Electrical Stimulation

Journal/Book: Schüssler B. Laycock J. Norton P. Stanton S. (Eds). Pelvic Floor Re-education. Principles and Practise. Springer Verlag London (1994) S. 143 - 153. 1994;

Abstract: Introduction Electrical stimulation is important for successful pelvic floor re-education in many cases. A variety of different techniques are recommended either in isolation or as an adjunct to pelvic floor exercises. The decision of which to use seems to be empirical not always based on logical reasoning. It is the aim of this chapter to explain electrical stimulation on the basis of underlying physiology and the newcomer to this field is provided with the knowledge needed to decide on the most appropriate technique. History The effect of an electric current on the body is no new phenomenon. Early civilisations described the shock-producing elements of the environment such as electric fish and rubbed amber. (Benton et al. 1981) but the first recorded use of electrotherapy in medical practice is ascribed to Scribonius Largus in AD 46 in Compositones Medicae for the treatment of gout and headache. Thirty years later Dioscorides described the use of a live electric fish in the treatment of prolapsus ani (Kelloway 1947). This must surely have been the forerunner of modern electrotherapy for weakened pelvic floor muscles. A derivation of the Latin word amber electrica came into use in 1600 and it was shown to move limbs and produce a tingling sensation. In spite of convincing testimonials of the therapeutic value of electric shocks it was not until 1791 that published reports linked muscle ... hl

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