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Virtual Reality for Urinary Incontinence in Women
Sponsor: Wroclaw University of Health and Sport Sciences
Summary
This assessor-blinded, non-randomized, parallel-group controlled study evaluated whether adding immersive virtual reality to pelvic floor muscle electrostimulation with electromyographic biofeedback improved incontinence-related quality of life in postmenopausal women with urinary incontinence. Participants received electrostimulation with EMG biofeedback alone or the same intervention preceded by a 20-minute immersive VR session.
Official title: Use of Virtual Reality in the Treatment of Various Types of Urinary Incontinence in Women
Key Details
Gender
FEMALE
Age Range
50 Years - 80 Years
Study Type
INTERVENTIONAL
Enrollment
40
Start Date
2025-07-15
Completion Date
2026-02-28
Last Updated
2026-07-24
Healthy Volunteers
No
Interventions
Immersive Virtual Reality Therapy
Eight approximately 20-minute immersive virtual reality sessions were administered over a 2-week period, with four sessions per week. The intervention was delivered using the VRTierOne system (Stolgraf®) immediately before pelvic floor muscle electrostimulation and EMG biofeedback. The virtual environment consisted of a gradually evolving therapeutic garden and included mandala-painting tasks and guided breathing exercises intended to support relaxation and engagement in the rehabilitation process. The VR system was not technically integrated with the EMG biofeedback device and did not provide real-time visualization of pelvic floor muscle activity.
Pelvic Floor Muscle Electrostimulation with EMG Biofeedback
Eight sessions of pelvic floor muscle electrostimulation followed by EMG biofeedback were delivered over 2 weeks (four sessions/week) using the NeuroTrac® MyoPlus 4 Pro and an individually assigned intravaginal probe. Stimulation consisted of symmetrical biphasic rectangular pulses at 50 Hz and 250 μs, with 5 seconds of stimulation, 10 seconds of rest, and 1-second ramp-up and ramp-down periods. Each electrostimulation session lasted 20 minutes. Intensity was increased to the highest comfortably tolerated level producing a visible or palpable pelvic floor muscle contraction. This was followed by approximately 5 minutes of EMG biofeedback training with real-time visualization of muscle activity.
Locations (1)
Independent Public Health Care Center of the Ministry of the Interior and Administration in Wrocław
Wroclaw, Lower Silesian Voivodeship, Poland