Evidence map›Paper›PMID 31860567›Full record

ArticleFemale pelvic medicine & reconstructive surgery2021

A Comparative Study on the Effects of High-Intensity Focused Electromagnetic Technology and Electrostimulation for the Treatment of Pelvic Floor Muscles and Urinary Incontinence in Parous Women: Analysis of Posttreatment Data.

Elena Silantyeva, Dragana Zarkovic, Evgeniia Astafeva, Ramina Soldatskaia, Mekan Orazov, Marina Belkovskaya, Mark Kurtser, Academician of the Russian Academy of Sciences

2 registry-linked trialsAbstract readComparative Study
In one paragraph

Article in Female pelvic medicine & reconstructive surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06401954 nacompletednot on this mapstarted 2024, after this paper: background citation

Effects of High-Intensity Focused Electromagnetic Therapy Combined With Foot Core Training on Dynamic Foot Function in Individuals With Pronated Foot

TypeinterventionalSponsorNational Taiwan University HospitalRan2024 to 2024Enrolled30ConditionsFlexible FlatfootArmsHigh-intensity focused electromagnetic therapy, Foot core training, Sham high-intensity focused electromagnetic therapy
NCT07528560 narecruitingnot on this mapstarted 2026, after this paper: background citation

Effectiveness of HIFEM (High Intensity Focused Electro-Magnetic Technology) for Improving Pelvic Floor Muscle Tone in Postpartum Women: Study Protocol.

TypeinterventionalSponsorInstitut Investigacio Sanitaria Pere VirgiliRan2026 to 2026Enrolled60ConditionsPelvic Floor Muscle DysfunctionArmsHIFEM (HIGH INTENSITY FOCUSED ELECTROMAGNETIC) BTL EMSELLA
3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  12. Evaluation of a novel device combining RF and HIFES technologies for the non-invasive correction of asymmetric smiles and facial rejuvenation: A case report.Skin research and technology : official journal of International Society for Bioengineering and the Skin (ISBS) [and] International Society for Digital Imaging of Skin (ISDIS) [and] International Society for Skin Imaging (ISSI) · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Elena SilantyevaFrom the Hospital Lapino MD Medical Group, Moscow, Russia.
Dragana ZarkovicCharles University, Faculty of Physical Education and Sport, Department of Anatomy and Biomechanics, Prague, Czech Republic.
Evgeniia AstafevaFrom the Hospital Lapino MD Medical Group, Moscow, Russia.
Ramina SoldatskaiaFrom the Hospital Lapino MD Medical Group, Moscow, Russia.
Mekan OrazovRUDN University, Medical Faculty, Moscow, Russia.
Marina BelkovskayaFrom the Hospital Lapino MD Medical Group, Moscow, Russia.
Mark KurtserFrom the Hospital Lapino MD Medical Group, Moscow, Russia.
Academician of the Russian Academy of Sciences

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesPelvic floor muscles (PFMs) weakening and urinary incontinence (UI) represent health issues that have a negative impact on daily life. This study compares the immediate efficiency of high-intensity focused electromagnetic (HIFEM) therapy and electrostimulation for the treatment of weakened PFMs, accompanied by the UI.

methodsNinety-five parous women were considered for the study. Symptomatic patients received either HIFEM or electrostimulation treatment. Treated patients completed 10 therapies scheduled 2 to 3 times per week (HIFEM) or every other day (electrostimulation). Patients underwent examination by 3-dimensional transperienal ultrasound at the baseline and posttreatments. Levator-urethra gap, anteroposterior diameter, laterolateral diameter of levator hiatus, and hiatal area were measured. In addition, Pelvic Floor Disability Index 20 questionnaire and subjective evaluation of patient's intimate health were assessed.

resultsEnrolled patients were divided into group I (n = 50, HIFEM), group II (n = 25, electrostimulation), and group III (n = 20, control) according the indication and treatment modality. Three-dimensional ultrasounds showed positive changes in dynamics of the pelvic floor posttreatment (decreased anteroposterior diameter, laterolateral diameter, and hiatal area). However, the significant (P < 0.05) changes of pelvic floor integrity were observed only in group I. In addition, group I achieved greater level of improvement in Pelvic Floor Disability Index 20 questionnaire compared with group II (52% and 18% respectively; P < 0.001). Substantially fewer patients in group I reported urine leakage after treatments.

conclusionsPosttreatment results suggest that HIFEM technology is suitable for treatment of PFMs weakening and showed to be more effective when compared with electrostimulation in short-term. Therefore, we recommend HIFEM as treatment option for weakened PFMs and UI.

Indexed as

Electric Stimulation TherapyMagnetic Field TherapyAdultFemaleHumansParityPelvic Floor DisordersRetrospective StudiesTime FactorsTreatment OutcomeUrinary Incontinence

Identifiers

PMID31860567
PMCPMC8016513

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.