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August 22, 2026Journal of Clinical MedicineOpen Access

Ultrasound-Based Biofeedback for Pelvic Floor Rehabilitation: A Systematic Review of Randomized Controlled Trials

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Authors

CGCésar Garrido-FernándezECEva María Lantarón CaeiroIEIsabel Escobio-Prieto

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Overview

Systematic review finds ultrasound biofeedback lacks consistent clinical superiority over standard pelvic floor physiotherapy in women, suggesting limited evidence for routine use.

Key Points

  • To evaluate the effectiveness of ultrasound as a visual biofeedback tool in physiotherapeutic interventions for pelvic floor dysfunctions across diverse populations.
  • Conducted a systematic review (PROSPERO CRD420261278982) following PRISMA guidelines across PubMed, Web of Science, Scopus, Medline, and PEDro from February to March 2025.
  • Identified randomized controlled trials assessing ultrasound biofeedback in physiotherapy, appraising study quality with the PEDro scale and risk of bias with RoB 2.
  • Synthesized data from 2 randomized controlled trials comprising a total of 75 women.
  • In older women with urinary incontinence, transabdominal ultrasound biofeedback showed a significant within-group reduction in leakage episodes but was not superior to vaginal palpation feedback for leakage volume, frequency, or quality of life.
  • In postpartum women with pelvic girdle pain, ultrasound-guided biofeedback with exercise reduced pain and disability compared with education alone, but did not consistently outperform exercise alone or improve pelvic floor muscle contractility.
  • Evidence certainty was rated low to very low due to small sample sizes (N=75), clinical heterogeneity, and diverse outcome measures.

Cite This Study

Garrido-Fernández et al. (2026) studied this question.

synapsesocial.com/papers/6a895ed9ca7ade938187d035https://doi.org/10.3390/jcm15166422
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