International Journal of Clinical Case Reports, 2025, Vol.15, No.2, 52-58 http://medscipublisher.com/index.php/ijccr 56 appointment-based services, and providing online treatment guidance (for applicable home-based training programs) could facilitate patient adherence (Dou et al., 2025; Ren et al., 2024). 4.2 Pregnancy weight gain as a risk factor for pelvic floor electrophysiology scores The study findings indicated that increased pregnancy weight gain was associated with lower pelvic floor electrophysiology scores, which aligns with previous research (Huang et al., 2022). This association may be explained by the sustained pressure exerted on the pelvic floor muscles due to excessive weight gain, leading to prolonged overstretching. Such prolonged overstretching disrupts the structural integrity and elasticity of pelvic floor muscle fibers, impairing muscle contraction function and causing abnormal electrophysiological activity, ultimately reflected as lower scores in electrophysiological assessments. Additionally, hormonal changes during pregnancy influence pelvic floor muscle remodeling. For instance, increased relaxin secretion facilitates pelvic joint relaxation to aid fetal delivery. However, these hormonal changes also impact the metabolic and remodeling processes of pelvic floor tissues (Wang et al., 2022). Under excessive weight gain, pelvic floor muscles not only endure mechanical stress but also undergo structural changes mediated by hormonal fluctuations, further compromising their functional integrity and altering electrophysiological properties, thereby negatively affecting electrophysiology scores. Excessive pregnancy weight gain is also linked to complications such as gestational diabetes and hypertension. These conditions can impact maternal metabolism and blood circulation, indirectly affecting pelvic floor muscle nutrition and neuromuscular regulation. For example, diabetes-related neuropathy may impair nerve innervation of the pelvic floor muscles, disrupting electrical signal conduction and leading to decreased electrophysiological scores. Similarly, hypertension-induced vascular dysfunction may reduce blood perfusion to the pelvic floor muscles, impairing their physiological function and electrical activity. The U.S. Preventive Services Task Force (2021) recommends effective behavioral counseling and interventions for pregnant women, including personalized diet and exercise plans, regular follow-up and monitoring, and multidisciplinary collaboration. Implementing comprehensive pregnancy weight management strategies is crucial for promoting maternal and infant health. 4.3 Compliance with pelvic floor electrical stimulation combined with biofeedback therapy as a protective factor for pelvic floor electrophysiology The multivariate linear regression analysis results demonstrated that compliance with pelvic floor electrical stimulation combined with biofeedback therapy is a significant influencing factor of pelvic floor electrophysiology, independently accounting for 9.4% of the variance. This finding is consistent with previous studies (Bayat et al., 2021; Corona-González et al., 2023), which reported that adherence to pelvic floor muscle training effectively improves pelvic floor function. Good compliance facilitates the repair and regeneration of pelvic floor tissues following injury. Electrical stimulation promotes the proliferation and differentiation of pelvic floor muscle cells, increasing muscle fiber quantity and cross-sectional area, thereby enhancing muscle structure and function. Concurrently, biofeedback training optimizes pelvic floor muscle movement patterns, reducing muscle fatigue and injury while creating a favorable mechanical and physiological environment for tissue repair and regeneration. These mechanisms ultimately improve pelvic floor electrophysiology, leading to higher electrophysiological scores (Jaffar et al., 2022). Pelvic floor training systems include mobile applications, wearable devices, and online health management platforms. However, these e-health systems often suffer from poor usability, unfriendly interfaces, lack of scientific and engaging content, low involvement of healthcare professionals, and the inability to provide timely feedback and guidance on patient-uploaded data, all of which contribute to poor compliance (Latorre et al., 2019). Therefore, there is an urgent need to analyze the strengths and limitations of existing e-health systems in enhancing compliance with pelvic floor training. A comparative assessment of different system types should be
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