Skip to main content
Erschienen in: International Urogynecology Journal 11/2012

01.11.2012 | Review Article

Biofeedback for the treatment of female pelvic floor muscle dysfunction: a systematic review and meta-analysis

verfasst von: Fátima Faní Fitz, Ana Paula Magalhães Resende, Liliana Stüpp, Marair Gracio Ferreira Sartori, Manoel João Batista Castello Girão, Rodrigo Aquino Castro

Erschienen in: International Urogynecology Journal | Ausgabe 11/2012

Einloggen, um Zugang zu erhalten

Abstract

Biofeedback (BF) has been widely used in the treatment of pelvic floor dysfunctions, mainly by promoting patient learning about muscle contraction with no side effects. However, its effectiveness remains poorly understood with some studies suggesting that BF offers no advantage over the isolated pelvic floor muscle training (PFMT). The main objective of this study was to systematically review available randomized controlled trials assessing the effectiveness of BF in female pelvic floor dysfunction treatment. Trials were electronically searched and rated for quality by use of the PEDro scale (values of 0–10). Randomized controlled trials assessing the training of pelvic floor muscle (PFM) using BF in women with PFM dysfunction were selected. Outcomes were converted to a scale ranging from 0 to 100. Trials were pooled with software used to prepare and update Cochrane reviews. Results are presented as weighted mean differences with 95 % confidence intervals (CI). Twenty-two trials with 1,469 patients that analyzed BF in the treatment of urinary, anorectal, and/or sexual dysfunctions were included. PFMT alone led to a superior but not significant difference in the function of PFM when compared to PFMT with BF, by using vaginal measurement in the short and intermediate term: 9.89 (95 % CI −5.05 to 24.83) and 15.03 (95 % CI −9.71 to 39.78), respectively. We found a few and nonhomogeneous studies addressing anorectal and sexual function, which do not provide the cure rate calculations. Limitations of this review are the low quality and heterogeneity of the studies, involving the usage of distinct protocols of interventions, and various and different outcome measures. The results of this systematic review suggest that PFMT with BF is not more effective than other conservative treatments for female PFM dysfunction.
Anhänge
Nur mit Berechtigung zugänglich
Literatur
1.
Zurück zum Zitat Smith CA, Witherow RO (2000) The assessment of female pelvic floor dysfunction. BJU Int 85:579–587PubMedCrossRef Smith CA, Witherow RO (2000) The assessment of female pelvic floor dysfunction. BJU Int 85:579–587PubMedCrossRef
2.
Zurück zum Zitat Bø K, Sherburn M (2007) Introduction. In: Bø K, Berghmans B, Mørkved S, Van Kampen M (eds) Evidence-based physical therapy for the pelvic floor, 1st edn. Elsevier, Philadelphia, pp 47–49 Bø K, Sherburn M (2007) Introduction. In: Bø K, Berghmans B, Mørkved S, Van Kampen M (eds) Evidence-based physical therapy for the pelvic floor, 1st edn. Elsevier, Philadelphia, pp 47–49
3.
Zurück zum Zitat Abrams P, Cardozo L, Fall M, Griffiths D et al (2002) The standardisation of terminology of lower urinary tract function: report from the Standardisation Sub-committee of the International Continence Society. Am J Obstet Gynecol 187:116–126PubMedCrossRef Abrams P, Cardozo L, Fall M, Griffiths D et al (2002) The standardisation of terminology of lower urinary tract function: report from the Standardisation Sub-committee of the International Continence Society. Am J Obstet Gynecol 187:116–126PubMedCrossRef
4.
Zurück zum Zitat Glavind K, Nøhr S, Walter S (1992) Pelvic floor training using biofeedback for muscle awareness in the treatment of stress urinary incontinence: preliminary results. Int Urgoynecol J 3:288–291CrossRef Glavind K, Nøhr S, Walter S (1992) Pelvic floor training using biofeedback for muscle awareness in the treatment of stress urinary incontinence: preliminary results. Int Urgoynecol J 3:288–291CrossRef
5.
Zurück zum Zitat Burgio KL, Locher JL, Goode PS et al (1998) Behavioral vs drug treatment for urge urinary incontinence in older women: a randomized controlled trial. JAMA 280:1995–2000PubMedCrossRef Burgio KL, Locher JL, Goode PS et al (1998) Behavioral vs drug treatment for urge urinary incontinence in older women: a randomized controlled trial. JAMA 280:1995–2000PubMedCrossRef
6.
Zurück zum Zitat Bø K (2007) Pelvic floor muscle training for stress urinary incontinence. In: Bø K, Berghmans B, Mørkved S, Van Kampen M (eds) Evidence-based physical therapy for the pelvic floor, 1st edn. Elsevier, Philadelphia, pp 171–186 Bø K (2007) Pelvic floor muscle training for stress urinary incontinence. In: Bø K, Berghmans B, Mørkved S, Van Kampen M (eds) Evidence-based physical therapy for the pelvic floor, 1st edn. Elsevier, Philadelphia, pp 171–186
7.
Zurück zum Zitat Kegel AH (1948) Progressive resistance exercise in the functional restoration of the perineal muscles. Am J Obstet Gynecol 56(2):238–248PubMed Kegel AH (1948) Progressive resistance exercise in the functional restoration of the perineal muscles. Am J Obstet Gynecol 56(2):238–248PubMed
8.
Zurück zum Zitat Sherrington C, Herbert RD, Maher CG, Moseley AM (2000) PEDro. A database of randomized trials and systematic reviews in physiotherapy. Man Ther 5:223–226PubMedCrossRef Sherrington C, Herbert RD, Maher CG, Moseley AM (2000) PEDro. A database of randomized trials and systematic reviews in physiotherapy. Man Ther 5:223–226PubMedCrossRef
9.
Zurück zum Zitat Higgins JPT, Green S (eds) (2011) Cochrane handbook for systematic reviews of interventions version 5.1.0 (updated March 2011). In: The Cochrane Collaboration. Available via www.cochrane-handbook.org Higgins JPT, Green S (eds) (2011) Cochrane handbook for systematic reviews of interventions version 5.1.0 (updated March 2011). In: The Cochrane Collaboration. Available via www.​cochrane-handbook.​org
10.
Zurück zum Zitat Review Manager (RevMan) (computer program). Version 5.1 (2011) The Nordic Cochrane Centre, The Cochrane Collaboration, Copenhagen Review Manager (RevMan) (computer program). Version 5.1 (2011) The Nordic Cochrane Centre, The Cochrane Collaboration, Copenhagen
11.
Zurück zum Zitat Meyer S, Hohlfeld P, Achtari C, De Grandi P (2001) Pelvic floor education after vaginal delivery. Obstet Gynecol 97(5 Pt 1):673–677PubMedCrossRef Meyer S, Hohlfeld P, Achtari C, De Grandi P (2001) Pelvic floor education after vaginal delivery. Obstet Gynecol 97(5 Pt 1):673–677PubMedCrossRef
12.
Zurück zum Zitat Lee IS, Choi ES (2006) Pelvic floor muscle exercise by biofeedback and electrical stimulation to reinforce the pelvic floor muscle after normal delivery. Taehan Kanho Hakhoe Chi 36(8):1374–1380PubMed Lee IS, Choi ES (2006) Pelvic floor muscle exercise by biofeedback and electrical stimulation to reinforce the pelvic floor muscle after normal delivery. Taehan Kanho Hakhoe Chi 36(8):1374–1380PubMed
13.
Zurück zum Zitat Gallo ML G, Staskin DR (1997) Cues the action: pelvic floor muscle exercise compliance in women with stress urinary incontinence. Neurourol Urodyn 16(3):167–177PubMedCrossRef Gallo ML G, Staskin DR (1997) Cues the action: pelvic floor muscle exercise compliance in women with stress urinary incontinence. Neurourol Urodyn 16(3):167–177PubMedCrossRef
14.
Zurück zum Zitat Burgio KL, Goode PS, Locher JL et al (2002) Behavioral training with and without biofeedback in the treatment of urge incontinence in older women: a randomized controlled trial. JAMA 288:2293–2299PubMedCrossRef Burgio KL, Goode PS, Locher JL et al (2002) Behavioral training with and without biofeedback in the treatment of urge incontinence in older women: a randomized controlled trial. JAMA 288:2293–2299PubMedCrossRef
15.
Zurück zum Zitat Hui E, Lee PS, Woo J (2006) Management of urinary incontinence in older women using videoconferencing versus conventional management: a randomized controlled trial. J Telemed Telecare 12(7):343–347PubMedCrossRef Hui E, Lee PS, Woo J (2006) Management of urinary incontinence in older women using videoconferencing versus conventional management: a randomized controlled trial. J Telemed Telecare 12(7):343–347PubMedCrossRef
16.
Zurück zum Zitat Wong KS, Fung KS, Fung SM, Fung CW, Tang CH (2001) Biofeedback of pelvic floor muscles in the management of genuine stress incontinence in Chinese women: randomised controlled trial. Physiotherapy 87(12):644–648CrossRef Wong KS, Fung KS, Fung SM, Fung CW, Tang CH (2001) Biofeedback of pelvic floor muscles in the management of genuine stress incontinence in Chinese women: randomised controlled trial. Physiotherapy 87(12):644–648CrossRef
17.
Zurück zum Zitat Burgio KL, Locher JL, Goode PS (2000) Combined behavioral and drug therapy for urge incontinence in older women. J Am Geriatr Soc 48:370–374PubMed Burgio KL, Locher JL, Goode PS (2000) Combined behavioral and drug therapy for urge incontinence in older women. J Am Geriatr Soc 48:370–374PubMed
18.
Zurück zum Zitat Bocassanta P, Venturini M, Salamina G, Cesana BM, Bernasconi F, Roviaro G (2004) New trends in the surgical treatment of outlet obstruction: clinical and functional results of two novel transanal stapled techniques from a randomised controlled trial. Int J Colorectal Dis 19(4):359–369CrossRef Bocassanta P, Venturini M, Salamina G, Cesana BM, Bernasconi F, Roviaro G (2004) New trends in the surgical treatment of outlet obstruction: clinical and functional results of two novel transanal stapled techniques from a randomised controlled trial. Int J Colorectal Dis 19(4):359–369CrossRef
19.
Zurück zum Zitat Goode PS (2004) Behavioral and drug therapy for urinary incontinence. Urology 63(3 Suppl 1):58–64PubMedCrossRef Goode PS (2004) Behavioral and drug therapy for urinary incontinence. Urology 63(3 Suppl 1):58–64PubMedCrossRef
20.
Zurück zum Zitat Ilnyckyj A, Fachnie E, Tougas G (2005) A randomized-controlled trial comparing an educational intervention alone vs education and biofeedback in the management of faecal incontinence in women. Neurogastroenterol Motil 17:58–63PubMedCrossRef Ilnyckyj A, Fachnie E, Tougas G (2005) A randomized-controlled trial comparing an educational intervention alone vs education and biofeedback in the management of faecal incontinence in women. Neurogastroenterol Motil 17:58–63PubMedCrossRef
21.
Zurück zum Zitat Sherman RA, Davis GD, Wong MF (1997) Behavioral treatment of exercise-induced urinary incontinence among female soldiers. Mil Med 162:690–694PubMed Sherman RA, Davis GD, Wong MF (1997) Behavioral treatment of exercise-induced urinary incontinence among female soldiers. Mil Med 162:690–694PubMed
22.
Zurück zum Zitat Wang AC (2000) Bladder-sphincter biofeedback as treatment of detrusor instability in women who failed to respond to oxybutynin. Chang Gung Med J 23(10):590–599PubMed Wang AC (2000) Bladder-sphincter biofeedback as treatment of detrusor instability in women who failed to respond to oxybutynin. Chang Gung Med J 23(10):590–599PubMed
23.
Zurück zum Zitat Castleden CM, Duffin HM, Mitchell EP (1984) The effect of physiotherapy on stress incontinence. Age Ageing 13:235–237PubMedCrossRef Castleden CM, Duffin HM, Mitchell EP (1984) The effect of physiotherapy on stress incontinence. Age Ageing 13:235–237PubMedCrossRef
24.
Zurück zum Zitat Cammu H, Van Nylen M (1998) Pelvic floor exercises versus vaginal cones in genuine stress incontinence. Eur J Obstet Gynecol Reprod Biol 77:89–93PubMedCrossRef Cammu H, Van Nylen M (1998) Pelvic floor exercises versus vaginal cones in genuine stress incontinence. Eur J Obstet Gynecol Reprod Biol 77:89–93PubMedCrossRef
25.
Zurück zum Zitat Knight S, Laycock J, Naylor D (1998) Evaluation of neuromuscular electrical stimulation in the treatment of genuine stress incontinence. Physiotherapy 84(2):61–71CrossRef Knight S, Laycock J, Naylor D (1998) Evaluation of neuromuscular electrical stimulation in the treatment of genuine stress incontinence. Physiotherapy 84(2):61–71CrossRef
26.
Zurück zum Zitat Glavind K, Nøhr SB, Walter S (1996) Biofeedback and physiotherapy versus physiotherapy alone in the treatment of genuine stress urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct 7:339–343PubMedCrossRef Glavind K, Nøhr SB, Walter S (1996) Biofeedback and physiotherapy versus physiotherapy alone in the treatment of genuine stress urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct 7:339–343PubMedCrossRef
27.
Zurück zum Zitat Oresland T, Fasth S, Hultén L, Nordgren S, Swenson L, Akervall S (1988) Does balloon dilatation and anal sphincter training improve ileonal-pouch function? Int J Colorectal Dis 3(3):153–157PubMedCrossRef Oresland T, Fasth S, Hultén L, Nordgren S, Swenson L, Akervall S (1988) Does balloon dilatation and anal sphincter training improve ileonal-pouch function? Int J Colorectal Dis 3(3):153–157PubMedCrossRef
28.
Zurück zum Zitat Miner PB, Donnelly TC, Read NW (1990) Investigation of mode of action of biofeedback in treatment of fecal incontinence. Dig Dis Sci 35(10):1291–1298PubMedCrossRef Miner PB, Donnelly TC, Read NW (1990) Investigation of mode of action of biofeedback in treatment of fecal incontinence. Dig Dis Sci 35(10):1291–1298PubMedCrossRef
29.
Zurück zum Zitat Awad R (1994) Biofeedback in the treatment of fecal incontinence. Rev Gastroenterol Mex 59(2):171–176PubMed Awad R (1994) Biofeedback in the treatment of fecal incontinence. Rev Gastroenterol Mex 59(2):171–176PubMed
30.
Zurück zum Zitat Enck P, Däublin G, Lübke HJ, Strohmeyer G (1994) Long-term efficacy of biofeedback training for fecal incontinence. Dis Colon Rectum 37(10):997–1001PubMedCrossRef Enck P, Däublin G, Lübke HJ, Strohmeyer G (1994) Long-term efficacy of biofeedback training for fecal incontinence. Dis Colon Rectum 37(10):997–1001PubMedCrossRef
31.
Zurück zum Zitat Bleijenberg G, Kuijpers HC (1994) Biofeedback treatment of constipation: a comparison of two methods. Am J Gastroenterol 89(7):1021–1026PubMed Bleijenberg G, Kuijpers HC (1994) Biofeedback treatment of constipation: a comparison of two methods. Am J Gastroenterol 89(7):1021–1026PubMed
32.
Zurück zum Zitat Koutsomanis D, Lennard-Jones JE, Roy AJ, Kamm MA (1995) Controlled randomised trial of visual biofeedback versus muscle training without a visual display for intractable constipation. Gut 37(1):95–99PubMedCrossRef Koutsomanis D, Lennard-Jones JE, Roy AJ, Kamm MA (1995) Controlled randomised trial of visual biofeedback versus muscle training without a visual display for intractable constipation. Gut 37(1):95–99PubMedCrossRef
33.
Zurück zum Zitat Guillemot F, Bouche B, Gower-Rousseau C et al (1995) Biofeedback for the treatment of fecal incontinence. Long-term clinical results. Dis Colon Rectum 38(4):393–397PubMedCrossRef Guillemot F, Bouche B, Gower-Rousseau C et al (1995) Biofeedback for the treatment of fecal incontinence. Long-term clinical results. Dis Colon Rectum 38(4):393–397PubMedCrossRef
34.
Zurück zum Zitat Hämäläinen KJ, Raivio P, Antila S, Palmu A, Mecklin JP (1996) Biofeedback therapy in rectal prolapse patients. Dis Colon Rectum 39(3):262–265PubMedCrossRef Hämäläinen KJ, Raivio P, Antila S, Palmu A, Mecklin JP (1996) Biofeedback therapy in rectal prolapse patients. Dis Colon Rectum 39(3):262–265PubMedCrossRef
35.
Zurück zum Zitat Engberg S, McDowel BJ, Donovan N, Brodak I, Weber E (1997) Treatment of urinary incontinence in homebound older adults: interface between research and practice. Ostomy Wound Manage 43(10):18–22PubMed Engberg S, McDowel BJ, Donovan N, Brodak I, Weber E (1997) Treatment of urinary incontinence in homebound older adults: interface between research and practice. Ostomy Wound Manage 43(10):18–22PubMed
36.
Zurück zum Zitat Heymen S, Wexner SD, Vickers D, Nogueras JJ, Weiss EG, Pikarsky AJ (1999) Prospective, randomized trial comparing four biofeedback techniques for patients with constipation. Dis Colon Rectum 42(11):1388–1393PubMedCrossRef Heymen S, Wexner SD, Vickers D, Nogueras JJ, Weiss EG, Pikarsky AJ (1999) Prospective, randomized trial comparing four biofeedback techniques for patients with constipation. Dis Colon Rectum 42(11):1388–1393PubMedCrossRef
37.
Zurück zum Zitat Glia A, Gylin M, Gullberg K, Lindberg G (1997) Biofeedback retraining in patients with functional constipation and paradoxical puborectalis contraction: comparison of anal manometry and sphincter electromyography for feedback. Dis Colon Rectum 40(8):889–895PubMedCrossRef Glia A, Gylin M, Gullberg K, Lindberg G (1997) Biofeedback retraining in patients with functional constipation and paradoxical puborectalis contraction: comparison of anal manometry and sphincter electromyography for feedback. Dis Colon Rectum 40(8):889–895PubMedCrossRef
38.
Zurück zum Zitat Pager CK, Solomon MJ, Rex J, Roberts RA (2002) Long-term outcomes of pelvic floor exercise and biofeedback treatment for patients with fecal incontinence. Dis Colon Rectum 45(8):997–1003PubMedCrossRef Pager CK, Solomon MJ, Rex J, Roberts RA (2002) Long-term outcomes of pelvic floor exercise and biofeedback treatment for patients with fecal incontinence. Dis Colon Rectum 45(8):997–1003PubMedCrossRef
39.
Zurück zum Zitat Norton C, Chelvanayagana S, Wilson-Barnett J, Redfern S, Kamm MA (2003) Randomized controlled trial of biofeedback for fecal incontinence. Gastroenterology 125(5):1320–1329PubMedCrossRef Norton C, Chelvanayagana S, Wilson-Barnett J, Redfern S, Kamm MA (2003) Randomized controlled trial of biofeedback for fecal incontinence. Gastroenterology 125(5):1320–1329PubMedCrossRef
40.
Zurück zum Zitat Solomon MJ, Pager CK, Rex J, Roberts R, Manning J (2003) Randomized, controlled trial of biofeedback with anal manometry, transanal ultrasound, or pelvic floor retraining with digital guidance alone in the treatment of mild to moderate fecal incontinence. Dis Colon Rectum 46(6):703–710PubMedCrossRef Solomon MJ, Pager CK, Rex J, Roberts R, Manning J (2003) Randomized, controlled trial of biofeedback with anal manometry, transanal ultrasound, or pelvic floor retraining with digital guidance alone in the treatment of mild to moderate fecal incontinence. Dis Colon Rectum 46(6):703–710PubMedCrossRef
41.
Zurück zum Zitat Chang HS, Myung SJ, Yang SK et al (2003) Effect of electrical stimulation in constipated patients with impaired rectal sensation. Int J Colorectal Dis 18(5):433–438PubMedCrossRef Chang HS, Myung SJ, Yang SK et al (2003) Effect of electrical stimulation in constipated patients with impaired rectal sensation. Int J Colorectal Dis 18(5):433–438PubMedCrossRef
42.
Zurück zum Zitat Chiaroni G, Whitehead WE, Pezza V, Morelli A, Bassoti G (2006) Biofeedback is superior to laxatives for normal transit constipation due to pelvic floor dyssynergia. Gastroenterology 130(3):657–664CrossRef Chiaroni G, Whitehead WE, Pezza V, Morelli A, Bassoti G (2006) Biofeedback is superior to laxatives for normal transit constipation due to pelvic floor dyssynergia. Gastroenterology 130(3):657–664CrossRef
43.
Zurück zum Zitat Norton C, Gibbs A, Kamm MA (2006) Randomized, controlled trial of anal electrical stimulation for fecal incontinence. Dis Colon Rectum 49(2):190–196PubMedCrossRef Norton C, Gibbs A, Kamm MA (2006) Randomized, controlled trial of anal electrical stimulation for fecal incontinence. Dis Colon Rectum 49(2):190–196PubMedCrossRef
44.
Zurück zum Zitat Byrne CM, Solomon MJ, Young JM, Rex J, Merlino CL (2007) Biofeedback for fecal incontinence: short-term outcomes of 513 consecutive patients and predictors of successful treatment. Dis Colon Rectum 50(4):417–427PubMedCrossRef Byrne CM, Solomon MJ, Young JM, Rex J, Merlino CL (2007) Biofeedback for fecal incontinence: short-term outcomes of 513 consecutive patients and predictors of successful treatment. Dis Colon Rectum 50(4):417–427PubMedCrossRef
45.
Zurück zum Zitat Heymen S, Scarlett Y, Jones K, Ringel Y, Drossman D, Whitehead WE (2007) Randomized, controlled trial shows biofeedback to be superior to alternative treatments for patients with pelvic floor dyssynergia-type constipation. Dis Colon Rectum 50(4):428–441PubMedCrossRef Heymen S, Scarlett Y, Jones K, Ringel Y, Drossman D, Whitehead WE (2007) Randomized, controlled trial shows biofeedback to be superior to alternative treatments for patients with pelvic floor dyssynergia-type constipation. Dis Colon Rectum 50(4):428–441PubMedCrossRef
46.
Zurück zum Zitat Rao SS, Seaton K, Miller M et al (2007) Randomized controlled trial of biofeedback, sham feedback, and standard therapy for dyssynergic defecation. Clin Gastroenterol Hepatol 5(3):331–338PubMedCrossRef Rao SS, Seaton K, Miller M et al (2007) Randomized controlled trial of biofeedback, sham feedback, and standard therapy for dyssynergic defecation. Clin Gastroenterol Hepatol 5(3):331–338PubMedCrossRef
47.
Zurück zum Zitat Remes-Troche JM, Ozturk R, Philips C, Stessman M, Rao SS (2008) Cholestyramine—a useful adjunct for the treatment of patients with fecal incontinence. Int J Colorectal Dis 23(2):189–194PubMedCrossRef Remes-Troche JM, Ozturk R, Philips C, Stessman M, Rao SS (2008) Cholestyramine—a useful adjunct for the treatment of patients with fecal incontinence. Int J Colorectal Dis 23(2):189–194PubMedCrossRef
48.
Zurück zum Zitat Simón MA, Bueno AM (2009) Behavioural treatment of the dyssynergic defecation in chronically constipated elderly patients: a randomized controlled trial. Appl Psychophysiol Biofeedback 34(4):273–277PubMedCrossRef Simón MA, Bueno AM (2009) Behavioural treatment of the dyssynergic defecation in chronically constipated elderly patients: a randomized controlled trial. Appl Psychophysiol Biofeedback 34(4):273–277PubMedCrossRef
49.
Zurück zum Zitat Faried M, El Monem HA, Omar M et al (2009) Comparative study between biofeedback retraining and botulinum neurotoxin in the treatment of anismus patients. Int J Colorectal Dis 24(1):115–120CrossRef Faried M, El Monem HA, Omar M et al (2009) Comparative study between biofeedback retraining and botulinum neurotoxin in the treatment of anismus patients. Int J Colorectal Dis 24(1):115–120CrossRef
50.
Zurück zum Zitat Schwandner T, König IR, Heimerl T et al (2010) Triple target treatment (3T) is more effective than biofeedback alone for anal incontinence: the 3T-AI study. Dis Colon Rectum 53(7):1007–1016PubMedCrossRef Schwandner T, König IR, Heimerl T et al (2010) Triple target treatment (3T) is more effective than biofeedback alone for anal incontinence: the 3T-AI study. Dis Colon Rectum 53(7):1007–1016PubMedCrossRef
51.
Zurück zum Zitat Rao SS, Valestin J, Brown CK, Zimmerman B, Schulze K (2010) Long-term efficacy of biofeedback therapy for dyssynergic defecation: randomized controlled trial. Am J Gastroenterol 105(4):890–896PubMedCrossRef Rao SS, Valestin J, Brown CK, Zimmerman B, Schulze K (2010) Long-term efficacy of biofeedback therapy for dyssynergic defecation: randomized controlled trial. Am J Gastroenterol 105(4):890–896PubMedCrossRef
52.
Zurück zum Zitat Faried M, El Nakeeb A, Youssef M, Omar W, El Monem HA (2010) Comparative study between surgical and non-surgical treatment of anismus in patients with symptoms of obstructed defecation: a prospective randomized study. J Gastrointest Surg 14(8):1235–1243PubMedCrossRef Faried M, El Nakeeb A, Youssef M, Omar W, El Monem HA (2010) Comparative study between surgical and non-surgical treatment of anismus in patients with symptoms of obstructed defecation: a prospective randomized study. J Gastrointest Surg 14(8):1235–1243PubMedCrossRef
53.
Zurück zum Zitat Engberg S, McDowell BJ, Weber E, Brodak I, Donovan N, Engberg R (1997) Assessment and management of urinary incontinence among homebound older adults: a clinical trial protocol. Adv Pract Nurs Q 3(2):48–56PubMed Engberg S, McDowell BJ, Weber E, Brodak I, Donovan N, Engberg R (1997) Assessment and management of urinary incontinence among homebound older adults: a clinical trial protocol. Adv Pract Nurs Q 3(2):48–56PubMed
54.
Zurück zum Zitat Burns PA, Pranikoff K, Nochajski T, Desotelle P, Harwood MK (1990) Treatment of stress incontinence with pelvic floor exercises and biofeedback. J Am Geriatr Soc 38(3):341–344PubMed Burns PA, Pranikoff K, Nochajski T, Desotelle P, Harwood MK (1990) Treatment of stress incontinence with pelvic floor exercises and biofeedback. J Am Geriatr Soc 38(3):341–344PubMed
55.
Zurück zum Zitat Berghmans LCM, Frederiks CMA, de Bie RA, Weil EHJ, Smeets LWH, van Waalwijk van Doorn ESC, Janknegt RA (1996) Efficacy of biofeedback, when included with pelvic floor muscle exercise treatment, for genuine stress incontinence. Neurourol Urodyn 15:37–52PubMedCrossRef Berghmans LCM, Frederiks CMA, de Bie RA, Weil EHJ, Smeets LWH, van Waalwijk van Doorn ESC, Janknegt RA (1996) Efficacy of biofeedback, when included with pelvic floor muscle exercise treatment, for genuine stress incontinence. Neurourol Urodyn 15:37–52PubMedCrossRef
56.
Zurück zum Zitat Mørkved S, Bø K, Fjortoft T (2002) Effect of adding biofeedback to pelvic floor muscle training to treat urodynamic stress incontinence. Obstet Gynecol 100(4):730–739PubMedCrossRef Mørkved S, Bø K, Fjortoft T (2002) Effect of adding biofeedback to pelvic floor muscle training to treat urodynamic stress incontinence. Obstet Gynecol 100(4):730–739PubMedCrossRef
57.
Zurück zum Zitat Ferguson KL, McKey PL, Bishop KR, Kloen P, Verheul JB, Dougherty MC (1990) Stress urinary incontinence: effect of pelvic muscle exercise. Obstet Gynecol 75(4):671–675PubMed Ferguson KL, McKey PL, Bishop KR, Kloen P, Verheul JB, Dougherty MC (1990) Stress urinary incontinence: effect of pelvic muscle exercise. Obstet Gynecol 75(4):671–675PubMed
58.
Zurück zum Zitat Pages IH, Jahr S, Schaufele MK, Conradi E (2001) Comparative analysis of biofeedback and physical therapy for treatment of urinary stress incontinence in women. Am J Phys Med Rehabil 80:494–502PubMedCrossRef Pages IH, Jahr S, Schaufele MK, Conradi E (2001) Comparative analysis of biofeedback and physical therapy for treatment of urinary stress incontinence in women. Am J Phys Med Rehabil 80:494–502PubMedCrossRef
59.
Zurück zum Zitat Demirtürk F, Akbayrak T, Karakaya IC et al (2008) Interferential current versus biofeedback results in urinary stress incontinence. Swiss Med Wkly 138(21–22):317–321PubMed Demirtürk F, Akbayrak T, Karakaya IC et al (2008) Interferential current versus biofeedback results in urinary stress incontinence. Swiss Med Wkly 138(21–22):317–321PubMed
60.
Zurück zum Zitat Schmidt AP, Sanches PRS, Silva DP, Ramos JGL, Nohama P (2009) A new pelvic muscle trainer for the treatment of urinary incontinence. Int J Gynaecol Obstet 105:218–222PubMedCrossRef Schmidt AP, Sanches PRS, Silva DP, Ramos JGL, Nohama P (2009) A new pelvic muscle trainer for the treatment of urinary incontinence. Int J Gynaecol Obstet 105:218–222PubMedCrossRef
61.
Zurück zum Zitat Wang AC, Wang YY, Chen MC (2004) Single-blind, randomized trial of pelvic floor muscle training, biofeedback-assisted pelvic floor muscle training, and electrical stimulation in the management of overactive bladder. Urology 63:61–66PubMedCrossRef Wang AC, Wang YY, Chen MC (2004) Single-blind, randomized trial of pelvic floor muscle training, biofeedback-assisted pelvic floor muscle training, and electrical stimulation in the management of overactive bladder. Urology 63:61–66PubMedCrossRef
62.
Zurück zum Zitat Wyman JF, Fantl JA, McClish DK, Bump RC (1998) Comparative efficacy of behavioral interventions in the management of female urinary incontinence. Continence Program for Women Research Group. Am J Obstet Gynecol 179(4):999–1007PubMedCrossRef Wyman JF, Fantl JA, McClish DK, Bump RC (1998) Comparative efficacy of behavioral interventions in the management of female urinary incontinence. Continence Program for Women Research Group. Am J Obstet Gynecol 179(4):999–1007PubMedCrossRef
63.
Zurück zum Zitat Laycock J, Brown J, Cusack C et al (2001) Pelvic floor reeducation for stress incontinence: comparing three methods. Br J Community Nurs 6(5):230–237PubMed Laycock J, Brown J, Cusack C et al (2001) Pelvic floor reeducation for stress incontinence: comparing three methods. Br J Community Nurs 6(5):230–237PubMed
64.
Zurück zum Zitat Dougherty MC, Dwyer JW, Pendergast JF et al (2002) A randomized trial of behavioral management for continence with older rural women. Res Nurs Health 25:3–13PubMedCrossRef Dougherty MC, Dwyer JW, Pendergast JF et al (2002) A randomized trial of behavioral management for continence with older rural women. Res Nurs Health 25:3–13PubMedCrossRef
65.
Zurück zum Zitat Aksac B, Aki S, Karan A, Yalcin O, Isikoglu M, Eskiyurt N (2003) Biofeedback and pelvic floor exercises for the rehabilitation of urinary stress incontinence. Gynecol Obstet Invest 56:23–27PubMedCrossRef Aksac B, Aki S, Karan A, Yalcin O, Isikoglu M, Eskiyurt N (2003) Biofeedback and pelvic floor exercises for the rehabilitation of urinary stress incontinence. Gynecol Obstet Invest 56:23–27PubMedCrossRef
66.
Zurück zum Zitat Shepherd AM, Montgomery E, Anderson RS (1983) Treatment of genuine stress incontinence with a new perineometer. Physiotherapy 69(4):113PubMed Shepherd AM, Montgomery E, Anderson RS (1983) Treatment of genuine stress incontinence with a new perineometer. Physiotherapy 69(4):113PubMed
67.
Zurück zum Zitat Burns PA, Pranikoff K, Nochajski TH, Hadley EC, Levy KJ, Ory MG (1993) A comparison of effectiveness of biofeedback and pelvic muscle exercise treatment of stress incontinence in older community-dwelling women. J Gerontol 48(4):M167–M174PubMed Burns PA, Pranikoff K, Nochajski TH, Hadley EC, Levy KJ, Ory MG (1993) A comparison of effectiveness of biofeedback and pelvic muscle exercise treatment of stress incontinence in older community-dwelling women. J Gerontol 48(4):M167–M174PubMed
68.
Zurück zum Zitat Aukee P, Immonem P, Penttinen J, Laippala P, Airaksinen O (2002) Increase in pelvic floor muscle activity after 12 weeks’ training: a randomized prospective pilot study. Urology 60(6):1020–1023PubMedCrossRef Aukee P, Immonem P, Penttinen J, Laippala P, Airaksinen O (2002) Increase in pelvic floor muscle activity after 12 weeks’ training: a randomized prospective pilot study. Urology 60(6):1020–1023PubMedCrossRef
69.
Zurück zum Zitat Aukee P, Immonen P, Laaksonen DE, Laippala P, Penttinen J, Airaksinen O (2004) The effect of home biofeedback training on stress incontinence. Acta Obstet Gynecol Scand 83:973–977PubMed Aukee P, Immonen P, Laaksonen DE, Laippala P, Penttinen J, Airaksinen O (2004) The effect of home biofeedback training on stress incontinence. Acta Obstet Gynecol Scand 83:973–977PubMed
70.
Zurück zum Zitat Fynes MM, Marshall K, Cassidy M et al (1999) A prospective, randomized study comparing the effect of augmented biofeedback with sensory biofeedback alone on fecal incontinence after obstetric trauma. Dis Colon Rectum 42:753–761PubMedCrossRef Fynes MM, Marshall K, Cassidy M et al (1999) A prospective, randomized study comparing the effect of augmented biofeedback with sensory biofeedback alone on fecal incontinence after obstetric trauma. Dis Colon Rectum 42:753–761PubMedCrossRef
71.
Zurück zum Zitat Mahony RT, Malone PA, Nalty J, Behan M, O’Connell PR, O’Herlihy C (2004) Randomized clinical trial of intra-anal electromyographic biofeedback physiotherapy with intra-anal electromyographic biofeedback augmented with electrical stimulation of the anal sphincter in the early treatment of postpartum fecal incontinence. Am J Obstet Gynecol 191:885–890PubMedCrossRef Mahony RT, Malone PA, Nalty J, Behan M, O’Connell PR, O’Herlihy C (2004) Randomized clinical trial of intra-anal electromyographic biofeedback physiotherapy with intra-anal electromyographic biofeedback augmented with electrical stimulation of the anal sphincter in the early treatment of postpartum fecal incontinence. Am J Obstet Gynecol 191:885–890PubMedCrossRef
72.
Zurück zum Zitat Naimy N, Lindam AT, Bakka A et al (2007) Biofeedback vs. electrostimulation in the treatment of postdelivery anal incontinence: a randomized, clinical trial. Dis Colon Rectum 50:2040–2046PubMedCrossRef Naimy N, Lindam AT, Bakka A et al (2007) Biofeedback vs. electrostimulation in the treatment of postdelivery anal incontinence: a randomized, clinical trial. Dis Colon Rectum 50:2040–2046PubMedCrossRef
73.
Zurück zum Zitat Bergeron S, Binik YM, Khalifé S et al (2001) A randomized comparison of group cognitive-behavioral therapy, surface electromyographic biofeedback, and vestibulectomy in the treatment of dyspareunia resulting from vulvar vestibulitis. Pain 91:297–306PubMedCrossRef Bergeron S, Binik YM, Khalifé S et al (2001) A randomized comparison of group cognitive-behavioral therapy, surface electromyographic biofeedback, and vestibulectomy in the treatment of dyspareunia resulting from vulvar vestibulitis. Pain 91:297–306PubMedCrossRef
74.
Zurück zum Zitat Danielsson I, Torstensson T, Brodda-Jansen G, Bohm-Starke N (2006) EMG biofeedback versus topical lidocaine gel: a randomized study for the treatment of women with vulvar vestibulitis. Acta Obstet Gynecol 85:1360–1367CrossRef Danielsson I, Torstensson T, Brodda-Jansen G, Bohm-Starke N (2006) EMG biofeedback versus topical lidocaine gel: a randomized study for the treatment of women with vulvar vestibulitis. Acta Obstet Gynecol 85:1360–1367CrossRef
75.
Zurück zum Zitat Bergeron S, Khalifé S, Glazer HI, Binik YM (2008) Surgical and behavioral treatments for vestibulodynia: two-and-one-half year follow-up and predictors of outcome. Obstet Gynecol 111(1):159–166PubMedCrossRef Bergeron S, Khalifé S, Glazer HI, Binik YM (2008) Surgical and behavioral treatments for vestibulodynia: two-and-one-half year follow-up and predictors of outcome. Obstet Gynecol 111(1):159–166PubMedCrossRef
76.
Zurück zum Zitat Bohm-Starke N, Brodda-Jansen G, Linder J, Danielsson I (2007) The result of treatment on vestibular and general pain thresholds in women with provoked vestibulodynia. Clin J Pain 23:598–604PubMedCrossRef Bohm-Starke N, Brodda-Jansen G, Linder J, Danielsson I (2007) The result of treatment on vestibular and general pain thresholds in women with provoked vestibulodynia. Clin J Pain 23:598–604PubMedCrossRef
77.
Zurück zum Zitat Berghmans LCM, Bernards ATM, Hendriks HLM et al (1998) Guidelines for the physiotherapeutic management of genuine stress incontinence. Phys Ther Rev 3(3):133–147CrossRef Berghmans LCM, Bernards ATM, Hendriks HLM et al (1998) Guidelines for the physiotherapeutic management of genuine stress incontinence. Phys Ther Rev 3(3):133–147CrossRef
78.
Zurück zum Zitat Bø K, Talseth T (1996) Long-term effect of pelvic floor muscle exercise 5 years after cessation of organized training. Obstet Gynecol 87:261–265PubMedCrossRef Bø K, Talseth T (1996) Long-term effect of pelvic floor muscle exercise 5 years after cessation of organized training. Obstet Gynecol 87:261–265PubMedCrossRef
79.
Zurück zum Zitat Chen HY, Chang WC, Lin WC et al (1999) Efficacy of pelvic floor rehabilitation for treatment of genuine stress incontinence. J Formos Med Assoc 98:271–276PubMed Chen HY, Chang WC, Lin WC et al (1999) Efficacy of pelvic floor rehabilitation for treatment of genuine stress incontinence. J Formos Med Assoc 98:271–276PubMed
80.
Zurück zum Zitat Lagro-Janssen ALM, van Weel C (1998) Long-term effect of treatment of female incontinence in general practice. Br J Gen Pract 48:1735–1738PubMed Lagro-Janssen ALM, van Weel C (1998) Long-term effect of treatment of female incontinence in general practice. Br J Gen Pract 48:1735–1738PubMed
81.
Zurück zum Zitat Sluijs EM, Knibbe JJ (1991) Patient compliance with exercise: different theoretical approaches to short-term and long-term compliance. Patient Educ Couns 17:191–204CrossRef Sluijs EM, Knibbe JJ (1991) Patient compliance with exercise: different theoretical approaches to short-term and long-term compliance. Patient Educ Couns 17:191–204CrossRef
82.
Zurück zum Zitat Sluijs EM, Kok GJ, van der Zee J (1993) Correlates of exercise compliance in physical therapy. Phys Ther 73(11):771–782PubMed Sluijs EM, Kok GJ, van der Zee J (1993) Correlates of exercise compliance in physical therapy. Phys Ther 73(11):771–782PubMed
83.
Zurück zum Zitat Pescatori M, Anastasio G, Bottini C, Mentasti A (1992) New grading and scoring for anal incontinence. Evaluation of 335 patients. Dis Colon Rectum 35:482–487PubMedCrossRef Pescatori M, Anastasio G, Bottini C, Mentasti A (1992) New grading and scoring for anal incontinence. Evaluation of 335 patients. Dis Colon Rectum 35:482–487PubMedCrossRef
84.
Zurück zum Zitat Dougherty MC, Bishop KR, Abrams RM, Batich CD, Gimotty PA (1989) The effect of exercise on the circumvaginal muscles in postpartum women. J Nurse Midwifery 34:8–14PubMedCrossRef Dougherty MC, Bishop KR, Abrams RM, Batich CD, Gimotty PA (1989) The effect of exercise on the circumvaginal muscles in postpartum women. J Nurse Midwifery 34:8–14PubMedCrossRef
85.
Zurück zum Zitat Wyman JF, Fantl JA (1991) Bladder training in ambulatory care management of urinary incontinence. Urol Nurs 11(3):11–7PubMed Wyman JF, Fantl JA (1991) Bladder training in ambulatory care management of urinary incontinence. Urol Nurs 11(3):11–7PubMed
86.
Zurück zum Zitat Bø K, Kvarstein B, Hagen R, Larsen S (1990) Pelvic floor muscle exercise for the treatment of female stress urinary incontinence. Neurourol Urodyn 9:471–7CrossRef Bø K, Kvarstein B, Hagen R, Larsen S (1990) Pelvic floor muscle exercise for the treatment of female stress urinary incontinence. Neurourol Urodyn 9:471–7CrossRef
Metadaten
Titel
Biofeedback for the treatment of female pelvic floor muscle dysfunction: a systematic review and meta-analysis
verfasst von
Fátima Faní Fitz
Ana Paula Magalhães Resende
Liliana Stüpp
Marair Gracio Ferreira Sartori
Manoel João Batista Castello Girão
Rodrigo Aquino Castro
Publikationsdatum
01.11.2012
Verlag
Springer-Verlag
Erschienen in
International Urogynecology Journal / Ausgabe 11/2012
Print ISSN: 0937-3462
Elektronische ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-012-1707-1

Weitere Artikel der Ausgabe 11/2012

International Urogynecology Journal 11/2012 Zur Ausgabe

BriefCommunication

Urogynecology digest

Update Gynäkologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert – ganz bequem per eMail.