Editorial Type:
Article Category: Research Article
 | 
Online Publication Date: Oct 13, 2021

Pelvic Floor Biofeedback for the Treatment of Urinary Incontinence and Fecal Incontinence

PT, MEd BDB-PMD,
PT, DPT, and
MA, OTR BCB-PMD, PRPC
Page Range: 71 – 76
DOI: 10.5298/1081-5937-49.3.01
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Pelvic floor muscle dysfunction and symptoms of incontinence may affect any gender and age. Incontinence is embarrassing and socially limiting for patients and is not the result of normal aging. This health issue can successfully be treated with surface electromyography (sEMG) biofeedback when this modality is used by a knowledgeable and skilled provider. In combination with sEMG, behavioral intervention regarding fluid intake, normalized toileting patterns, and education on muscle function empower patients to overcome their symptoms. This article describes two patient cases, one with stress incontinence and fecal incontinence, the other with urge incontinence.

Keywords: sEMG biofeedback; stress incontinence; fecal incontinence; urgency/frequency; urge incontinence
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Copyright: © Association for Applied Psychophysiology & Biofeedback
Figure 1.
Figure 1.

Sensors

Figure 2.
Figure 2.

Perianal electrodes

Figure 3.
Figure 3.

Brenda's initial assessment

Figure 4.
Figure 4.

Brenda's initial treatment

Figure 5.
Figure 5.

Brenda's final treatment

Figure 6.
Figure 6.

Katrina's initial assessment

Figure 7.
Figure 7.

Katrina initial treatment

Figure 8.
Figure 8.

Katrina final treatment

Contributor Notes

Correspondence: Jane Kaufman, PT, MEd, BDB-PMD, Phoenix Physical Therapy, 1775 Williston Road, Suite 104, South Burlington, VT 05403, email: jkaufmanpt@comcast.net.