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Obstetrics and Gynegology2022№6
Modern possibilities of using biofeedback...

Modern possibilities of using biofeedback training methods in the treatment of stress urinary incontinence in women

DOI
https://dx.doi.org/10.18565/aig.2022.6.26-32

Romikh V.V., Kukushkina L.Yu., Kazachenko M.A.

1) N. Lopatkin Scientific Research Institute of Urology and Interventional Radiology – branch of the National Medical Research Radiologiсal Center, Ministry of Health of Russian Federation; 2) I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenov University), Moscow, Russia
Conservative non-drug treatment is considered to be the first line treatment in the modern concept of choosing a method of urinary incontinence therapy. Patients demonstrate a high demand for non-surgical treatment and high adherence to therapy. Women, especially those at a young age, are characterized by a pronounced desire to improve health indicators and quality of life. Pelvic floor muscle training with biofeedback (BFB) is an effective method for conservative treatment of urinary incontinence. Improving the BFB method is assumed to provide not only the physical involvement of muscles in work, but also the early intellectual involvement of the patient for subsequent BFB training. Combined training techniques are a promising area. One of the potential areas is the use of biofeedback with a stabilometric platform in combination with BFB therapy. Being intellectually and physically costly and requiring great concentration, the training of the support stability with the work of the pelvic muscles and with the use of a visual analyzer makes it possible to involve the patient very quickly in active work and to increase the efficiency of treatment.
Conclusion: The final efficiency and the time to positive changes are important indicators of treatment outcomes. Increasing the effectiveness of each session due to a combination of support stability and BFB trainings can also reduce the number of training sessions needed to achieve the effect.

Keywords

stress urinary incontinence
conservative treatment
pelvic floor muscles
biofeedback
stabilometric platform
support stability training
Full text (in Russian)

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Received 24.03.2022

Accepted 12.05.2022

About the Authors

Victoria V. Romikh, Head of the Department of Urodynamics and Neurourology, N. Lopatkin Scientific Research Institute of Urology and Interventional Radiology – branch
of the National Medical Research Radiologiсal Center of the Ministry of Health of Russian Federation, vromikh@yandex.ru, 105425, Russia, Moscow, 3rd Parkovaya str., 51-1.
Liudmila Yu. Kukushkina, Junior Researcher at the Department of Urodynamics and Neurourology, N. Lopatkin Scientific Research Institute of Urology and Interventional Radiology – branch of the National Medical Research Radiologiсal Center of the Ministry of Health of Russian Federation, dr.borisenko-nii@yandex.ru, 105425, Russia, Moscow, 3rd Parkovaya str., 51-1.
Maria A. Kazachenko, student, N.V. Sklifosovskiy Institute of Clinical Medicine, I.M. Sechenov First Moscow State Medical University,
Ministry of Health of Russia (Sechenov University), mmari1998@mail.ru, 119991, Russia, Moscow, Trubetskaya str., 8-2.

Authors' contributions: Romikh V.V. – development of the concept of the article, preparing and editing the text, approval of the final version of the article; Kukushkina L.Yu. – analysis of literature sources, development of the concept of the article, preparing and editing the text; Kazachenko M.A. – search for and analysis of literature sources, material collection.
Conflicts of interest: The authors declare that there are no conflicts of interest.
Funding: External sources of funding and support have not been used when writing the article.
For citation: Romikh V.V., Kukushkina L.Yu., Kazachenko M.A. Modern possibilities of using biofeedback training methods in the treatment of stress urinary incontinence in women.
Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2022; 6: 26-32 (in Russian)
https://dx.doi.org/10.18565/aig.2022.6.26-32

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