scholarly journals Effect of Postpartum Pelvic Floor Muscles Training in Pelvic Floor Muscles Strength on Postpartum Women with Stress Urinary Incontinence

2018 ◽  
pp. 114
Author(s):  
Jerisatrio S Tarukallo ◽  
David Lotisna ◽  
Nugraha U Pelupessy
Keyword(s):  
Pelvic Floor ◽  
Pelvic Floor Muscle ◽  
Pelvic Floor Muscles ◽  
P Value ◽  
Postpartum Women ◽  
Perineal Tear ◽  
International Consultation ◽  
Pelvic Floor Training ◽  
Significant Difference ◽  
Pelvic Muscles

Objective: To evaluate the effect of pelvic floor training (Kegelexercise) on pelvic floor muscle strength in postpartum womenwith SUI.Methods: Thirty-five birth vaginally postpartum women with SUIwere experimentally enrolled. After four weeks of postpartumobservation, the diagnosis of SUI confirmed, and all of these womenwere asked to complete the International Consultation onIncontinence Questionnaire-Sort Form (ICIQ-SF) questionnaire.The strength of the pelvic floor muscle measured with perineometerevery once in 3 weeks for 12 weeks of Kegel exercise. SUI severityassessed with ICIQ-SF after completing the Kegel exercise. A pairedt-test was used to compare measurement results between ICIQ-SFquestionnaire and perineometer and multiple linear regressionmodels was used for multivariate analysis. A p value of less than 0.05was taken to be statistically significant.Results: Findings show a significant difference between clinicalvariables (parity, neonates birth weight, perineal tear grade, BMI)and the improvement of pelvic floor muscles before and afterperformed the Kegel exercise (all p<0.05). The pelvic floormuscles strength significantly improved (p=0.000) after Kegelexercise both in ICIQ-SF questionnaire and perineometermeasurement.Conclusion: Pelvic muscles floor training or Kegel exercise improvepelvic muscles floor strength in postpartum women with SUI.[Indones J Obstet Gynecol 2018; 6-2: 114-118]Keywords: pelvic muscles floor training, postpartum, stress urinaryincontinence

scholarly journals Effect of Hypopressive exercise in women with Pelvic Organ Prolapse

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Jyoti Parle ◽  
Sana Shahmalak ◽  
Divya Irkar
Keyword(s):  
Pelvic Organ Prolapse ◽  
Muscle Strength ◽  
Pelvic Floor ◽  
Outcome Measures ◽  
Pelvic Floor Muscle ◽  
Pelvic Organ ◽  
P Value ◽  
Pelvic Floor Muscle Strength ◽  
Post Evaluation ◽  
Significant Difference

Aim: To study the effect of Hypopressive exercises to improve pelvic floor muscle strength in women with Pelvic Organ Prolapse.(grade 1and 2). Methods: This is an experimental study conducted on women of urban and rural areas of Kamothe and Kalamboli in India who presented with grade 1 and grade 2 Pelvic Organ Prolapse. 20 women (35 years and above) were recruited after taking their consent. The outcome measures assessed during pre and post evaluation were pelvic floor muscle strength as measured by modified oxford scale and perinometer whereas Pelvic Organ Prolapse symptoms by pelvic floor distress inventory scale-20. Intervention consisted of 6-weeks of Hypopressive exercises with a physiotherapist. The protocol consisted of three sessions weekly with progression in each week. Precautions to be taken during the study were explained to the participants each time. Results: Hypopressive exercises presented positive results with statistically significant difference in pre and post evaluation of outcome measures. Wilcoxon Signed Rank Test analysis reported p-value of 0.00 for modified oxford scale. For perinometer, p-value for peak, average, duration and gradient was 0.00, 0.00, 0.01 and 0.04 respectively. Pelvic Floor Distress Inventory Scale reported p-value of 0.00. Conclusion: Hypopressive exercises exhibited improvements in pelvic floor muscle strength and reducing the symptoms of Pelvic Organ Prolapse. 

scholarly journals Physical therapy in the treatment of stress urinary incontinence

2011 ◽  
Vol 139 (9-10) ◽  
pp. 638-644
Author(s):  
Katarina Parezanovic-Ilic ◽  
Branislav Jeremic ◽  
Ljiljana Mladenovic-Segedi ◽  
Slobodan Arsenijevic ◽  
Milorad Jevtic
Keyword(s):  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Pelvic Floor ◽  
Pelvic Floor Muscle ◽  
Exercise Program ◽  
Pelvic Floor Muscles ◽  
Repeated Measurements ◽  
Abdominal Pressure ◽  
Dynamic Technique ◽  
Significant Difference

Introduction. Stress urinary incontinence (SUI) is an involuntary release of urine through the urethra during the increase of abdominal pressure in the absence of m. detrusor contraction. The exercise of pelvic floor muscles is recommended as the first line of cure. It is the least invasive and the only method without any undesirable side effects, which leads to either improvement or complete cure of SUI in 80-85% of cases. Objective. The aim of this study was to establish whether the strengthening of pelvic floor muscles using proprioceptive neural facilitation (PNF) spiral dynamic technique was more efficient in comparison to classical Kegel exercise. Methods. The research was carried out at the Centre for Physical Medicine and Rehabilitation, Clinical Centre Kragujevac. Sixty-six female patients with the symptoms of SUI were monitored in the period of two years. Thirty-four patients did pelvic floor muscle exercises twice a day, in the morning and in the evening, with 15-20 contractions. Thirty-two patients used PNF spiral dynamic technique for strengthening pelvic floor muscles. The patients who used the spiral dynamic technique also did some exercises from the program; they exercised twice a day, in the morning and in the evening, following the prescribed schedule. Treatment outcome was assessed by measuring the pelvic floor muscles by a vaginal dynamometer. Results. The values of the pelvic floor muscle force that were measured using the vaginal dynamometer in both examined groups (PNF spiral dynamic technique or Kegel exercise) were statistically significantly higher after the implemented exercise program (t-test; p=0.000). No statistically significant difference in pelvic floor muscle values was found between the patients who applied PNF spiral dynamic technique and those who did Kegel exercise either before or after the exercise (two-factor analysis of variance with repeated measurements, factor of exercise type; p=0.899). Conclusion. Strengthening of pelvic floor muscles by exercises results in a significant increase of pelvic floor muscle strength and reduction of SUI symptoms, regardless of the used exercise program, PNF spiral dynamic technique or Kegel exercise program.

scholarly journals Effectiveness of Exercise Interventions on Pelvic Floor Muscle Function of Pregnant and Postpartum Women: A Systematic Review of Reviews

2021 ◽  
Author(s):  
Iina Ryhtä ◽  
Anna Axelin ◽  
Lotta Hamari
Keyword(s):  
Pelvic Floor ◽  
Pelvic Pain ◽  
Muscle Function ◽  
Pelvic Floor Muscle ◽  
Postnatal Period ◽  
Pelvic Floor Muscles ◽  
Postpartum Women ◽  
Low Back ◽  
Exercise Interventions ◽  
Review Of Reviews

Abstract BackgroundDysfunctions related to pelvic floor muscles such as urinary incontinence and pelvic pain are common among pregnant and postpartum women. With properly functioning pelvic floor muscles, it is possible to prevent these dysfunctions. Still, shared understanding about effective exercise interventions is missing. The aim of this review of reviews was to form a summary of the existing evidence about effective exercise interventions on pelvic floor muscle function of pregnant and postpartum women. MethodsNine databases were searched by June 12, 2020. PICO was used to define the eligibility criteria. Population: pregnant or postpartum women, interventions: activity-based interventions aiming to affect the function of pelvic floor muscles, comparators: waiting list or usual care, outcomes: disorders concerning pelvic floors muscles, study design: systematic reviews and meta-analysis. Screening and quality assessment were conducted by two researchers separately. The data were extracted and analyzed narratively. ResultsAltogether 20 systematic reviews reporting findings from 147 original studies were included. The methodological quality of the included reviews was mainly good, overall scores varying from 6/11–11/11. The results showed it may be possible to reduce low-back and pelvic pain as well as the severity of pain with exercise interventions during pregnancy but no association with odds of low back and pelvic pain during the postpartum period were found. With prenatal exercise interventions, it is possible to decrease the risk of urinary incontinence during pregnancy and the postnatal period, but the differences between the control group and the intervention group seem to vanish in the late postnatal period. The results were carefully optimistic within postnatal exercise interventions that decreased pelvic pain, reduction in vaginal bulging and pelvic organ prolapse, but more research is needed. ConclusionsOverall, the level of evidence was low. It seems that with exercise interventions it could be possible to prevent and provide care for the disorders of pelvic floor muscles to some extent. However, more high-quality research is needed to support decision making in the health care systems and to get evidence-based knowledge guiding health professionals working with pregnant and postpartum women.

scholarly journals Physiotherapy and Pelvic Floor Muscle Exercises for the Prevention and Treatment of Pregnancy-Related Pelvic Floor Dysfunctions: A Systematic Review and Meta-analysis

2019 ◽  
Vol 8 (2) ◽  
pp. 125-132
Author(s):  
Fahime Khorasani ◽  
Fariba Ghaderi ◽  
Parvin Sarbakhsh ◽  
Parisa Ahadi ◽  
Elahe Khorasani ◽  
...  
Keyword(s):  
Systematic Review ◽  
Pelvic Floor ◽  
Pelvic Floor Muscle ◽  
Meta Analysis ◽  
Cochrane Library ◽  
Control Groups ◽  
Pelvic Floor Muscle Exercises ◽  
Significant Difference ◽  
Prevention And Treatment ◽  
Pfm Strength

Objectives: The present systematic review focused on the prevention or treatment of three main types of pelvic floor dysfunctions (PFDs) specifically pelvic organ prolapse (POP), urinary incontinence (UI), and fecal incontinence (FI) using physiotherapy and pelvic floor muscle exercises (PFMEs). With regard to the breadth of the problem, there is not much evidence grounded on the best management. The main purpose of this systematic review was to evaluate the effects of physiotherapy and PFMEs on the prevention and treatment of pregnancy-related PFDs; namely, POP, FI, and UI. Therefore, this review incorporated studies comparing the use of physiotherapy and PFMEs with every other existing interventions. Methods: This systematic review and meta-analysis was conducted on randomized-controlled-trial (RCT) articles and quasi-RCT designs through a search in the studies published with no time limits until December 2017 in the databases of PubMed (Medline), Web of Science, Scopus, Embase, Cochrane Library, and ProQuest. The meta-analysis was also applied for data synthesis. Moreover, heterogeneity was assessed using Cochran’s Q test and I2 index. Results: A total number of 26 RCTs were examined in this review in which the outcome variables were related to POP, UI, and FI prevalence; POP, UI, and FI severity, as well as pelvic floor muscle (PFM) strength and endurance. In most articles, UI prevalence or severity in intervention groups had significantly improved compared with those in controls. The number of studies examining POP and FI was also relatively low. In two studies, FI severity or prevalence in intervention groups had significantly enhanced in comparison with those in control groups; however, FI prevalence in two articles had been reported lower in intervention groups than that in control groups although no significant difference had been observed. There was also no significant improvement in intervention groups in two other studies in this respect. Besides, three articles had not reported traces of improvement in POP, as well as a significant difference between intervention and control groups. Nevertheless, two studies had found a significant improvement in POP in this regard. Based on meta-analysis results for the variable of PFM strength, Cochran’s Q test (P<0.001) and I2 index (90.02) indicated heterogeneity between studies; so, a random-effect meta-analysis was applied to estimate overall effect sizes. The overall mean differences following intervention between the study groups were also equal to 6.94, with a 95% CI (1.36 to 12.52). Conclusions: It was concluded that physiotherapy and PFMEs might have effects on pregnancy-related UI, but they had not consistently reduced FI severity or prevalence and failed to constantly improve POP.

scholarly journals Efektifitas Senam Hamil terhadap Kejadian Rupture Perineum pada Ibu Bersalin di Puskesmas Limboto

2018 ◽  
Vol 1 (1) ◽  
pp. 053
Author(s):  
Juli Gladis Claudia ◽  
Wirdawaty S Adam
Keyword(s):  
Community Health ◽  
Health Center ◽  
Pelvic Floor Muscle ◽  
Community Health Center ◽  
P Value ◽  
Chi Square ◽  
Pelvic Muscles ◽  
Chi Square Test ◽  
Exercise In Pregnancy ◽  
Positive Effect

Exercise in pregnancy have positive effect on the pregnancy outcomebecause stumulate to strengthen and maintain elasticity in abdominalmuscles and pelvic muscles which was associated with labor that whenstraining the muscles will relax actively that the head baby will outeasily and the pelvic floor muscle is weak, will not easily tear when willgive birth. The incidence of perineum rupture at Limboto CommunityHealth Center is 46,7%. The purpose of this study was to analyze theeffectiveness of gymnastics pregnancy against rupture perineum inMaternity at Limboto Community Health Center. The method of researchwas used pre-experimental research with statistical group comparisondesign with using chi square test. The population in this study were allthirty pregnant trimester III which amounted 30 people. The sample inthis study were 15 case groups and 15 control groups. The variablepregnant exercise was independent variabel and the dependentvariable was incidence of perineal rupture. The result of this researchby using chi square statistic test was showed t arithmetic 8,571, thatmean the respondent who have high pregnancy exercise did notexperience rupture perineum. Results p - value 0.009 with degree ofsignificance 0.05 (p < 0.05). The conclusion there was a significant effectof pregnancy exercise effectiveness on the incidence of perineal rupturein maternal mothers at Limboto Community Health Center.

scholarly journals Addition of Neuromuscular Taping in Kegel Exercise For Increasing Pelvic Floor Muscles of the Urine Incontinence in Middle-aged Individuals

2021 ◽  
Author(s):  
Ismaningsih . ◽  
Siti Muawanah
Keyword(s):  
Pelvic Floor ◽  
Test Group ◽  
Pelvic Floor Muscles ◽  
P Value ◽  
Middle Aged ◽  
Urine Incontinence ◽  
Aged People ◽  
Kegel Exercises ◽  
Before And After ◽  
Post Test

Urine incontinence is the loss of bladder control, or leaking urine. The current study aimed at providing a physiotherapy intervention such as adding neuromuscular taping to Kegel exercises for increasing the pelvic floor muscles. The study was conducted at the Wredha Khusnul Khotimah house in Pekanbaru. The study is an experimental research with a randomized pre- and post-test group design, and made a comparison between the two groups. The study compared the RUIS (Revised Urinary Incontinence Scale) scale value before and after the intervention. The study sample comprised of 20 middle-aged people with urine incontinence condition who were recommended neuromuscular taping in addition to their Kegel exercises for six weeks. Mann Whitney test found p-value < 0.05, so it could be concluded that there was a difference between the RUIS value before and after the intervention in both groups. The addition of neuromuscular taping to Kegel exercises is more effective than Kegel exercise alone for urine incontinence condition in middle-aged individuals. Keywords: neuromuscular taping, elderly, urine incontinence

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 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.

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