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Application Observation Study
FrauenPUNKT clinic, Dr. Andrea Muller Reid
16 Patients with Stress Urinary Incontinence (SUI)
A documented observation study was carried out in the Swiss Gynecology- Obstetric practice of „FrauenPUNKT” (based in Altdorf, next to the Uri Cantonal Hospital). The observation study was carried out for a duration of 6 months on 16 female test persons who were diagnosed with Stress Urinary Incontinence (WI) and who were treated with the QRS Pelvicenter. The average age of the subjects was around 50 years of age. The study was carried out under clinical conditions and was supervised by a study management team. The result of the study, which was surprising and at the same time convincing to all parties, is that there was a 92% remission rate.
Interview with the management of the „FrauenPUNKT" women's practice
Dr Andrea Müller Reid und Herr Lawrence Reid are the managing directors of the renowned women’s practise FrauenPUNKT They were kindly available to talk to us about the results of the observation study and their experiences The interview took place on July 1, 2020 in the women’s practise of Dr. Müller Reid. The questions in this interview are asked by Mr Michael Gfrerer, the rPMS expen from QRS Intemational A G.
Question:
Dr Müller Reid, you were one of the first Swiss gynecology specialists who has invested in a rPMS system. May I ask you how satisfied you are with the system in treating Pelvic Floor Disorders?
Dr. Andrea Müller Reid:
We started using the system in October last year. First we focused on treating patients with Stress Urinary Incontinence. We are very satisfied with the various applications of the system and also we are extremely satisfied with the results of the therapy
Question:
In addition to the formal Observation Study, you have monitored yourself the effectiveness of the Therapy on the 30 patients that you have treated. How satisfied are you with the results?
Dr. Andrea Müller Reid:
We treated about 30 patients, 16 of which were suffering from stress urinary incontinence. For those patients we realized a remission in 92% of the cases. This is a great success for us We were expecting a success rate of only 75%, so we are of course very satisfied.
Michael Gfrerer:
Wonderful; the result speaks for itself.
Dr. Andrea Müller Reid:
Yes, definitely!
Question:
Based on the good results that you have realized, are you recommending the therapy for all patients suffering from Stress Urinary Incontinence?
Dr. Andrea Müller Reid:
We highly recommend the therapy Please note also that our long term results — we have been following our patients for a 6 month period — are extremely satisfactory I think the rPMS therapy must be the first line therapy option before considering any other treatment options.
Question:
What is your experience in relation to patient compliance? Were your patients satisfied with the Therapy method?
Dr. Andrea Müller Reid:
Very satisfied. Our experience is very clear. All our patients keep the appointments and complete all the required therapy sessions because they notice that something is happening. It is clearly a good therapy that brings something to the patients and that it is important for them.
Question:
Mr. Reid, you are a certified pelvic floor physiotherapist in FrauenPunkt clinic and you support Dr. Muller Reid with the pelvic floor muscle therapy. You were the main responsible for carrying out the Application Observation Study.
Lawrence Reid:
We started the study on October 1 , 2019 Now we are at the beginning of July 2020. During this period we treated about 30 patients and recorded the details of each individual therapy session. About half of these 30 patients were suffering from Stress Urinary Incontinence.
Question:
Mr Reid, you have supported your wife Dr Müller Reid in the project of investing in a rPMS system. You have carried out market research and have decided to invest in the QRS Pelvicenter
Lawrence Reid:
Dr Müller Reid had first tried the Therapy two years ago. She showed serious interest in introducing the therapy in her clinic We then looked at different suppliers. The decision in favor of the QRS PelviCenter was largely based on the intensity reach of the therapy. For us It was quite clear that we needed the high intensities that QRS-PelviCenter is offering in order to realize good results for our patients.
Question:
The high performance of the QRS PelviCenter is also necessary so that also obese patients can be treated effectively
Lawrence Reid:
I would say that around a quarter to a third of our patients suffer from obesity. This means that already in our first therapy sessions we need to give therapy using high intensities. Only with the high intensities of QRS PelviCenter is it possible to have a muscle training which reaches deep into the pelvic floor. We are therefore very happy that we have the PelviCenter in our clinic and we also use it on a regular basis
Michael Gfrerer:
We thank you for your time and we wish you a lot of success with the QRS Pelvicenter_
plevicenter old data
Muscle training for a strong pelvic floor
The QRS 1010 Pelvicenter — a.k.a. the magnetic chair — is a non-invasive form of pelvic floor treatment that aims to restore and strengthen the pelvic floor muscles. The patient is not required to participate actively in muscle training.
The family of procedures is known as PMS (pulsed magnetic stimulation) or RPMS (repetitive peripheral magnetic stimulation). When used to treat the pelvic floor, the PMS procedure is known as TPM (transpelvic magnetic stimulation). High-intensity, pulsed signals are used to control the muscles in the pelvic floor and the adjacent body core and thigh muscles. The muscle fibres are rhythmically contracted and relaxed without any conscious effort by the patient.
Description of the procedure
The effects of QRS Pelvicenter technology are comparable to those induced by TENS/EMS. But PMS, i.e. RPMS, is a substantially more complex procedure from a technical perspective. The induction of current flow through the nerves that control the muscles causes the muscles to contract. The benefits compared to electrical nerve stimulation are firstly that the procedure does not cause painful sensitivity of the skin and secondly that the biological field of action of the Pelvicenter penetrates far deeper into the tissue.
The following diagram shows the extent of the field of action when the Pelvicenter is running at 60% device output. The effective penetration depth at 60% device output is approx. 120 mm. At higher settings, the effective penetration depth rises to as much as 150 mm. The breadth of stimulation is approx. 400 mm at 100% device output.
The pelvic floor muscles are contracted several thousand times during a 15 to 20-minute therapy session on the QRS Pelvicenter. Hence, the effects of pelvic floor training with the Pelvicenter are incomparably higher than even the best possible results of classic pelvic floor training. A more effective and simultaneously more comfortable therapeutic procedure than Pelvicenter muscle stimulation to reactivate weakened pelvic floor muscles simply does not exist.
Who Is the patient?
Potential patients include women who have recently given birth and are determined to reduce susceptibility to urinary incontinence later in life, as well as older women with bladder weakness who refused to undergo invasive urological surgery or for whom more traditional measures are more difficult to implement.
RPMS is also suitable for patients experiencing urinary incontinence after a radical prostatectomy. Erectile dysfunction is another important application area. Most cases of erectile dysfunction are caused by impaired venous drainage or by reorganisation processes in the cavemous bodies of the penis (fibrosation). RPMS therapy provides a transparent treatment model in both cases.
Comparison with classic pelvic floor training
The University of Vienna conducted a study (Aug. 2015) with 73 Nursing home residents to compare Pelvicenter training with classic pelvic floor training. 39 people took part in the pelvic floor training, while 42 were included in the Pelvicenter group. The forms of urinary incontinence were mixed incontinence and stress incontinence; the average age was approximately 80
Besides the therapy outcome, subjective perceptions of both therapy methods were also compared. The conclusions drawn by the study organiser indicate that classic pelvic floor training, applied in a consistent form with expert guidance, can achieve outcomes that are similar to technology-assisted therapy using the Pelvicenter. “Overall, however, it is evident that pelvic floor training is only suitable for a small proportion of residents in long-term care facilities, while Pelvicenter training is a conceivable and feasible form of treatment for persons with both mobility restrictions and cognitive impairments. In consequence, a significantly larger number of older citizens would receive access to appropriate and effective incontinence therapy.”
The results of the aforementioned study reflect the outcomes of all other studies and observations on this subject. The Pelvicenter group is significantly more satisfied with therapy than is the pelvic floor training group. Pelvicenter: Alleviation of urinary incontinence symptoms; significant reduction in the urge to urinate; improvement in individual well-being Pelvic floor training: difficult to apply independently; moderate therapeutic success.
Additional beneficial effects
The Pelvicenter affects the whole body core. Therefore, not only does the therapy train the pelvic floor muscles, it also activates the muscles in the lower abdomen and back, the buttocks, thighs and the (dorsal) layer of the rear hip muscles. Physical exercise is the only other way of achieving these effects. Pelvicenter training therefore has an extremely positive influence on the entire coordination of the supporting apparatus.
Frequency settings above 35 Hz release adhered fascia, above all in the lumbar region (loin area) as well as in the gluteus maximus and medius (lumbago muscles). The high frequencies can even counteract muscle hardening and trapped nerves within the field of action.
Benefits for the operator
In many cases it is difficult to conduct classic pelvic floor training with the patient. It is common to encounter patients displaying a reluctance to cooperate or poor discipline when attempting to comply with the prescribed training regime in home settings.
The QRS Pelvicenter radically changes this situation. The attending physician or therapist can directly control therapeutic success, instead of being forced to rely on unpredictable patient discipline or willingness to comply.
Benefits for the patient
The patient takes a seat in the QRS Pelvicenter and can feel the muscles working without experiencing any pain. The patient is not required to do anything. In this way they can do nothing wrong. Patients are not required to undress, and can complete the therapy sessions in their everyday clothes.
Predictable duration of treatment
2-3 therapy sessions of 15-20 minutes are recommended per week. A positive therapy outcome requires 10 to 20 treatments. But the targeted medical strengthening therapy of the pelvic floor musculature ensures that many patients observe a noticeable alleviation of symptoms after just a few sessions.
Prospects of success
Trials and observation studies have demonstrated extremely high patient satisfaction, in addition to an excellent responder result. Assuming the problems are caused by weakened pelvic floor muscles, it is reasonable to assume that a significant improvement or complete alleviation of symptoms will occur.
The analytical data was provided by commercial Pelvicenter users in a variety of countries. The average age was 58.5, and all the individuals studied were female. The indication in all cases was stress incontinence. The therapeutic frequency was 3 sessions per week. The duration of therapy was 10 sessions in one case, 16 sessions in four cases, 20 sessions in two cases and 24 sessions in three cases. A reduction in UI severity by at least one grade was achieved for all patients. Therapeutic success and progress were higher in the first 10 to 16 sessions than in the following treatments.
Available data
The available data is unequivocal with regard to the treatment of urinary incontinence. The mean success rate is approximately 70%. There are currently three studies available, in addition to our own observation studies.
For an overview of the studies, visit the page >Research >Studies. We will gladly send you a copy of the original study upon request. To obtain your copy, send an email to Info@qrswave.com and enclose legitimisation credentials with your message.
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