Ouslander JG. Urinary incontinence in the elderly. Western Journal of Medicine. 1981;135(6):482-491.
  21. Schatzl G, Temml C, Schmidbauer J, et al. Cross-sectional study of nocturia in both sexes: analysis of a voluntary health screening project. Urology. 2000;56(1):71-75. https://doi.org/10.1016/S0090-4295(00)00603-8
  22. Shin HC. Introduction to biofeedback. Korean Journal of Clinical Geriatrics. 2009;10:332-340.
  23. Voorham JC, De Wachter S, Van den Bos TW, et al. The effect of emg biofeedback assisted pelvic floor muscle therapy on symptoms of the overactive bladder syndrome in women: a randomized controlled trial. Neurourology and Urodynamics. 2017;36(7):1796-1803. https://doi.org/10.1002/nau.23180
  24. Wetle T, Scherr P, Branch LG, et al. Difficulty with holding urine among older persons in a geographically defined community: prevalence and correlates. Journal of the American Geriatrics Society. 1995;43(4):349-355. https://doi.org/10.1111/j.1532-5415.1995.tb05806.x