Evidence map›Paper›PMID 32146133›Full record

ArticleSexual medicine2020

Electromyographic Evaluation of the Pelvic Muscles Activity After High-Intensity Focused Electromagnetic Procedure and Electrical Stimulation in Women With Pelvic Floor Dysfunction.

Silantyeva Elena, Zarkovic Dragana, Soldatskaia Ramina, Astafeva Evgeniia, Mekan Orazov

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Sexual medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07528560 (Effectiveness of HIFEM), which is not on this map. Cited by 17 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 5 pooled it
2.8field-weighted citation impact, top 9% of its field
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.

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

17 citing papers in PubMed, 5 syntheses or guidelines pooled it, 40 citations in OpenAlex.

  1. Pooled it
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  5. Perspectives on the Therapeutic Effects of Pelvic Floor Electrical Stimulation: A Systematic Review.International journal of environmental research and public health · 2022
    Pooled it
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  11. 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
    Article
  12. Research progress in female pelvic floor rehabilitation aids.Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2024
    Review
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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

5 authors at 2 institutions in 2 countries.

Silantyeva ElenaHospital Lapino (MD Medical Group), Moscow, Russia. Electronic address: essdoktor@yandex.ru.
Zarkovic DraganaFaculty of Physical Education and Sport, Department of Anatomy and Biomechanics, Charles University, Prague, Czech Republic.
Soldatskaia RaminaHospital Lapino (MD Medical Group), Moscow, Russia.
Astafeva EvgeniiaHospital Lapino (MD Medical Group), Moscow, Russia.
Mekan OrazovMedical Faculty, Department of Obstetrics and Gynecology, RUDN University, Moscow, Russia.
Česká Unie Sportu · CZRussian New University · RU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionImpaired coordination, relaxation, and atrophy of pelvic floor muscles (PFMs) may cause various health issues referred to as pelvic floor dysfunction (PFD). In recent years, electromagnetic noninvasive stimulation of the pelvic floor was successfully used to treat PFD symptoms.

aimThis study aims to compare the effectiveness of electrical and magnetic noninvasive stimulation for the treatment of PFD in postpartum women.

methods2 intervention groups treated with high-intensity focused electromagnetic ([HIFEM]; G1) procedure and electrical stimulation (G2) were established along with the control group (G3). Patients received 10 therapies delivered at the hospital (G1; 2-3 times per week) or self-administered at home (G2; every other day) after initial training. The protocol was identical for both modalities. Functionality of the PFM was examined by surface electromyography measurements (maximal voluntary contraction [MVC]; mean MVC; muscle activity at rest; endurance of contraction) while patient's subjective perception of pelvic floor functionality was assessed by Pelvic Floor Impact Questionnaire-Short Form 7 (PFIQ-7) standardized questionnaire. Changes in electromyography values and PFIQ-7 scores were statistically evaluated from baseline to after all treatments.

main outcome measureThe main outcome measure was enhancement of PFM activity.

resultsIn total, 95 patients (G1 = 50; G2 = 25; G3 = 20) participated in the study. The MVC, mean MVC, and endurance were lowered in symptomatic patients. After the treatments, these parameters significantly increased (P < .001) and moved toward the values of healthy population. Electrogenesis at relaxation revealed divergent tendencies in the G1 and G2 groups. PFIQ-7 scores significantly improved in treated patients (P < .001). In general, superior results were documented in the HIFEM group as it reached improvement of electromyography parameters from 48% to 59% (electrical stimulation from 7% to 36%) and similarly the improvement of PFIQ-7 score by 57% (electrical stimulation by 32%).

conclusionThis study documented that the HIFEM procedure was significantly more effective than electrical stimulation in treatment of PFD in postpartum women. Both the objective and subjective evaluation indicates more profound effects of magnetic stimulation. Elena S, Dragana Z, Ramina S, et al. Electromyographic Evaluation of the Pelvic Muscles Activity After High-Intensity Focused Electromagnetic Procedure and Electrical Stimulation in Women With Pelvic Floor Dysfunction. Sex Med 2020;8:282-289.

Indexed as

Electrical StimulationElectromyographyHIFEM ProcedurePelvic Floor DysfunctionPelvic Floor Muscles

Identifiers

PMID32146133
PMCPMC7261686
OpenAlexW3012098824

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.