Agnieszka Przedborska, Małgorzata Kilon, Małgorzata Misztal, Jan W. Raczkowski

Agnieszka Przedborska, Małgorzata Kilon, Małgorzata Misztal, Jan W. Raczkowski – The effect of deep electromagnetic stimulation of pelvic floor muscles on low back pain in female patients with stress urinary incontinence. Fizjoterapia Polska 2018; 18(3); 46-54

Abstract
Objective. The goal of the study was to assess the effect of deep electromagnetic stimulation of pelvic floor muscles on low back pain in women with stress urinary incontinence.
Material and methods. The study was conducted in a group of 85 women with chronic low back pain and coexisting urinary incontinence who underwent 10 deep electromagnetic stimulation sessions of the pelvic floor. The assessment of the effectiveness of the therapy was performed on the basis of the VAS scale, the assessment of the activities of daily living and changes in the severity of symptoms associated with urinary incontinence.
Results. A statistically significant reduction in the severity of low back pain was reported according to the VAS scale – Me (IQR) respectively: 5 (4-7) before vs. 3 (1-4) after the therapy. Functional mobility and ability to perform everyday activities improved statistically significantly. There was also observed a statistically significant reduction in the incidence of urinary incontinence episodes (0% of patients without episodes of incontinence before therapy vs. 47.1% of patients after the treatment) and a decrease in the urine output. However, the obtained effects of the therapy were not long-lasting. In half of the patients, both the analgesic effect and the improvement of urinary incontinence symptoms lasted at most 2 months (IQR: 1-3 months in the case of low back pain and IQR: 1-2 months in the case of stress urinary incontinence).
Conclusions. 1. Deep electromagnetic stimulation of pelvic floor muscles decreases low back pain and reduces symptoms of stress urinary incontinence. 2. The improvement effect is not long-lasting.

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Key words:
low back pain, urinary incontinence, pelvic floor muscles, electromagnetic stimulation