scholarly journals Utilizing Synergism between the Transverse Abdominal and Pelvic Floor Muscles at Different Postures in Nulliparous Women: A Randomized Case-Control Study

2021 ◽  
pp. 1-8
Author(s):  
Tímea Molnár ◽  
Andrea Domján ◽  
Mónika Szűcs ◽  
Andrea Surányi ◽  
József Bódis
Keyword(s):  
Pelvic Floor ◽  
Muscle Activation ◽  
Pelvic Floor Muscle ◽  
The Body ◽  
Rank Test ◽  
Urinary Leakage ◽  
Nulliparous Women ◽  
Slow Twitch ◽  
Dynamic Endurance ◽  
And Control

<b><i>Introduction:</i></b> The aim of the study was to determine the effects of the pelvic floor muscle (PFM) training (PFM-T) in combination with transverse abdominal (TRA) muscle activation (cPFM-T) in female urinary incontinence. <b><i>Methods:</i></b> We enrolled nulliparous women in supine (SUG) (<i>n</i> = 22), sitting (SIG) (<i>n</i> = 19), and control (COG) (<i>n</i> = 14) groups. We conducted an 8-week cPFM-T programme. We examined the effect of training on the parameters with the Kruskal-Wallis test, the pairwise comparisons with the Mann-Whitney U test, and the Wilcoxon rank test with the Bonferroni correction. <b><i>Results:</i></b> Before training, 15 participants reported occasional urinary leakage. After cPFM-T, 7 participants reported that urinary leakage had disappeared. Maximal isometric contraction of the PFMs until fatigue improved significantly in the SUG (<i>p</i> &#x3c; 0.001) and SIG (<i>p</i> = 0.015) groups but not significantly in the COG group (<i>p</i> = 0.499). Holding time increased in the SUG (<i>p</i> = 0.972) and the SIG (<i>p</i> = 0.717) groups and decreased in the COG group (<i>p</i> = 0.132). The dynamic endurance of the PFM improved significantly in the SUG group (<i>p</i> &#x3c; 0.001) but not in the SIG (<i>p</i> = 0.798) and the COG (<i>p</i> = 0.153) groups. The number of maximal fast contractions within 1 min increased in both the SUG (<i>p</i> &#x3c; 0.001) and SIG (<i>p</i> = 0.813) groups and decreased in the COG group (<i>p</i> = 0.257). Relaxation improved significantly in the SIG group (<i>p</i> = 0.011). TRA mucle thickness increased in both training groups. <b><i>Conclusion:</i></b> Slow-twitch fibres of the PFM can be trained effectively with PFM-T in both the body positions.

scholarly journals Utilising Synergism Between the Transverse Abdominal and Pelvic Floor Muscles at Different Postures in Nulliparous Women: a Randomized Case Control Study

2021 ◽  
Author(s):  
Tímea Molnár ◽  
Andrea Domján ◽  
Mónika Szűcs ◽  
Andrea Surányi ◽  
József Bódis
Keyword(s):  
Pelvic Floor ◽  
Pelvic Floor Muscle ◽  
Abdominal Muscle ◽  
Pelvic Floor Muscles ◽  
The Body ◽  
Rank Test ◽  
Urinary Leakage ◽  
Nulliparous Women ◽  
Dynamic Endurance ◽  
And Control

Abstract Background: To determine the effects of the pelvic floor muscle training (PFM-T) in combination with transverse abdominal muscle (TRA) activation (cPFM-T) in female urinary incontinence.Methods: We enrolled nulliparous women in supine (SUG) (n = 22), sitting (SIG) (n = 19) and control (COG) (n = 14) groups. We performed the 8-week cPFM-T programme. We examined the effect of training on the parameters with the Kruskal–Wallis test, and the pairwise comparisons with the Mann-Whitney U-test and the Wilcoxon-rank test with the Bonferroni correction.Results: Before training, 15 participants reported occasional urinary leakage. After cPFM-T seven participants reported that urinary leakage had disappeared. Maximal isometric contraction of the pelvic floor muscles (PFM) until fatigue improved significantly in the SUG (p < 0.001) and SIG (p = 0.015) and not significantly in the COG (p = 0.499). Holding time increased in the SUG (p = 0.972) and the SIG (p = 0.717), and decreased in the COG (p = 0.132). The dynamic endurance of the PFM improved significantly in the SUG (p < 0.001), but not in the SIG (p = 0.798) and the COG (p = 0.153). The number of maximal fast contractions within 1 minute increased in both the SUG (p < 0.001) and the SIG (p=0.813) and decreased in the COG (p = 0.257). Relaxation improved significantly in the SIG (p = 0.011). TRA thickness increased in both training groups.Conclusions: Slow-twitch fibres of the PFM can be trained effectively with PFM-T in both the body positions.Trial registration: This study was registered in the Hungarian National Healthcare Service Center: 019234/2014/OTIG Registered 07 April 2014 modification: 096623-002/2015/OTIG Registered 11 November 2015 https://www.aeek.huThe study was retrospectively registered in ClincalTrials.gov NCT04577872 Registered 22 September 2020. https:// https://clinicaltrials.gov

Pelvic floor muscle activation in stress urinary incontinent women: Impact of a distraction task

2019 ◽  
Vol 38 (3) ◽  
pp. 950-957
Author(s):  
Pauline Dewaele ◽  
Xavier Deffieux ◽  
Anne Villot ◽  
Gérard Amarenco ◽  
Sylvie Billecocq ◽  
...  
Keyword(s):  
Pelvic Floor ◽  
Muscle Activation ◽  
Pelvic Floor Muscle ◽  
Distraction Task

Pelvic floor muscle function and EMG in nulliparous women of different ages: a cross-sectional study

Climacteric ◽  
2018 ◽  
Vol 21 (5) ◽  
pp. 462-466 ◽  
Author(s):  
D. A. S. Bocardi ◽  
V. S. Pereira-Baldon ◽  
C. H. J. Ferreira ◽  
M. A. Avila ◽  
A. C. S. Beleza ◽  
...  
Keyword(s):  
Pelvic Floor ◽  
Muscle Function ◽  
Pelvic Floor Muscle ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Pelvic Floor Muscle Function ◽  
Nulliparous Women ◽  
Different Ages

Assessment of the strength of the pelvic floor musculature in women who practice Mat Pilates.

2014 ◽  
Vol 12 ◽  
pp. 178
Author(s):  
Marklana Da Frota Diniz ◽  
Thiago Brasileiro De Vasconcelos ◽  
Juliana Lerche Vieira Rocha Pires ◽  
Marineide Meireles Nogueira ◽  
Giselle Notini Arcanjo
Keyword(s):  
Muscle Strength ◽  
Pelvic Floor ◽  
Pelvic Floor Muscle ◽  
The Body ◽  
Abdominal Muscles ◽  
Character Study ◽  
Before And After ◽  
Pilates Method ◽  
Types Of Muscle Fibers

Introduction: The Pilates Method is a program of physical and mental training that works the body as a whole, aiming to gain muscle strength, mainly at the central region formed by the abdominal muscles, spine and pelvic floor, and to promote stretching and flexibility. Objective: To investigate the effects of this technique in the pelvic floor muscle activity, noting the type of fiber was more work during the practice of this activities in soil (Mat Pilates). Method: It was a character study of interventional, observational, descriptive, conducted during the months from March to May 2011, in which six women aged between 35 and 65 years, who underwent Mat Pilates classes twice a week, was rated the strength of pelvic floor, by Perina®perineometer pressure before and after the eight classes. Results: It was observed that all the volunteers had gained in strength in both types of muscle fibers, and 84% (p < 0.05) had greater gain in type 2 fibers. Conclusion: The Mat Pilates to increase the influence of the pelvic floor muscle strength it and can be used to prevent dysfunctions dysfunction of these muscles.

Pelvic floor muscle strength in primigravidae and non-pregnant nulliparous women: a comparative study

2016 ◽  
Vol 28 (1) ◽  
pp. 131-137 ◽  
Author(s):  
Vanessa P. Palmezoni ◽  
Marília D. Santos ◽  
Janser M. Pereira ◽  
Bruno T. Bernardes ◽  
Vanessa S. Pereira-Baldon ◽  
...  
Keyword(s):  
Muscle Strength ◽  
Comparative Study ◽  
Pelvic Floor ◽  
Pelvic Floor Muscle ◽  
Pelvic Floor Muscle Strength ◽  
Nulliparous Women

scholarly journals Effect of Surface Electrical Stimulation in a Seated Position on Pelvic Floor Muscle Functions, Urinary Leakage, and Quality of Life in Women With Stress Urinary Incontinence

2020 ◽  
Author(s):  
Ui-jae Hwang ◽  
Min-seok Lee ◽  
Sung-hoon Jung ◽  
Young-shin Kim ◽  
Oh-yun Kwon
Keyword(s):  
Quality Of Life ◽  
Urinary Incontinence ◽  
Electrical Stimulation ◽  
Stress Urinary Incontinence ◽  
Pelvic Floor ◽  
Pelvic Floor Muscle ◽  
Control Group ◽  
Urinary Leakage ◽  
Effect Of Surface

Abstract BackgroundThe aim of this study was to demonstrate the effect of surface electrical stimulation in a seated position (SESSP), as pelvic floor muscle (PFM) training, on PFM functions (time to reach maximal pressure [TRMP], muscle strength, power and endurance), urinary leakage and quality of life in patients with stress urinary incontinence (SUI). MethodsWomen with SUI were randomized into an SESSP group (n = 18) or control group (n = 18). Quality of life were assessed by the Incontinence Quality of Life Questionnaire (I-QOL). Ultra-short pad test results and PFM functions were measured by perineometer. Changes in the outcomes were assessed before and 8 weeks after SESSP training. ResultsThirty-three participants were included in the analysis. There were significant differences in I-QOL (avoidance and limiting behaviors, psychosocial impacts, social embarrassment and total score) in between (SESSP vs. control group) and within (pre vs. post) group analyses. Significant increases in PFM strength, power, and endurance, and significant decreases in the TRMP and pad weight, were observed between (SESSP vs. control group) and within (pre vs. post) groups. ConclusionSESSP in a seated position can be recommended to improve QOL, urinary leakage, and PFM functions in SUI patients.Trial registrationCurrent Controlled Trials KCT0003357 (the date of registration: 2018.11.16) and retrospectively registered

scholarly journals Efficacy of Pelvic Floor Muscle Training and Cough-suppression Therapy to Reduce Urinary Incontinence in Women With Chronic Obstructive Pulmonary Disease – a Randomised Controlled Study

2021 ◽  
Author(s):  
Stacey Haukeland-Parker ◽  
Bente Frisk ◽  
Martijn A Spruit ◽  
Signe Nilssen Stafne ◽  
Hege Hølmo Johannessen
Keyword(s):  
Pelvic Floor ◽  
Pelvic Floor Muscle Training ◽  
Pelvic Floor Muscle ◽  
Controlled Study ◽  
Chronic Obstructive ◽  
Obstructive Pulmonary Disease ◽  
Randomised Controlled Study ◽  
Randomised Controlled ◽  
And Control

Abstract BackgroundLittle is known regarding treatment of urinary incontinence (UI) in women with chronic obstructive pulmonary disease (COPD). The aim of the study was to explore the efficacy of pelvic floor muscle training (PFMT) or cough-suppression techniques (CST) on UI in women with COPD.MethodsA three armed, two centred, single blinded, randomised controlled study was performed. Subjects were randomised to a) PFMT for 16 weeks, b) 2-3 educational sessions in CST, or c) written information only. All participants completed questionnaires about UI, cough symptoms and health status, and underwent clinical examinations to evaluate strength of the pelvic floor muscles and exercise capacity. Daily physical activity levels were measured using an activity monitor, and lung function with spirometry. With a significance level of 5% and an 80% chance of detecting a significant difference between groups of 2.5 points on the ICIQ UI SF score, our sample size calculation showed that a total of 78 women, 26 in each group, was required to complete the study. ResultsDuring the period 2016 to 2018, 95 women were invited to the study. A total of 42 were recruited, 3 were excluded and 10 (24%) dropped out during the follow-up period. Mean ICIQ-UI SF total baseline score was 9.6 (range: 1-17) and 7.0 (range: 0-16) at follow up. Significant changes in subjective UI as measured with the ICIQ-UI SF questionnaire were seen in the PFMT group (p=0.03) and control group (p=0.02), but not in the CST group (p=0.46).Conclusionue to the low number of available participants and recruitment difficulties including practical issues such as travel distance, lack of interest, poor state of health and high number of comorbidities, our results are inconclusive. However, reduced subjective UI was observed in the PFMT and control groups with a trend towards best effect in the PFMT group. Screening for UI is advisable in all women with COPD to be able to identify and treat these women to reduce symptom burden and improve quality of life. Future studies should focus on barriers to recruitment as well as randomised controlled studies with larger sample sizes. Trial registrationThe study is registered on ClinicalTrials.gov (NCT02614105).

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