In recent years, more and more mothers pay attention to pelvic floor rehabilitation, actively go to the hospital for medical treatment, and conduct rehabilitation under the guidance of doctors. During the rehabilitation process, there will be more or fewer problems that make the mothers feel confused. Faced with these problems, let us dive deeper into pelvic floor rehabilitation.
Why do we need pelvic floor rehabilitation?
With the development of the fetus during pregnancy, the volume and weight of the uterus continue to increase. By the end of pregnancy, the content of the uterus has increased by about hundreds of times compared with the non-pregnancy period, and the weight of the uterus has increased by nearly 20 times.
The fetal head will directly compress and pull the pelvic floor muscles and neuromuscular junctions, resulting in abnormality of pelvic floor muscle function and physiological metabolism. During normal delivery, the pelvic floor muscles and nerves are extremely stretched, causing tears and nerve damage of the pelvic floor muscles and fascia, and serious pelvic floor dysfunction diseases such as urinary incontinence and organ prolapse will occur.
How long does pelvic floor rehabilitation work?
Generally speaking, 10 times of rehabilitation training of stress urinary incontinence is effective. However, there are individual differences in postpartum mothers, and at the same time, with different levels of mild or severe diseases. Therefore, the specific treatment cycle should be formulated and adjusted at any time according to their own specific conditions. It is recommended that the frequency of pelvic floor rehabilitation training is 1~2 days between each rehabilitation training, 2~3 times a week.
Is EMG assessment necessary?
It is necessary to conduct pelvic floor electromyography assessment before pelvic floor muscle rehabilitation training, and then perform corresponding electrical stimulation rehabilitation training based on the evaluation results. For local pain or overactive pelvic floor muscles before rehabilitation training, electrical stimulation should be reduced. And try to use less than 25Hz electrical stimulation mode with low current intensity.
Heal Force HF3000 biofeedback technology combines with neuromuscular electrical stimulation to capture pelvic floor muscle contraction signals and convert them into sound, light, and images that can be intuitively sensed, so as to exercise pelvic floor muscle contraction and gradually transforming into self-behavioral therapy. It is non-invasive and painless and achieves therapeutic effects in a relaxed and pleasant environment.
After rehabilitation training, muscle tension becomes extreme, which is caused by long-term electrical stimulation, passive muscle contraction, and poor muscle fatigue resistance. Therefore, attention should be paid to both the improvement of muscle strength and endurance and muscle relaxation during pelvic floor rehabilitation.
Is pelvic floor rehabilitation training necessary if the golden rehabilitation period pass?
The golden period of six months postpartum for pelvic floor rehabilitation does not mean that the rehabilitation is only effective during this period, but it means that rehabilitation training is faster and better during this period, and will not cause the disease to prolong and cause the patient’s pain and quality of life to decline. The efficacy of pelvic floor rehabilitation ultimately depends on its own disease and degree of injury, as well as the compliance of the rehabilitation process.
Is rehabilitation training necessary if the assessment result is normal muscle strength and anterior wall bulge?
The answer is yes. The pelvic floor muscles are a group of muscles, not a piece of muscle. When the pelvic floor muscles are injured, there will be a prolapse of the pelvic organs. At this time, although the comprehensive muscle strength is normal, the anterior vaginal wall has bulged. The anatomical position of the urethra or bladder will change to varying degrees as well as its function. Even if there is no symptom of urine leakage temporarily, urine leakage or further pelvic organ prolapse will occur over time. You can do Kegel exercises or vagina dumbbell training after giving instructions for long-term family pelvic floor muscle training.
We warmly remind that after giving birth, mothers can have a pelvic floor rehabilitation examination about 42 days after delivery, and participate in pelvic floor rehabilitation training in time to promote physical recovery and enjoy a healthy life.
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