Wii games versus transcutaneous electrical nerve stimulation on pelvic floor tension myalgia
Mohamed Ahmed Ali Elsaid Elhwary, Dr. Samah Hosney Nagib, Dr. Asmaa Fawzy El-Sayed, Dr. Khoweiled Abdelhalim
Background: Levator Ani Syndrome has been described as a chronic Charlie-horse up inside the pelvis? but it is also known by a few other names; rectal spasm, levator spasm, puborectalis syndrome, chronic proctalgia, proctodynia, coccygodynia, pyriformis syndrome, proctalgia fugax, chronic anal pain syndrome and pelvic tension myalgia. Levator Ani Syndrome consists of pain, pressure, and discomfort in the region of the rectum, sacrum, and coccyx, which appears to be aggravated by sitting. The levator ani is a broad, thin muscle inside the pelvis that tightens and relaxes to aid in number of bodily functions, including bowel movements Objective: The purpose of the study is to compere between the therapeutic efficacy of Wii games and transcutaneous electrical nerve stimulation on pelvic floor tension myalgia. Subjects: 30 adult male patients, their age range from 20-35 years, subjects were classified to 2 groups Group A: 15 patients received Acupuncture TENS treatment: Group B: 15 patients received Wii GAMES treatment. Methods: pain intensity measured by visual analogue scale and Perineometry (Neen Peritone) Results: The results of this study showed a significant decrease in pain level and significant decreased in pelvic floor muscle tone after four months of treatment application (post-treatment) of study group when compared with the corresponding value before treatment application (pre-treatment). Furthermore, the results of the study revealed non-significant difference between both groups pre-treatment or after treatment regarding pain or pelvic floor muscle tone main values. Therefore the results of current study showed that there was a significant improvement in both groups. This confirms the effectiveness of, TENS and Wii Fit training as therapeutic modality to decrease pain and pelvic floor muscle tone, so that enhancing treatment of pelvic floor tension myalgia. Conclusion: The results of current study showed that acupuncture like TENS and Wii fit training, for 4 months, is an effective physical therapy modalities in treatment of pelvic floor tension myalgia through decreasing pelvic pain and decreasing pelvic floor muscle spasm, with no statistically significant difference between the two modalities.