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Virtual reality: a proposal for pelvic floor muscle training.

Simone Botelho1,2, Natalia Miguel Martinho3, Valéria Regina Silva3,4

  • 1Course of Physiotherapy, Nursing School, Federal University of Alfenas (UNIFAL-MG), Building A, Room 107-D, Av. Jovino Fernandes Sales, 2600-Santa Clara, Alfenas, MG, CEP: 37130-000, Brazil. simone.botelho@unifal-mg.edu.br.

International Urogynecology Journal
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PubMed
Summary

Virtual reality pelvic floor muscle (PFM) training significantly improved PFM contractility in nulliparous and postmenopausal women. This intervention also reduced urinary symptoms in postmenopausal participants.

Keywords:
Digital palpationElectromyographyMuscle strength dynamometerPelvic floorUrinary symptomsVirtual reality exposure therapy

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Area of Science:

  • Urology
  • Physical Therapy
  • Rehabilitation Medicine

Background:

  • Pelvic floor muscle (PFM) dysfunction affects women's quality of life.
  • Conventional PFM training can be challenging to adhere to.
  • Virtual reality (VR) offers a novel approach to PFM rehabilitation.

Purpose of the Study:

  • To introduce a VR-based PFM training program.
  • To investigate the effects of this VR protocol on PFM contractility.
  • To assess the impact on urinary symptoms in postmenopausal women.

Main Methods:

  • Two prospective, controlled studies involving 46 women (nulliparous and postmenopausal).
  • Participants engaged in a 30-minute VR gaming session twice weekly for 10 sessions.
  • PFM contractility was assessed using digital palpation (DP) and dynamometry; urinary symptoms were evaluated using validated questionnaires.

Main Results:

  • Significant increases in PFM strength were observed in both nulliparous and postmenopausal groups (p<0.0001) via DP.
  • Postmenopausal women showed significant improvements in muscle strength and endurance (p=0.05) and a reduction in urinary symptoms.

Conclusions:

  • The VR PFM training program effectively enhanced PFM contractility.
  • This VR intervention led to a decrease in urinary symptoms among postmenopausal women.