Treatment of urinary disorders with biofeedback

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Urinary disorders often occur in the elderly, greatly affecting daily life and activities. It is now possible to treat urinary incontinence with biofeedback.

1. What is a urinary disorder?

Urinary incontinence is a condition in which the patient loses control of the bladder, common in the elderly. This is a common disorder that greatly affects daily activities.
Symptoms of urinary disorders can range from mild to severe such as: Leaking urine causing an unpleasant smell, urinary incontinence not making time to go to the toilet, needing to urinate but having difficulty urinating, having to push a lot
So when you see If the symptoms mentioned above and greatly affect their daily activities, patients should go to medical facilities for examination, diagnosis and appropriate treatment regimen.

2. What is a biofeedback?

A biofeedback is a therapy used to treat behaviors that uses "observational coordination" techniques to help the patient achieve a different behavior.
In other words, biofeedback therapy essentially offers the possibility of practicing new ways in which patients can take control of their own bodies, often by improving health or physical performance such as controlling Control treatment for urinary disorders, high blood pressure, migraines,...
During biofeedback therapy, the patient is connected to electrical sensors (electrodes) to measure the process. This process goes through the skin, helping to gather information about the body. This information will be fully displayed on the screen.
The progress of the patient, the progress of the patient will also be displayed on the screen gradually the patient will be cured without the need for supervision or from the electrode.
Biofeedback therapy is evaluated as a safe therapy, with no negative side effects affecting the patient's health.

Máy phản hồi sinh học là một liệu pháp giúp người bệnh kiểm soát hành vi
Máy phản hồi sinh học là một liệu pháp giúp người bệnh kiểm soát hành vi

3. Treatment of urinary disorders with biofeedback

3.1 Objectives Help change the patient's urinary disorder behavior, help them have a method to control their bladder. Patients are taught how to alter the physiological response of the bladder and pelvic muscles involved in urination. Biofeedback therapy is an important component in the rehabilitation of perineal dysfunction. 3.2 Implementation of the technique Use two small electrodes placed on the sensitive spot on either side near the anus, where the perineal muscles are close to the skin. Take another electrode (monitor the accessory muscle, usually the abdominal muscle) and place it on the right side of the navel, 3-4cm from the navel. This electrode will be connected to a computer screen to display patient information with a graph of the muscle being exercised. Biofeedback therapy uses graphs, images, sounds, or lights to help patients track, identify, and learn to control muscles correctly. Typically, a patient's resting electromyography (EMG) amplitude recorded below 2 microvolts rms is considered within the normal range. However, many patients may be taller at baseline and sometimes within the first few minutes of subsequent visits. Ask the patient to tighten the perineal muscles for 10 minutes. The amplitude of contraction will vary from person to person: It depends on many factors such as nerve or perineal muscle damage from trauma or surgery during childbirth, genetics, as well as location. of electrode and tool bandwidth. After perineal contraction, have the patient relax for 10 minutes. Note that the perineal muscles must work independently and that other auxiliary muscles such as the legs, abdomen and buttocks are not involved in this activity. Physicians can observe in the second channel EMG amplitude. This is important to help exclude extraneous activity from the extra muscle groups. Instruct the patient to contract and relax the perineal muscles to perform 4-6 repetitions, alternating time is 10 minutes. Automatic contractions should be observed for maximum amplitude, 10-minute average amplitude Rest levels should also be observed for abnormalities, such as tone, to be detected. abnormally high resting, or overactivity at a lower amplitude. Biofeedback therapy enables the patient to locate the perineal muscles by altering the graphs, images, sounds, or lights as the muscles contract. Optimal biofeedback includes imaging of both abdominal and perineal muscle movements, so a system consisting of two channels is appropriate. 3.3 Number of times of therapy Treatment of urinary disorders with biofeedback will usually be performed every 30 minutes, on average patients will need to perform 4 times, every 2-3 weeks, but there are You can adjust the set more or less until you get the best results.
Biofeedback is a highly effective treatment for urinary incontinence due to its ease of use, low cost, and high success rate.

Liệu pháp phản hồi sinh học sử dụng đồ thị để người bệnh có thể tự theo dõi và kiểm soát các cơ
Liệu pháp phản hồi sinh học sử dụng đồ thị để người bệnh có thể tự theo dõi và kiểm soát các cơ

4. Other Notes

Most patients with urinary disorders can successfully use biofeedback therapy at home.
In addition, the patient can practice at home with Kegel exercises to help contract the perineal muscles thereby helping to prevent urine leakage. This exercise can be used by both children and adults.
Treatment of urinary disorders is currently being routinely treated at Vinmec International General Hospital. In addition to treating urinary disorders with biofeedback, the hospital also combines with the most modern machinery system: Gas urodynamic meter to help measure urodynamics accurately. Urodynamic catheter can only be used once, not reused, limiting urinary infections after urinalysis.
Well-trained staff, accurate urodynamic and urogram results, maximum service for diagnosis and treatment of urinary disorders.

Please dial HOTLINE for more information or register for an appointment HERE. Download MyVinmec app to make appointments faster and to manage your bookings easily.

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