Effect of WAFF Exercise and Pelvic Floor Myofascial Manipulation Com-bined with Electrical Stimulation Biofeedback on Pelvic Floor Function in Patients with Mild Vaginal Relaxation During Vaginal Delivery
Objective To compare the effects of WAFF exercise and pelvic floor myofascia manipulation on pelvic floor function combired with electrical sitmulation biofeedback in patients with mild vaginal relaxation during vaginal delivery.Methods A total of 112 patients with mild vaginalysis who delivered vaginalysis from July 2021 to November 2022 were se-lected and divided into WAFF exercise combined with electrical stimulation biofeedback group(observation group A),pelvic floor myofascial manipulation combined with electrical stimulation biofeedback group(observation group B)and pure electrical stimulation biofeedback group(control group)according to different treatment plans.The differences of female Sexual Func-tion Index(FSFI)scores,pelvic floor surface electromyography(EMG)test results,and vaginal midsection wall thickness were compared among 3 groups.Results After treatment,the score and total score of FSFI in all three groups were signifi-cantly increased compared with before treatment(P＜0.05).After treatment,the sexual desire score,sexual arousal score,total score and their differences in observation group A were higher than those in observation group B and control group(P＜0.05),and the coitus pain score and their differences in observation group B were higher than those in observation group A and control group(P＜0.05).Compared with before treatment,the mean value of resting stage and the mean value of post-resting stage of pelvic floor muscle surface EMG detection in 3 groups were significantly decreased after treatment,and the maximum value of rapid contraction stage,the mean value of tension contraction stage and the mean value of endurance con-traction stage were significantly increased compared with before treatment(P＜0.05).After treatment,the average values of the pre-resting stage and post-resting stage in observation group B were lower than those in observation group A and control group,and their differences were higher than those in observation group A and control group(P＜0.05).After treatment,the maximum value of rapid contraction stage,the mean value of tension contraction stage,the mean value of endurance contrac-tion stage and their differences in observation group A were higher than those in observation group B and control group(P＜0.05).The thickness of anterior midsection vaginal wall and posterior vaginal wall measured by ultrasound after treatment were significantly increased in 3 groups compared with before treatment(P＜0.05).After treatment,the thickness and differ-ence values of the anterior and posterior vaginal wall measured by ultrasound in observation group B were higher than those in observation group A and control group(P＜0.05).Conclusion WAFF exercise and pelvic floor myofascial manipulation combined with electrical stimulation biofeedback have good effects in the treatment of mild vaginal relaxation.The former can improve sexual desire,sexual arousal and overall quality of sexual life,improve pelvic floor muscle strength and muscle coor-dination,while the latter can reduce pelvic floor tension,relieve pelvic floor muscle spasm,improve sexual discomfort,and increase vaginal wall thickness.Clinical can be based on the actual situation of patients to develop appropriate treatment plan.
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