|

|
THE EFFECTS
OF 7 WEEKS OF INTRAVAGINAL INTERMITTENT LOW FREQUENCY ELECTRO STIMULATION
ON THE PELVIC MUSCLES OF THE UNAESTHETISED RAT.
|
|
| |
|
|
|
|
|
|
|
|
| |
|

|
Authors:
|

|
A. Poortmans - J.J. Wyndaele
|
|
| |
|
|
|
|
|
|
|
|
| |
|
|

|
Institution:
|

|
University Hospital Antwerp
Belgium
|
|
| |
|
|
|
|
|
|
|
|
| |
|
|
|
| |
|
|
|
|
|
|
|
|
| |
|
|
|
|
| |
|
|
|
|
|
|
|
|
| |
|
|
|
|
|
| |
|
|
|
|
|
|
|
|
Aims of
study
To investigate the effect of 7 weeks of intravaginal electrostimulation on the
pelvic muscles of the unanaesthetised rat.
Methods
The 'fast' pelvic muscles, pubococcygeus and iliococcygeus of the female rat
were studied. Ten Wistar rats (200 gr.) were caught in chicken wire. Stimulation
electrodes were introduced in the vagina with neutral gel and located under
the pubic symphysis. Five rats get electrostimulation daily, 3 times 6 minutes,
on/off 5/10, with 5 minutes rest between each period. This procedure was done
5 times a week for 7 weeks. A biphasic rectangular current of 400 µs, 25 Hz
and 2 - 4 mA was used. Five rats underwent the same procedure but did not receive
actual electrostimulation. Following evaluations were done = measurement of
the intrarectal pressure at start and after 7 weeks (a 1 cm flat balloon filled
with water till basic pressure 5 -15 cm H2O, connected to a membrane strain
gauge transducer). At week 7 the muscles were prepared with fluid nitrogen and
isopentane, cross sectioned at -25°C, air dried and processed for mATPase after
preincubation at pH4,2, 4,6 and 9,2. The number of different types of fibres
are counted under light microscope. The local Ethical Committee approved the
study.
Results
No pain reaction was noticed. Both groups showed an increase in intrarectal
pressure development during follow up in 4/5 rats due to growing of the muscles.
However in the stimulation group the pressure increase was stronger than in
the sham group. The number of type 1 fibres did not change. The type IIa increased
significantly in both iliococcygeus and pubococcygeus. The number of type IIb
decreased concordally. The capillary density in the stimulated group increased
very much. The body weight of all the rats increased with 36 to 52 gr. during
the experiments.
Conclusion
Our experiment shows that repeated stimulation at low frequency of the pelvic
floor muscles of the rat changes type 2B into 2A. Our results suggest an increase
in muscle strength but not convincingly.