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Combined effects of high-intensity focused electromagnetic therapy and pelvic floor exercises on pelvic floor muscles and sexual function in postmenopausal women

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Objective This study aimed to explore the impact of high-intensity focused electromagnetic therapy (HIFEMT) on the pelvic floor muscles (PFM), sexual function, and quality of life (QoL) among postmenopausal women. Methods Fifty postmenopausal women with PFM weakness and sexual dysfunction were randomly allocated into two equal groups. The HIFEMT group participated in the PFM training program in addition to HIFEMT, whereas the control group performed PFM training only. For 12 weeks, HIFEMT was scheduled twice a week, while PFM training was performed daily. At baseline and after 12 weeks, PFM strength and endurance were assessed using a perineometer, sexual function was examined using the female sexual function index (FSFI), and QoL was assessed through the menopause-specific quality of life questionnaire (MENQOL). Results The HIFEMT and control groups showed significant increases in PFM strength and endurance and FSFI scores, and significant declines in MENQOL compared with baseline measures (P<0.05). Compared to the control group, the HIFEMT group showed substantial improvements in all measured variables after 12 weeks (P<0.05). Conclusion Addition of HIFEMT to PFM training improved the PFM strength, endurance, sexual function, and QoL in postmenopausal women with PFM weakness and sexual dysfunction.

Abstract

Objective This study aimed to explore the impact of high-intensity focused electromagnetic therapy (HIFEMT) on the pelvic floor muscles (PFM), sexual function, and quality of life (QoL) among postmenopausal women. Methods Fifty postmenopausal women with PFM weakness and sexual dysfunction were randomly allocated into two equal groups. The HIFEMT group participated in the PFM training program in addition to HIFEMT, whereas the control group performed PFM training only. For 12 weeks, HIFEMT was scheduled twice a week, while PFM training was performed daily. At baseline and after 12 weeks, PFM strength and endurance were assessed using a perineometer, sexual function was examined using the female sexual function index (FSFI), and QoL was assessed through the menopause-specific quality of life questionnaire (MENQOL). Results The HIFEMT and control groups showed significant increases in PFM strength and endurance and FSFI scores, and significant declines in MENQOL compared with baseline measures (P<0.05). Compared to the control group, the HIFEMT group showed substantial improvements in all measured variables after 12 weeks (P<0.05). Conclusion Addition of HIFEMT to PFM training improved the PFM strength, endurance, sexual function, and QoL in postmenopausal women with PFM weakness and sexual dysfunction.

참고문헌 (40)

  1. "Menopause" (2024)[URL]
  2. Fausto DY, "Association between menopausal symptoms, sexual function, and sexual activity-a cross-sectional study", Prz Menopauzalny, 22, pp.220~226 (2023)
  3. Neels H, "Knowledge of the pelvic floor in menopausal women and in peripartum women", J Phys Ther Sci, 28, pp.3020~3029 (2016)
  4. The NAMS 2017 Hormone Therapy Position Statement Advisory Panel, "The 2017 hormone therapy position statement of The North American Menopause Society", Menopause, 24, pp.728~753 (2017)
  5. Nazarpour S, "The relationship between menopausal symptoms and sexual function", Women Healt, 58, pp.1112~1123 (2018)
  6. Holloway D, "Managing the menopause : symptoms, consequences and treatment", Primary Health Care, 26, pp.40~49 (2016)
  7. Seftel AD, "Re : female sexual dysfunction(FSD) : prevalence and impact on quality of life(QoL)", J Urol, 198, pp.234~235 (2017)
  8. Carcedo RJ, "Association between sexual satisfaction and depression and anxiety in adolescents and young adults", Int J Environ Res Public Health, 17, pp.841~ (2020)
  9. Jalali T, "The association between sexual self-efficacy and the quality of life among menopausal women", J Menopausal Med, 27, pp.87~93 (2021)
  10. Wein AJ, "Re : an international urogynecological association(IUGA)", international continence society(ICS)joint report on the terminology for the conservative and nonpharmacological management of female pelvic floor dysfunction, 2017, pp.198, 488~489
  11. Ferreira CH, "Does pelvic floor muscle training improve female sexual function? A systematic review", Int Urogynecol J, 26, pp.1735~1750 (2015)
  12. Samuels JB, "Safety and efficacy of a non-invasive high-intensity focused electromagnetic field(HIFEM)device for treatment of urinary incontinence and enhancement of quality of life", Lasers Surg Med, 51, pp.760~766 (2019)
  13. Evans K, "HIFEM procedure for treatment of urinary incontinence accompanied with female sexual dysfunction : 1-year follow-up data", J Sex Med, 19, pp.S34~ (2022)
  14. Elena S, "Electromyographic evaluation of the pelvic muscles activity after high-intensity focused electromagnetic procedure and electrical stimulation in women with pelvic floor dysfunction", Sex Med, 8, pp.282~289 (2020)
  15. Silantyeva E, "A comparative study on the effects of high-intensity focused electromagnetic technology and electrostimulation for the treatment of pelvic floor muscles and urinary incontinence in parous women : analysis of posttreatment data", Female Pelvic Med Reconstr Surg, 27, pp.269~273 (2021)
  16. Hlavinka TC, "The use of HIFEM technology in the treatment of pelvic floor muscles as a cause of female sexual dysfunction : a multi-center pilot study", J Women’s Health Care, 8, pp.1000455~ (2019)
  17. Schulz KF, "CONSORT 2010 statement : updated guidelines for reporting parallel group randomised trials", J Pharmacol Pharmacother, 1, pp.100~107 (2010)
  18. Dudonienė V, "Pelvic floor muscle training versus functional magnetic stimulation for stress urinary incontinence in women : a randomized controlled trial", J Clin Med, 12, pp.3157~ (2023)
  19. Angelo PH, "A manometry classification to assess pelvic floor muscle function in women", PLoS One, 12, pp.e0187045~ (2017)
  20. Ismail SA, "A new grading system for female sexual dysfunction based on the female sexual function index in Egyptian women : a cross-sectional study", Afr Health Sci, 21, pp.835~841 (2021)
  21. Nuttall FQ, "Body mass index : obesity, BMI, and health : a critical review", Nutr Today, 50, pp.117~128 (2015)
  22. Rahmani N, "Application of perineometer in the assessment of pelvic floor muscle strength and endurance : a reliability study", J Bodyw Mov Ther, 15, pp.209~214 (2011)
  23. Volløyhaug I, "Assessment of pelvic floor muscle contraction with palpation, perineometry and transperineal ultrasound : a cross-sectional study", Ultrasound Obstet Gynecol, 47, pp.768~773 (2016)
  24. Anis TH, "Arabic translation of female sexual function index and validation in an Egyptian population", J Sex Med, 8, pp.3370~3378 (2011)
  25. Rosen R, "The female sexual function index(FSFI) : a multidimensional self-report instrument for the assessment of female sexual function", J Sex Marital Ther, 26, pp.191~208 (2000)
  26. Wiegel M, "The female sexual function index (FSFI): cross-validation and development of clinical cutoff scores", J Sex Marital Ther, 31, pp.1~20 (2005)
  27. Smail L, "Menopause-specific quality of life among Emirati Women", Int J Environ Res Public Health, 17, pp.40~ (2019)
  28. Hilditch JR, "A menopause-specific quality of life questionnaire : development and psychometric properties", Maturitas, 24, pp.161~175 (1996)
  29. Newman DK, "Structured behavioral treatment research protocol for women with mixed urinary incontinence and overactive bladder symptoms", Neurourol Urodyn, 37, pp.14~26 (2018)
  30. "Peripheral magnetic stimulation" (2022)[URL]
  31. Samuels JB, "Radiofrequency heating and high-intensity focused electromagnetic treatment delivered simultaneously : the first sham-controlled randomized trial", Plast Reconstr Surg, 149, pp.893~ (2022)
  32. Ptaszkowski K, "Assessment of the short-term effects after high-inductive electromagnetic stimulation of pelvic floor muscles : a randomized, sham-controlled study", J Clin Med, 9, pp.874~ (2020)
  33. Brandeis J, "Pelvic floor HIFEM in men improves ejaculation", J Sex Med, 19, pp.S69~ (2022)
  34. Wong ELY, "The impact of menopause on the sexual health of Chinese Cantonese women : a mixed methods study", J Adv Nurs, 74, pp.1672~1684 (2018)
  35. Hwang UJ, "Relationship between female sexual function, vaginal volume, vaginal resting tone, and pelvic floor muscle strength in women with stress urinary incontinence", Obstet Gynecol Sci, 66, pp.327~335 (2023)
  36. Berghmans B, "Physiotherapy for pelvic pain and female sexual dysfunction : an untapped resource", Int Urogynecol J, 29, pp.631~638 (2018)
  37. Sacomori C, "Pelvic floor muscle strength and sexual function in women", Fisioter Em Mov, 28, pp.657~665 (2015)
  38. Golmakani N, "The effect of pelvic floor muscle exercises program on sexual self-efficacy in primiparous women after delivery", Iran J Nurs Midwifery Res, 20, pp.347~353 (2015)
  39. Panahi R, "The effect of women’s sexual functioning on quality of their sexual life", J Prev Med Hyg, 62, pp.E776~E781 (2021)
  40. Alinsod R, "HIFEM® technology-a new perspective in treatment of stress urinary incontinence", 38th American Society for Laser Medicine and Surgery Annual Conference, pp.607~612 (2018), American Society for Laser Medicine and Surgery

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