Acute effects of local vibration and visual feedback on the pelvic floor muscle training in Japanese healthy adults: A cross-over study

BACKGROUND: Those undergoing pelvic floor muscle training (PFMT) often experience difficulty in perception; therefore, an easier PFMT method should be devised. OBJECTIVE: To determine the effectiveness of combining PFMT with either vibration stimulation or visual feedback provided by a branded cushion (not a prototype) in increasing PFM muscle activity. Since PFM does not involve large joint movements, muscle activity was a suitable indicator. METHODS: Twenty healthy adults were included in this study. All participants performed PFMT under three conditions using a branded cushion: vibration stimulation, visual feedback, and a control. All three conditions were provided separately. PFM activity of the midline of the perineum at two points was recorded as the root mean square measured using PFM electromyography, measured twice for each condition. Muscle activity ratio was obtained by calculating maximum voluntary contraction of PFM in pre- and post-PFMT conditions. RESULTS: PFM activity and muscle activity ratio were both significantly higher following PFMT under vibration stimulation and visual feedback conditions (p< 0.01, p< 0.01, respectively). CONCLUSIONS: PFMT accompanied by vibration stimulation or visual feedback could immediately raise PFM muscle activity. We believe this study contributes to improving PFMT efficiency by suggesting more suitable PFMT methods.