On the role of the constitution and the angle of inclination of the pelvis in the etiology of prolapse of the female genital organs

1930 ◽  
Vol 26 (10) ◽  
pp. 996-1001
Author(s):  
V. I. Davydov
Keyword(s):  
Adipose Tissue ◽  
Spina Bifida ◽  
Pelvic Floor ◽  
Pelvic Floor Muscles ◽  
Hard Work ◽  
Abdominal Pressure ◽  
Sacral Nerves ◽  
Poor Nutrition ◽  
Female Genital

If all authors agree that the direct cause of prolapse of the genitals in a woman is increased intra-abdominal pressure, then regarding the anatomical moments contributing to the occurrence of this anomaly, the opinions of the authors differ sharply: some attribute here an important role to innate moments, which may be - spina bifida lumbo -sacralis, in which there is a paralysis of the sacral nerves innervating the pelvic floor, then congenital hypoplasia of the pelvic floor muscles, excessive depth of the posterior Doug-Jas'ova pocket, observed in infantilism and accompanied by a very low position of the levator'a ani, etc .; others see the main reason for prolapse in acquired relaxations and violations of the integrity of the musculo-fascial base of the pelvic floor, especially the levator'a ani and the urogenital diaphragm; still others, considering the prolapse as a hernia, see the main predisposing reason for its development in the excessive width of the hiatus genitalis; fourth, on the basis of the fact that prolapse of the uterus, especially complete, is observed mainly in old women, in the first place among the etiological moments leading to prolapse, put climacteric changes in the ligamentous apparatus of the uterus, walls of the genital canal, etc.; fifths put forward retroflection of the uterus as an important etiological moment of prolapse, sixth - insufficiency of parametric, paravaginal and especially paravesical tissue, which failure is sometimes the result of poor nutrition, hard work, etc., moments that cause the disappearance of adipose tissue, altering the elasticity of the muscle-fascial septum pelvic floor, etc.

The role of pelvic floor muscles in fecal incontinence

2000 ◽  
Vol 118 (4) ◽  
pp. A126
Author(s):  
Jose Fraga ◽  
Fernando Azpiroz ◽  
Juan -R Malagelada
Keyword(s):  
Fecal Incontinence ◽  
Pelvic Floor ◽  
Pelvic Floor Muscles

2. VAGINISMUS, VULVODYNIA AND PELVIC FLOOR MUSCLE ACTIVITY

Sexual Health ◽  
2007 ◽  
Vol 4 (4) ◽  
pp. 285
Author(s):  
R. Sapsford
Keyword(s):  
Pelvic Floor ◽  
Muscle Activity ◽  
Pelvic Floor Muscle ◽  
Normal Function ◽  
Pelvic Floor Muscles ◽  
Abdominal Pressure ◽  
Abdominal Muscles ◽  
Physiological Factors ◽  
Muscle Groups ◽  
Postural Support

The pelvic floor muscles form the base of the abdominal cylinder and work in synergy with other muscles around the cylinder - the abdominal muscles and the diaphragm. Activity in each muscle group affects the others. Coordinated recruitment of these muscle groups is necessary for generation and maintenance of intra-abdominal pressure, postural support of the trunk, and during functional tasks such as lifting, coughing and nose blowing. Coordinated release of these groups is required for micturition, while defaecation may need activity in some muscles and release in others. Vaginismus and vulvodynia both have a component of over activity of the pelvic floor muscles which impairs normal function, though this over activity may only occur at the time of attempted penetration. Some of the physiological factors that contribute to this overactivity come from outside the pelvic floor muscle complex itself and can be ameliorated by understanding and management of these muscle synergies. An EMG study of muscle activity of the abdominal and pelvic floor muscles during a simulated body posturing for female sexual arousal will help to explain how the pelvic floor muscle over activity in vaginismus arises. Treatment programmes that have been used to successfully address these problems will be explained.

scholarly journals The role of vaginal palpation in motor learning of the pelvic floor muscles for women with stress urinary incontinence: study protocol for a randomized controlled trial

Trials ◽  
2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Letícia de Azevedo Ferreira ◽  
Fátima Faní Fitz ◽  
Márcia Maria Gimenez ◽  
Mayanni Magda Pereira Matias ◽  
Maria Augusta Tezelli Bortolini ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Motor Learning ◽  
Pelvic Floor ◽  
Study Protocol ◽  
Controlled Trial ◽  
Pelvic Floor Muscles ◽  
Randomized Controlled

scholarly journals Vestibular Anatomic Localization of Pain Sensitivity in Women with Insertional Dyspareunia: A Different Approach to Address the Variability of Painful Intercourse

2020 ◽  
Vol 9 (7) ◽  
pp. 2023
Author(s):  
Ahinoam Lev-Sagie ◽  
Osnat Wertman ◽  
Yoav Lavee ◽  
Michal Granot
Keyword(s):  
Pelvic Floor ◽  
Hormonal Contraception ◽  
Pelvic Floor Muscles ◽  
Pain Experience ◽  
Pain Hypersensitivity ◽  
Contraception Use ◽  
Painful Intercourse ◽  
Tip Test ◽  
Anatomic Localization

The pathophysiology underlying painful intercourse is challenging due to variability in manifestations of vulvar pain hypersensitivity. This study aimed to address whether the anatomic location of vestibular-provoked pain is associated with specific, possible causes for insertional dyspareunia. Women (n = 113) were assessed for “anterior” and “posterior” provoked vestibular pain based on vestibular tenderness location evoked by a Q-tip test. Pain evoked during vaginal intercourse, pain evoked by deep muscle palpation, and the severity of pelvic floor muscles hypertonicity were assessed. The role of potential confounders (vestibular atrophy, umbilical pain hypersensitivity, hyper-tonus of pelvic floor muscles and presence of a constricting hymenal-ring) was analyzed to define whether distinctive subgroups exist. Q-tip stimulation provoked posterior vestibular tenderness in all participants (6.20 ± 1.9). However, 41 patients also demonstrated anterior vestibular pain hypersensitivity (5.24 ± 1.5). This group (circumferential vestibular tenderness), presented with either vestibular atrophy associated with hormonal contraception use (n = 21), or augmented tactile umbilical-hypersensitivity (n = 20). The posterior-only vestibular tenderness group included either women with a constricting hymenal-ring (n = 37) or with pelvic floor hypertonicity (n = 35). Interestingly, pain evoked during intercourse did not differ between groups. Linear regression analyses revealed augmented coital pain experience, umbilical-hypersensitivity and vestibular atrophy predicted enhanced pain hypersensitivity evoked at the anterior, but not at the posterior vestibule (R = 0.497, p < 0.001). Distinguishing tactile hypersensitivity in anterior and posterior vestibule and recognition of additional nociceptive markers can lead to clinical subgrouping.

scholarly journals Reeducation of pelvic floor muscles in volleyball athletes

2014 ◽  
Vol 60 (5) ◽  
pp. 428-433 ◽  
Author(s):  
Silvia Ferreira ◽  
Margarida Ferreira ◽  
Alice Carvalhais ◽  
Paula Clara Santos ◽  
Paula Rocha ◽  
...  
Keyword(s):  
Pelvic Floor ◽  
Female Athletes ◽  
Rehabilitation Program ◽  
Pelvic Floor Muscles ◽  
Control Group ◽  
Abdominal Pressure ◽  
Assessment Instruments ◽  
Urinary Leakage ◽  
Significant Difference ◽  
Before And After

Objective: to verify the effectiveness of the pelvic floor muscles rehabilitation program (PFMRP) in female volleyball athletes, analyzing the amount and frequency of urinary leakage. Methods: experimental study. The sample consisted of 32 female athletes from Famalicão Athletic Volleyball Club (Portugal). The athletes were selected by convenience and distributed randomly into two groups: experimental group (EG = 16 athletes) and the control group (CG = 16 athletes). The EG underwent PFMRP for three months. The PFMRP was the awareness and identification of the pelvic floor muscles (PFM), pre-timed PFM contraction prior to occasions of increased intra-abdominal pressure, and 30 daily contractions of MPP at home. The CG had only access to the pamphlet. The assessment instruments included the questionnaires, the Pad Test (amount of urinary leakage) and frequency record of urinary leakage (7-day diary) before and after PFMRP. Results: the amount of urine leakage decreased in 45.5% of athletes under PFMRP intervention, and in 4.9% of athletes in CG, with statistical differences between the groups (p < 0.001). The reduction in the frequency of urinary leakage was 14.3% in EG, and 0.05% in CG, a statistically significant difference between the groups (p < 0.001). Conclusion: PFMRP in this study was effective to reduce stress urinary incontinence in female volleyball athletes. The program allowed significant improvement of symptoms of quantity and frequency of urinary leakage.

scholarly journals Task-specific differences in respiration-related activation of deep and superficial pelvic floor muscles

2019 ◽  
Vol 126 (5) ◽  
pp. 1343-1351 ◽  
Author(s):  
Rafeef Aljuraifani ◽  
Ryan E. Stafford ◽  
Leanne M. Hall ◽  
Wolbert van den Hoorn ◽  
Paul W. Hodges
Keyword(s):  
Pelvic Floor ◽  
Deep Layer ◽  
Pelvic Floor Dysfunction ◽  
Muscle Layer ◽  
Superficial Layer ◽  
Pelvic Floor Muscles ◽  
Abdominal Pressure ◽  
Quiet Breathing ◽  
Abdominal Organs ◽  
Deep Layers

The female pelvic floor muscles (PFM) are arranged in distinct superficial and deep layers that function to support the pelvic/abdominal organs and maintain continence, but with some potential differences in function. Although general recordings of PFM activity show amplitude modulation in conjunction with fluctuation in intra-abdominal pressure such as that associated with respiration, it is unclear whether the activities of the two PFM layers modulate in a similar manner. This study aimed to investigate the activation of the deep and superficial PFM during a range of respiratory tasks in different postures. Twelve women without pelvic floor dysfunction participated. A custom-built surface electromyography (EMG) electrode was used to record the activation of the superficial and deep PFM during quiet breathing, breathing with increased dead space, coughing, and maximal and submaximal inspiratory and expiratory efforts. As breathing demand increased, the deep PFM layer EMG had greater coherence with respiratory airflow at the frequency of respiration than the superficial PFM ( P = 0.038). During cough, the superficial PFM activated earlier than the deep PFM in the sitting position ( P = 0.043). In contrast, during maximal and submaximal inspiratory and expiratory efforts, the superficial PFM EMG was greater than that for the deep PFM ( P = 0.011). These data show that both layers of PFM are activated during both inspiration and expiration, but with a bias to greater activation in expiratory tasks/phases. Activation of the deep and superficial PFM layers differed in most of the respiratory tasks, but there was no consistent bias to one muscle layer.NEW & NOTEWORTHY Although pelvic floor muscles are generally considered as a single entity, deep and superficial layers have different anatomies and biomechanics. Here we show task-specific differences in recruitment between layers during respiratory tasks in women. The deep layer was more tightly modulated with respiration than the superficial layer, but activation of the superficial layer was greater during maximal/submaximal occluded respiratory efforts and earlier during cough. These data highlight tightly coordinated recruitment of discrete pelvic floor muscles for respiration.

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