Volume 21 Issue 11
Nov.  2023
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Article Navigation >  Chinese Journal of General Practice  > 2023  >  21(11): 1894-1897
ZHOU Xiaohong, ZHANG Lin, SU Aifang. Observation study of the therapeutic effect of sacral nerve magnetic stimulation combined with pelvic floor muscle rehabilitation training on chronic pelvic pain in women[J]. Chinese Journal of General Practice, 2023, 21(11): 1894-1897. doi: 10.16766/j.cnki.issn.1674-4152.003252
Citation: ZHOU Xiaohong, ZHANG Lin, SU Aifang. Observation study of the therapeutic effect of sacral nerve magnetic stimulation combined with pelvic floor muscle rehabilitation training on chronic pelvic pain in women[J]. Chinese Journal of General Practice, 2023, 21(11): 1894-1897. doi: 10.16766/j.cnki.issn.1674-4152.003252
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Observation study of the therapeutic effect of sacral nerve magnetic stimulation combined with pelvic floor muscle rehabilitation training on chronic pelvic pain in women

doi: 10.16766/j.cnki.issn.1674-4152.003252

  • Gynecology Department of Jinhua Maternal and Child Health Hospital, Jinhua, Zhejiang 321000, China

Funds:

 2022-3-127

 2022KY1336

  • Received Date: 2023-06-28
    Available Online: 2024-01-13
    Abstract
  •   Objective  The use of sacral nerve intervention targets in chronic pelvic pain (CPP) has received much attention. This study aims to investigate the effectiveness of sacral nerve magnetic stimulation combined with pelvic floor muscle rehabilitation training in the treatment of female CPP.  Methods  A total of 92 female patients with chronic pelvic pain admitted to the pelvic floor clinic of Jinhua Maternal and Child Health Hospital from June 2022 to April 2023 were selected and randomly divided into a control group and a study group using a random number table method, with 46 cases each. The control group received myofascial manipulation combined with biofeedback pelvic floor muscle rehabilitation training, and the study group received sacral nerve magnetic stimulation combined with pelvic floor muscle rehabilitation training. Modified Oxford muscle strength grading (MOS), pelvic floor muscle tenderness examination, pelvic floor surface electromyography Glazer assessment and adverse reactions were compared between the two groups before and after treatment.  Results  After treatment, the MOS grading of the pelvic floor muscles was significantly improved in both groups compared with before treatment (all P<0.05), and the visual analogue pain score (VAS) of the pelvic floor myofascial trigger point (MTrP) was significantly reduced compared with before treatment (all P<0.05). In addition, the MOS grading of the pelvic floor muscles and the VAS score [(2.38±0.74) points vs. (3.51±1.16) points, t=5.570, P<0.001]in the study group were better than those in the control group. After treatment, the average pre resting electromyographic value, post resting average electromyographic value and rapid contraction relaxation time in both groups decreased compared to before treatment, while the maximum electromyographic values of the fast muscles and the average electromyographic values of the slow muscles increased compared to before treatment (all P<0.05). After treatment, the above pelvic electromyographic indicators were better in the study group than in the control group (all P<0.05). No significant side effects were observed in either groups.  Conclusion  Sacral nerve magnetic stimulation combined with pelvic floor rehabilitation training can significantly reduce pain, improve pelvic floor muscle strength and electrophysiological indicators in female patients with CPP and is a significant and safe rehabilitation treatment plan.

     

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