Occurrence of urinary incontinence and function of pelvic floor muscles in athletes: a case series

ABSTRACT Introduction Research shows that symptoms of urinary incontinence are common among women who engage in physical activity. Objective To conduct a kinesiological analysis of specific exercises for the pelvic floor muscles (PFM), proposing correspondences of these postures through resistance exercises. Methods This research project is of a descriptive nature with level of evidence V. Videos and photos were taken to obtain an image for the collection of data based on the accomplishment of the specific postures. Results The kinesiological study revealed that the muscles involved in the postures of exercises targeting the prevention of urinary incontinence beyond those specific to the pelvic floor were: trunk flexors; spinal erector; adductors and hip extensors. The resistance exercises corresponding to these positions in bodybuilding apparatus were the machine hack squat; sitting adductor exercises; sitting abductor exercises; the smith machine squat and the free squat or machine squat. Conclusion This study showed that it is possible to construct correspondence between exercises for the pelvic floor muscles and resistance exercises with bodybuilding equipment and free weights. A new strategy is suggested for the physical education professional, based on resistance exercises: taking a coadjuvant approach to the treatment and prevention of urinary incontinence during physical and sports exercises. Level of evidence V, Case series.

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C93: Biofeedback with pelvic floor muscles electrostimulation in treatment of giggle urinary incontinence in young women

European Urology Supplements ◽

10.1016/s1569-9056(14)61481-0 ◽

2014 ◽

Vol 13 (6) ◽

pp. e1280 ◽

Cited By ~ 1

Author(s):

V. Romikh ◽

L. Borisenko

Keyword(s):

Urinary Incontinence ◽

Pelvic Floor ◽

Young Women ◽

Pelvic Floor Muscles

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The effect of intravaginal electrical stimulation on the quality of life and changes in function and anatomy of pelvic floor in women with stress urinary incontinence

Advances in Rehabilitation ◽

10.2478/rehab-2013-0024 ◽

2012 ◽

Vol 26 (1) ◽

pp. 5-11

Author(s):

Carneiro Erica ◽

Araùjo Nazete ◽

Cader Samaria ◽

Fonseca Aluizio ◽

Bittencourt Leila ◽

...

Keyword(s):

Quality Of Life ◽

Urinary Incontinence ◽

Electrical Stimulation ◽

Stress Urinary Incontinence ◽

Pelvic Floor ◽

Pelvic Floor Muscles ◽

Detrusor Muscle ◽

Intravaginal Electrical Stimulation ◽

Urine Loss

Abstract Introduction: Urinary incontinence (UI), according to the Committee of the International Continence Society Standards, is defined as any involuntary urine loss associated to exertion conditions. This urine loss can be called Stress Urinary Incontinence (SUI) and when the detrusor muscle becomes inactive Material and methods: The goal of this study was verifying intravaginal electrical stimulation effects on bladder floor mobility, pelvic floor muscles´ width, their contraction ability and the quality of life of 40 women whose age ranged from 35 to 55 and who were diagnosed with Stress Urinary Incontinence disorder. They were split into two groups: Geletro (underwent 16 perineal electrical stimulation sessions) and control group, Gc (no intervention). The variables were respectively evaluated by the following instruments: transvaginal ultrassonography (Toshiba trademark), Phenix electromyographic biofeedback and King´s Health Questionnaire. Results: The results were bladder floor mobility reduction (Δ% = -9,13%, p=0,0930), width increase on pelvic floor muscles (Δ% = 11,64%, p= 0,2924), both not significant, muscle strength increase due to biofeedback (Δ% =60,49%, p= 0,0001) and to AFA* (Δ% = 24,53%, p=0,0001), and significant decrease of all questionnaire scores: DOM 1 (Δ% = -50,00%, p = 0,000), DOM 2 (Δ% = -55,14%, p= 0,005), DOM 3 (Δ% =-74,98 %, p= 0,002), DOM 4 (Δ% = -73,87%, p= 0,002), DOM 5 (Δ% = -68,91%, p= 0,001), DOM 6 (Δ% = -85,90%, p= 0,000), DOM 7 (Δ% = -72,48%, p= 0,014), DOM 8 (Δ% =-71,88 %, p= 0,030), DOM 9Δ% =-73,29 %, p= 0,023) Conclusions: The Geletro group in comparison to the Gc which showed that intravaginal electrical stimulation improved the pelvic floor anatomically and functionally and also the quality of life of Geletro group. Stress Urinary Incontinence improvement could only be subjectively demonstrated.

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Electromyographic characteristics of pelvic floor muscles in women with stress urinary incontinence following sEMG-assisted biofeedback training and Pilates exercises

PLoS ONE ◽

10.1371/journal.pone.0225647 ◽

2019 ◽

Vol 14 (12) ◽

pp. e0225647 ◽

Cited By ~ 3

Author(s):

Daria Chmielewska ◽

Magdalena Stania ◽

Katarzyna Kucab–Klich ◽

Edward Błaszczak ◽

Krystyna Kwaśna ◽

...

Keyword(s):

Urinary Incontinence ◽

Stress Urinary Incontinence ◽

Pelvic Floor ◽

Pelvic Floor Muscles ◽

Biofeedback Training

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Incontinência Urinária de Esforço e Disfunção Sexual Feminina: O Papel da Reabilitação do Pavimento Pélvico

Acta Médica Portuguesa ◽

10.20344/amp.12012 ◽

2019 ◽

Vol 32 (11) ◽

pp. 721

Author(s):

Andreia Preda ◽

Susana Moreira

Keyword(s):

Urinary Incontinence ◽

Stress Urinary Incontinence ◽

Sexual Dysfunction ◽

Sexual Function ◽

Pelvic Floor ◽

Negative Impact ◽

Pelvic Floor Muscles ◽

Function Evaluation ◽

Pelvic Floor Rehabilitation ◽

Urine Leakage

Introduction: The prevalence of urinary incontinence in Portuguese women is 21.4% and has a very negative impact on quality of life including women’s sexual activity. Pelvic floor rehabilitation is the first line treatment used in stress urinary incontinence and may be a tool in the treatment of sexual dysfunction in women with urinary incontinence. The aim of this review is to ascertain whether pelvic floor rehabilitation can improve sexual function in women with stress urinary incontinence.Material and Methods: We reviewed 12 articles in PubMed using the keywords: ‘urinary incontinence’, ‘female sexual dysfunction’ and ‘pelvic floor physical therapy’.Results: Pelvic floor rehabilitation is linked to a decrease in frequency of urinary leakage episodes as well as an improvement of coital incontinence. Furthermore, sexual function evaluation scores post-treatment revealed a positive change. Higher parity, higher adherence to treatment, improvement in the strength of pelvic floor muscles, and a decrease in the frequency of urine leakage were associated with higher improvement in sexual function.Discussion: Sexual function should be considered in the approach of urinary incontinence and standard tools of evaluation are essential tools for clinical assessment and follow-up. More evidence is required to identify the role of pelvic floor rehabilitation in sexual dysfunction of Portuguese women with urinary incontinence.Conclusion: Pelvic floor rehabilitation improves sexual function of women with stress urinary incontinence not only because it decreases the episodes of urine leakage but also because it strengthens pelvic floor muscles.

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