Bouallalene-Jaramillo K, Calvo-Sanz J. Parameterization of electrotherapy interventions in physiotherapy for pelvic floor dysfunctions: a systematic review.
Actas Urol Esp 2023;
47:546-559. [PMID:
37100224 DOI:
10.1016/j.acuroe.2023.04.013]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2023] [Revised: 03/01/2023] [Accepted: 03/02/2023] [Indexed: 04/28/2023]
Abstract
OBJECTIVE
To determine which parameters of the currents used with electrotherapy in pelvic floor dysfunctions are more appropriate for the proposed objectives regarding the relief of the symptomatology of certain clinical conditions.
MATERIAL AND METHODS
A systematic review was performed in CENTRAL, PubMed/MEDLINE and PEDro databases. The risk of bias and methodological quality in the included studies was assessed using the ROBINS-I, JADAD and PEDro scales, respectively.
STUDY SELECTION
The review included randomized controlled trials, with adult patients aged 18 years or older, that incorporated the use of electrical currents in the conservative treatment of pelvic floor dysfunctions.
RESULTS
After meeting the evaluation and inclusion-exclusion criteria, 14 articles were selected following the PRISMA guidelines.
CONCLUSIONS
There is a certain lack of homogeneity in the choice of the parameters of the electrotherapy currents used in pelvic floor dysfunctions. There is evidence supporting the effectiveness of neuromuscular electrostimulation in pelvic floor muscle re-education due to its functional improvements, as well as the application of analgesic electrical current therapy such as TENS for the modulation of clinical conditions involving pain.
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