Assessment of the strength and electrical activity of the pelvic floor muscles of male‐to‐female transgender patients submitted to gender‐affirming surgery: A case series

2021 ◽  
Author(s):  
Marina Hazin ◽  
Caroline W. S. Ferreira ◽  
Rogerson Andrade ◽  
Eduarda Moretti ◽  
Dayana R. Silva ◽  
...  
Keyword(s):  
Pelvic Floor ◽  
Electrical Activity ◽  
Case Series ◽  
Pelvic Floor Muscles ◽  
Male To Female

scholarly journals 477: Electrical activity of uterine, abdominal and pelvic floor muscles during human parturition

2020 ◽  
Vol 222 (1) ◽  
pp. S312-S313
Author(s):  
Kendra M. Gray ◽  
Roman Starikov ◽  
Malini Chauhan ◽  
Lelan Dao McCann ◽  
Robert Garfield
Keyword(s):  
Pelvic Floor ◽  
Electrical Activity ◽  
Pelvic Floor Muscles ◽  
Human Parturition

scholarly journals Distensibility and Strength of the Pelvic Floor Muscles of Women in the Third Trimester of Pregnancy

2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
Carla Dellabarba Petricelli ◽  
Ana Paula Magalhães Resende ◽  
Julio Elito Júnior ◽  
Edward Araujo Júnior ◽  
Sandra Maria Alexandre ◽  
...  
Keyword(s):  
Pelvic Floor ◽  
Electrical Activity ◽  
Maternal Age ◽  
Surface Emg ◽  
Voluntary Contraction ◽  
Pelvic Floor Muscles ◽  
Third Trimester ◽  
The Third ◽  
Nulliparous Women ◽  
Multiparous Women

Objective.The objective of this study was to compare the role of the pelvic floor muscles between nulliparous and multiparous women in the third trimester of pregnancy, by analyzing the relationship between electrical activity (surface electromyography—EMG), vaginal palpation (modified Oxford scale), and perineal distensibility (Epi-no).Methods.This was an observational cross-sectional study on a sample of 60 healthy pregnant women with no cervical dilation, single fetus, gestational age between 35 and 40 weeks, and maternal age ranging from 15 to 40 years. The methods used were bidigital palpation (modified Oxford scale, graded 0–5), surface EMG (electrical activity during maximal voluntary contraction), and perineal distensibility (Epi-no device). The Pearson correlation coefficient (r) was used to analyze the Epi-no values and the surface EMG findings. The Kruskal-Wallis test was used to compare the median values from surface EMG and Epi-no, using the modified Oxford scale scores.Results.Among the 60 patients included in this study, 30 were nulliparous and 30 multiparous. The average maternal age and gestational age were 26.06 (±5.58) and 36.56 (±1.23), respectively. It was observed that nulliparous women had both higher perineal muscle strength (2.53 ± 0.57versus2.06 ± 0.64;P = 0.005) and higher electrical activity (45.35 ± 12.24 μV versus35.79 ± 11.66 μV;P = 0.003), while among the multiparous women, distensibility was higher (19.39 ± 1.92versus18.05 ± 2.14;P = 0.013). We observed that there was no correlation between perineal distensibility and electrical activity during maximal voluntary contraction (r = -0.193;P = 0.140). However, we found a positive relationship between vaginal palpation and surface electromyography (P = 0.008), but none between Epi-no values (P = 0.785).Conclusion.The electrical activity and muscle strength of the pelvic floor muscles of the multiparous women were damaged, in relation to the nulliparous women, while the perineal distensibility was lower in the latter group. There was a positive relationship between surface EMG and the modified Oxford scale.

scholarly journals URINARY INCONTINENCE AND EXERCISE: KINESIOLOGICAL DESCRIPTION OF AN INTERVENTION PROPOSAL

2019 ◽  
Vol 25 (5) ◽  
pp. 409-412
Author(s):  
Aletha Silva Caetano ◽  
Frank Shiguemitsu Suzuki ◽  
Maria Helena Baena de Moraes Lopes
Keyword(s):  
Physical Activity ◽  
Urinary Incontinence ◽  
Pelvic Floor ◽  
Case Series ◽  
Pelvic Floor Muscles ◽  
Level Of Evidence ◽  
Treatment And Prevention ◽  
Education Professional ◽  
Resistance Exercises ◽  
New Strategy

ABSTRACT Introduction Research shows that symptoms of urinary incontinence are common among women who engage in physical activity. Objective To conduct a kinesiological analysis of specific exercises for the pelvic floor muscles (PFM), proposing correspondences of these postures through resistance exercises. Methods This research project is of a descriptive nature with level of evidence V. Videos and photos were taken to obtain an image for the collection of data based on the accomplishment of the specific postures. Results The kinesiological study revealed that the muscles involved in the postures of exercises targeting the prevention of urinary incontinence beyond those specific to the pelvic floor were: trunk flexors; spinal erector; adductors and hip extensors. The resistance exercises corresponding to these positions in bodybuilding apparatus were the machine hack squat; sitting adductor exercises; sitting abductor exercises; the smith machine squat and the free squat or machine squat. Conclusion This study showed that it is possible to construct correspondence between exercises for the pelvic floor muscles and resistance exercises with bodybuilding equipment and free weights. A new strategy is suggested for the physical education professional, based on resistance exercises: taking a coadjuvant approach to the treatment and prevention of urinary incontinence during physical and sports exercises. Level of evidence V, Case series.

scholarly journals Occurrence of urinary incontinence and function of pelvic floor muscles in athletes: a case series

2017 ◽  
Vol 25 (2) ◽  
pp. 29-32
Author(s):  
Bruna de Sousa Paganini ◽  
Franciele da Silva Pereira ◽  
Karoline Sousa Scarabelot ◽  
Janeisa Franck Virtuoso
Keyword(s):  
Urinary Incontinence ◽  
Pelvic Floor ◽  
Case Series ◽  
Pelvic Floor Muscles ◽  
And Function

scholarly journals Episiotomy: the biomechanical impact of multiple small incisions during a normal vaginal delivery

2019 ◽  
Vol 9 (5) ◽  
pp. 20190027 ◽  
Author(s):  
Dulce Oliveira ◽  
Maria Vila Pouca ◽  
João Ferreira ◽  
Teresa Mascarenhas
Keyword(s):  
Pelvic Floor ◽  
Pelvic Floor Dysfunction ◽  
Levator Ani ◽  
Symphysis Pubis ◽  
Pelvic Floor Muscles ◽  
Point Of View ◽  
Normal Vaginal Delivery ◽  
Tissue Integrity ◽  
Levator Trauma ◽  
Reaction Forces

Childbirth-related injuries are one of the main causes of pelvic floor dysfunction. To attempt to avoid serious tears during delivery, an episiotomy can be performed. In this study, we intended to investigate the biomechanical performance of the pelvic floor muscles after performing different episiotomies using a physics-based computational model which includes the pelvic floor muscles and the fetus. Previous biomechanical studies have analysed the mechanical effects of single incisions of different lengths; in this study, we intend to analyse the implications of multiple small incisions, evaluating the reaction forces, the stress on the muscles and the loss of tissue integrity sustained by the pelvic floor. The obtained results predict that an episiotomy delivery reduces the likelihood of macroscopic levator trauma by decreasing the stress on the region of insertion of the rectal area of the levator ani in the symphysis pubis . From the mechanical point of view, multiple incisions do not bring benefits compared to larger incisions. However, nothing can be ascertained about the clinical benefit of such an approach.

scholarly journals Repair of the middle and posterior compartments of the pelvic floor via perineal and vaginal routes without the use of mesh - technique description and case series

2020 ◽  
Vol 40 (4) ◽  
pp. 345-351
Author(s):  
Raquel Ferreira Nogueira ◽  
Renata Soares Paolinelli Botinha Macedo ◽  
Sinara Mônica de Oliveira Leite
Keyword(s):  
Pelvic Floor ◽  
Case Series ◽  
Mesh Technique
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