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

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 Reliability of Pelvic Floor Muscle Assessment with Transabdominal Ultrasound in Young Nulliparous Women

2021 ◽  
Vol 10 (15) ◽  
pp. 3449
Author(s):  
Bartosz Zając ◽  
Iwona Sulowska-Daszyk ◽  
Anna Mika ◽  
Artur Stolarczyk ◽  
Ewelina Rosłoniec ◽  
...  
Keyword(s):  
Pelvic Floor ◽  
Pelvic Floor Muscle ◽  
Ultrasound Image ◽  
Posterior Wall ◽  
Voluntary Contraction ◽  
Pelvic Floor Muscles ◽  
Quantitative Detection ◽  
Transabdominal Ultrasound ◽  
Nulliparous Women ◽  
The Right

The aim of this study was to assess the reliability of pelvic floor muscles evaluation via transabdominal ultrasonography in young nulliparous women and to present the methodology for quantitative assessment of the ultrasound image of the pelvic floor muscles visible as displacement of the posterior wall of the bladder, caused by action of the pelvic floor muscles. The study comprised 30 young, Caucasian, nulliparous women (age 22–27; 168.6 ± 5.1 cm; 57.1 ± 11.8 kg) without pelvic floor muscle dysfunctions. The intra-rater, test-retest and inter-rater reliability of pelvic floor muscles evaluation was performed using transabdominal ultrasound at rest and during voluntary contraction. The reliability was assessed at three points of the image (at the middle, on the right and left side). The reliability of the three-point measurement of the pelvic floor muscles transabdominal ultrasound is excellent in the case of intra-rater assessments, both at rest (ICC = 0.98–0.99) and during contraction (ICC = 0.97–0.98); moderate at rest (ICC = 0.54–0.62) and poor during contraction (ICC = 0.22–0.50) in the case of test–retest assessment; excellent at rest (ICC = 0.95–0.96), and good during contraction (ICC = 0.81–0.87) in the case of inter-rater assessment. Transabdominal ultrasound is a reliable method of pelvic floor muscle evaluation. The three-points of assessment used in our study allowed for broader and more comprehensive imaging of the pelvic floor muscle, e.g., for quantitative detection contractility imbalances between the left and right side Due to the fact that understanding mechanisms of pelvic floor muscle functioning is crucial in the therapy of pelvic floor dysfunctions, therefore, reliable, valid tests and instruments are important.

scholarly journals Impact of Different Body Positions on Bioelectrical Activity of the Pelvic Floor Muscles in Nulliparous Continent Women

2015 ◽  
Vol 2015 ◽  
pp. 1-9 ◽  
Author(s):  
Daria Chmielewska ◽  
Magdalena Stania ◽  
Grzegorz Sobota ◽  
Krystyna Kwaśna ◽  
Edward Błaszczak ◽  
...  
Keyword(s):  
Pelvic Floor ◽  
Body Position ◽  
Gluteus Maximus ◽  
Pelvic Floor Muscles ◽  
The Body ◽  
Transversus Abdominis ◽  
Abdominal Muscles ◽  
Bioelectrical Activity ◽  
Nulliparous Women ◽  
Voluntary Contractions

We examined pelvic floor muscles (PFM) activity (%MVC) in twenty nulliparous women by body position during exercise as well as the activation of abdominal muscles and the gluteus maximus during voluntary contractions of the PFMs. Pelvic floor muscle activity was recorded using a vaginal probe during five experimental trials. Activation of transversus abdominis, rectus abdominis, and gluteus maximus during voluntary PFM contractions was also assessed. Significant differences in mean normalized amplitudes of baseline PFM activity were revealed between standing and lying (P<0.00024) and lying and ball-sitting positions (P<0.0053). Average peak, average time before peak, and average time after peak did not differ significantly during the voluntary contractions of the PFMs. Baseline PFM activity seemed to depend on the body position and was the highest in standing. Pelvic floor muscles activity during voluntary contractions did not differ by position in continent women. Statistically significant differences between the supine lying and sitting positions were only observed during a sustained 60-second contraction of the PFMs.

scholarly journals Pelvic floor muscles after birth: Do unstable shoes have an effect on pelvic floor activity and can this be measured reliably? – A feasibility study / Der Beckenboden nach der Geburt: Verändern instabile Schuhe die Aktivität und kann diese reliabel gemessen werden? – Eine Machbarkeitsstudie

2019 ◽  
Vol 6 (1) ◽  
pp. 116-123
Author(s):  
Eveline Graf ◽  
Barbara Borner ◽  
Jessica Pehlke
Keyword(s):  
Urinary Incontinence ◽  
Pelvic Floor ◽  
Pelvic Floor Muscle ◽  
Three Dimensional ◽  
Surrogate Marker ◽  
Maximum Activity ◽  
Pelvic Floor Muscles ◽  
The Body ◽  
Technical Developments ◽  
Unstable Shoes

Abstract Background Women often suffer from urinary incontinence after childbirth. Pelvic floor muscle training is an evidenced-based intervention to prevent urinary incontinence and improve its symptoms Aim The primary purpose of this study was to determine if there is a change in the activation of the pelvic floor muscles with different extrinsic parameters (barefoot versus unstable shoe). Second, we wanted to define variables that can be measured reliably and correlated with pelvic floor activity. Methods Data of 15 women who were 8 weeks to 6 months postpartum were analyzed. Two conditions (“barefoot” and “kyBoot”) were tested, with each participant performing three different tasks: walking, standing with an active pelvic floor, and standing with a passive pelvic floor. Three-dimensional kinematics of the body were recorded. Activity of the abdominal, back, and gluteal muscles was measured using surface electromyography (EMG). The activity of the pelvic floor was recorded using a vaginal electrode. Maximum pelvic floor activity was compared for each condition, and correlations among pelvic floor activity, kinematic variables, and skeletal muscle activity were determined. Results The maximum activity of the pelvic floor while walking was significantly higher when participants were barefoot than when they were wearing kyBoot shoes. For the standing trials, no significant differences between the conditions were detected. No surrogate marker was found to measure the pelvic floor activity. Conclusion With regard to the pelvic floor musculature, no recommendation is possible in favor of or against wearing unstable shoes. Technical developments are necessary to provide solutions to reliably measure the pelvic floor activity.

scholarly journals High-impact aerobics programme supplemented by pelvic floor muscle training does not impair the function of pelvic floor muscles in active nulliparous women

Medicine ◽  
2021 ◽  
Vol 100 (33) ◽  
pp. e26989
Author(s):  
Magdalena Piernicka ◽  
Monika Błudnicka ◽  
Jakub Kortas ◽  
Barbara Duda-Biernacka ◽  
Anna Szumilewicz
Keyword(s):  
Pelvic Floor ◽  
Pelvic Floor Muscle Training ◽  
Pelvic Floor Muscle ◽  
Pelvic Floor Muscles ◽  
High Impact ◽  
Muscle Training ◽  
Nulliparous Women

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.

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

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.

Biofeedback for Pelvic Muscle Dysfunction

Biofeedback ◽  
2016 ◽  
Vol 44 (2) ◽  
pp. 55-57
Author(s):  
Debbie Callif
Keyword(s):  
Pelvic Floor ◽  
Pelvic Pain ◽  
Control Strategies ◽  
Pelvic Floor Muscle ◽  
Pelvic Floor Dysfunction ◽  
Bowel Function ◽  
Pelvic Floor Muscles ◽  
Muscle Dysfunction ◽  
Reduction Techniques ◽  
Obturator Internus

Biofeedback for pelvic floor muscle dysfunction provides a practical and effective intervention for elimination disorders. Dysfunction in the pelvic floor muscles can affect bladder and bowel function and can cause pelvic pain. According to the National Association of Continence, there are 25 million Americans affected by bladder or bowel incontinence. Surface electromyographic (sEMG) sensors monitor the electrical activity of the pelvic floor muscles. Additional muscle co-contractions of the obturator internus, hip adductors, and transverse abdominis can facilitate improvements in symptoms affected by pelvic floor dysfunction. Pelvic floor therapy incorporates urge reduction techniques and functional control strategies. Dietary and lifestyle recommendations are also provided. The Biofeedback Certification International Alliance (BCIA) is the primary certifying body in the fields of biofeedback and neurofeedback. BCIA has a Blueprint of Knowledge specific for certification in pelvic muscle dysfunction biofeedback (PMDB). The Blueprint outlines the fundamental science, history, and theory of sEMG biofeedback as used for elimination disorders and chronic pelvic pain. You can find more information on PMDB at www.bcia.org.

Sign in / Sign up

Export Citation Format

Share Document