scholarly journals Relationship between transversus abdominis muscle thickness and urinary incontinence in females at 2 months postpartum

2019 ◽  
Vol 31 (1) ◽  
pp. 108-111 ◽  
Author(s):  
Sachiko Madokoro ◽  
Hiroichi Miaki
Author(s):  
Bartlomiej Burzynski ◽  
Tomasz Jurys ◽  
Michalina Knapik ◽  
Kamil Burzynski ◽  
Paweł Rzymski ◽  
...  

IntroductionThis study is designed to assess the percentage share of musculus obliquus externus abdominis, musculus obliquus internus abdominis and musculus transversus abdominis activity among women with stress urinary incontinence using ultrasonography.Material and methodsMaterial and methods: The study is a retrospective analysis of prospective collected data of 84 women aged 23-62 years old. In the study group are women suffering from grade 1 or 2 stress urinary incontinence according to the Stamey classification, the control group consists of women with no micturition disorders. The abdominal muscles activity was measured by using the ultrasound imaging with assessment of muscle thickness.ResultsThe analysis of musculus obliquus externus abdominis in anterolateral abdominal wall activity shows a statistically significant difference between study and control group concerning isometric tension of abdominal muscles (p=0,012) and lower part of abdomen tension (p=0,004). Women with stress urinary incontinence present a higher activity of the musculus obliquus externus abdominis than controls. In the case of the musculus obliquus internus abdominis, statistically significant differences were shown during tension of the lower part of the abdomen (p=0,024). Comparison of activity of the musculus transversus abdominis between study and control groups shows a statistically significant difference during isometric tension of abdominal muscles (p=0,018).ConclusionsThe pattern of activity of the assessed muscles differs between the study group and the control group. In the study group, the activity pattern is concerning the higher activity of the musculus obliquus externus abdominis and the lower activity of the musculus obliquus internus abdominis and musculus transversus abdominis.


2019 ◽  
Vol 13 (1) ◽  
pp. 67-73
Author(s):  
Duangruedee Dissanguan ◽  
Patraporn Sitilertpisan ◽  
Suchart Kiatwattanacharoen ◽  
Leonard H. Joseph ◽  
Pinyo Puangmali ◽  
...  

Background: Core muscle activation is an effective intervention for the management of Low Back Pain (LBP). This study developed new feedback for detecting activation of the transversus abdominis muscle in the lumbar spine. The purpose of this study was to examine the validity and reliability of the feedback device for transversus abdominis muscle contraction. Methods: The participants in this study were 20 healthy males and females (aged 24.1 ± 6.8 years). The feedback sensor was attached to the lumbar support at the front of the trunk. The participants performed an abdominal drawing-in maneuver in order to activate the transversus abdominis muscle, and values from the feedback sensor were collected at the same time. Ultrasound imaging of the transversus abdominis muscle was also collected simultaneously. The feedback sensor collected values at different clinical levels of the pressure biofeedback unit at 64, 66, 68, and 70 mmHg. The protocol was repeated with a 24-hr interval. Intra-class correlation coefficient, coefficient of variation and standard error of measurements were used to examine reliability. The validity of the values obtained from the relationship between the feedback sensor and transversus abdominis muscle thickness was analyzed using Pearson’s correlation coefficients. Results: Test–retest reliability of the feedback sensor was excellent (ICC = 0.946, CV = 2.6%, SEMs = 0.54%). Values of the feedback sensor reported a significantly moderate correlation with the gold standard ultrasound measurement (r = - 0.514, p < 0.001). Conclusion: The feedback device demonstrated potential reliability and validity for clinical use by indicating activation of the transversus abdominis muscle.


2021 ◽  
Vol 10 (23) ◽  
pp. 5699
Author(s):  
Samuel Fernández-Carnero ◽  
Carlos Martin-Saborido ◽  
Alexander Achalandabaso Ochoa-Ruiz de Mendoza ◽  
Alejandro Ferragut-Garcias ◽  
Juan Nicolás Cuenca-Zaldivar ◽  
...  

Rehabilitative ultrasound imaging (RUSI) technique seems to be a valid and reliable tool for diagnosis and treatment in physiotherapy and has been widely studied in the lumbopelvic region the last three decades. The aims for this utility in clinical settings must be review through a systematic review, meta-analysis and meta-regression. A systematic review was designed following the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines with PROSPERO registration and per review in all phases of the process using COVIDENCE, analysis of risk of bias and meta-analysis using REVMAN, and meta-regression calculation using STATA. Database screening provided 6544 references, out of which 321 reported narrative synthesis, and 21 reported quantitative synthesis, while only 7 of them provided comparable data to meta-analyze the variables pain and muscle thickness. In most cases, the forest plots showed considerable I2 heterogeneity indexes for multifidus muscle thickness (I2 = 95%), low back pain (I2 = 92%) and abdominal pain (I2 = 95%), not important for transversus abdominis muscle thickness (I2 = 22%), significant heterogenity (I2 = 69%) depending on the subgroup and not important internal oblique muscle thickness (I2 = 0%) and external oblique muscle thickness (I2 = 0%). Meta-regression did not provide significant data for the correlations between the variables analyzed and the intervention, age, and BMI (Body Mass Index). This review reveals that RUSI could contribute to a high reliability of the measurements in the lumbopelvic region with validity and reliability for the assessments, as well as showing promising results for diagnosis and intervention assessment in physiotherapy compared to the traditional model, allowing for future lines of research in this area.


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