Journal of Clinical Gynecology and Obstetrics, ISSN 1927-1271 print, 1927-128X online, Open Access
Article copyright, the authors; Journal compilation copyright, J Clin Gynecol Obstet and Elmer Press Inc
Journal website https://www.jcgo.org

Original Article

Volume 10, Number 3, September 2021, pages 59-66


A Randomized Controlled Trial to Evaluate the Effect of Abdominal Electrical Muscle Stimulation on Abdominal Wall Restoration in Postpartum Women

Figures

Figure 1.
Figure 1. The Tone applicator. (a) Electrodes side of 1 unit. (b) Tone units on a belt attached to the abdomen.
Figure 2.
Figure 2. IRD baseline to 1-, 3-, and 6-month follow-ups (MFU). IRD: inter-rectal distance.
Figure 3.
Figure 3. Investigator improvement: 1-, 3-, and 6-month follow-ups (MFU).
Figure 4.
Figure 4. Subject improvement: 1-, 3-, and 6-month follow-ups (MFU).
Figure 5.
Figure 5. Pelvic Floor Distress Inventory (PFDI) subscales 1 - 3 (1-, 3-, and 6-month follow-ups (MFU)).

Tables

Table 1. Demographics of Patients
 
Group A (EMS group, n = 28)Group B (control group, n = 23)
EMS: electrical muscle stimulation; BMI: body mass index.
Age29.6529.22
BMI27.6227.76

 

Table 2. IRD Ultrasound Measurements
 
ComparisonControl (mean ± SD)Treatment (mean ± SD)DifferenceFP
IRD: inter-rectal distance; SD: standard deviation.
Base to 1-month follow-up0.32 ± 0.450.47 ± 0.600.151.030.31
Base to 3-month follow-up0.31 ± 0.570.63 ± 0.670.323.740.06
Base to 6-month follow-up0.37 ± 0.550.63 ± 0.710.261.900.18

 

Table 3. Investigator Improvement Assessment (1-, 3-, and 6-Month Follow-Ups)
 
ComparisonControl (mean ± SD)Treatment (mean ± SD)DifferenceFP
SD: standard deviation.
Base to 1-month follow-up0.52 ± 0.671.60 ± 0.971.0820.90< 0.001
Base to 3-month follow-up1.09 ± 0.792.22 ± 1.051.1418.01< 0.001
Base to 6-month follow-up0.92 ± 1.042.25 ± 1.041.338.540.007

 

Table 4. Subject Improvement Assessment (1-, 3-, and 6-Month Follow-Ups)
 
ComparisonControl (mean ± SD)Treatment (mean ± SD)DifferenceFP
SD: standard deviation.
Base to 1-month follow-up0.96 ± 1.221.64 ± 1.250.693.890.06
Base to 3-month follow-up1.32 ± 1.461.52 ± 1.190.200.270.61
Base to 6-month follow-up1.25 ± 1.551.79 ± 1.320.541.570.22

 

Table 5. PFDI Subscales 1 - 3 (1-, 3-, and 6-Month Follow-Ups)
 
ComparisonControl (mean ± SD)Treatment (mean ± SD)DifferenceFP
PFDI: Pelvic Floor Distress Inventory; SD: standard deviation.
Subscale 1 (1-month)0.54 ± 0.740.18 ± 0.360.365.110.03
Subscale 2 (1-month)0.59 ± 0.730.17 ± 0.260.427.90< 0.01
Subscale 3 (1-month)0.81 ± 0.840.41 ± 0.630.403.710.06
Subscale 1 (3-month)0.39 ± 0.570.18 ± 0.350.212.600.12
Subscale 2 (3-month)0.42 ± 0.710.16 ± 0.270.262.84< 0.10
Subscale 3 (3-month)0.59 ± 0.770.51 ± 0.620.070.140.73
Subscale 1 (6-month)0.27 ± 0.470.16 ± 0.350.110.810.37
Subscale 2 (6-month)0.37 ± 0.610.14 ± 0.270.232.93< 0.10
Subscale 3 (6-month)0.60 ± 0.670.38 ± 0.520.231.670.20