Urinary Incontinence in Women with Low Back Pain After Post Partum Period

2021 ◽  
Vol 15 (11) ◽  
pp. 3126-3128
Author(s):  
Faiza Tabassam ◽  
M Hassam Rehm ◽  
Anam Zafar ◽  
Tayyaba Mustafa Mian ◽  
Muhammad Usman Riaz ◽  
...  
Keyword(s):  
Urinary Incontinence ◽  
Low Back Pain ◽  
Back Pain ◽  
Connective Tissue ◽  
Pelvic Floor ◽  
Postpartum Period ◽  
Pelvic Floor Muscles ◽  
Pelvic Girdle Pain ◽  
Detrusor Muscle ◽  
Low Back

Background: Urinary incontinence is a very common problem in postpartum women. In the literature, about 38 to 43% of postpartum females experience urinary incontinence (UI). Postpartum UI usually occurs due to bladder injury, nerve injury, pelvic floor muscle dysfunction or damage to urethra during delivery. In women having C-section, UI is most probably occurs due to instability of detrusor muscle resulting from vesical denervation. Others risks factors involve in development of UI are fetal factors, operative vaginal delivery and antenatal bladder neck mobility due to pelvic floor muscles (PFM) dysfunction and connective tissue weakness. Lower backache (LBP) is also very common in postpartum females due to joint laxity, weakness of connective tissue, loosening of ligaments and strained abdominal muscles due to enlargement of uterus. There’s a coexisting link between low back pain and UI in postpartum females. Objective: To find association between the severity of urinary incontinence and low back pain in women after postpartum period. Methodology: In this study Quota sampling technique was used. Participants divided into two groups, one group with females having low back pain after postpartum period while other group was having females without low back pain after postpartum period. Participants were provided with questionnaires for urinary incontinence to find out the association between severity of UI and LBP. The questionnaires were self-administered and were provided in English language. Some participants were illiterate, thus questionnaires were filled from them by asking questions verbally. Results: Statistics of ICIQ-UI score was checked by applying Fisher’s exact test, The null hypothesis was not rejected because the p-value was > 0.05, indicating that there was no significant association between UI and LBP in females after their postpartum period Conclusion: It is concluded from this study that there is no significant association found between UI and low back pain in women after postpartum period. Keywords: Postpartum period. Urinary incontinence (UI), Stress urinary incontinence (SUI), Urgency urinary incontinence (UUI), Low back pain (LBP), Pelvic girdle pain (PGP), Pelvic floor muscles (PFM), Pelvic floor dysfunction (PFD)

Effects of Stabilization Exercises Focusing on Pelvic Floor Muscles on Low Back Pain and Urinary Incontinence in Women

Urology ◽  
2016 ◽  
Vol 93 ◽  
pp. 50-54 ◽  
Author(s):  
Fariba Ghaderi ◽  
Khadijeh Mohammadi ◽  
Ramin Amir Sasan ◽  
Saeed Niko Kheslat ◽  
Ali E. Oskouei
Keyword(s):  
Urinary Incontinence ◽  
Low Back Pain ◽  
Back Pain ◽  
Pelvic Floor ◽  
Pelvic Floor Muscles ◽  
Low Back

Evaluation of pelvic floor muscles activity with and without abdominal maneuvers in subjects with and without low back pain

2016 ◽  
Vol 29 (2) ◽  
pp. 241-247 ◽  
Author(s):  
Fatemeh Ehsani ◽  
Amir Massoud Arab ◽  
Hamed Assadi ◽  
Noureddin Karimi ◽  
Sanaz Shanbehzadeh
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Pelvic Floor ◽  
Pelvic Floor Muscles ◽  
Low Back

scholarly journals Is Pelvic Floor Dysfunction Associated With Development of Transient Low Back Pain During Prolonged Standing? A Protocol

2019 ◽  
Vol 12 ◽  
pp. 1179562X1984960
Author(s):  
Melanie Dawn Bussey ◽  
Daniela Aldabe ◽  
Daniel Cury Ribeiro ◽  
Stéphanie Madill ◽  
Stephanie Woodley ◽  
...  
Keyword(s):  
Urinary Incontinence ◽  
Low Back Pain ◽  
Back Pain ◽  
Stress Urinary Incontinence ◽  
Pelvic Floor ◽  
Pelvic Floor Dysfunction ◽  
Low Back ◽  
Activation Patterns ◽  
Prolonged Standing ◽  
Co Activation

Background: Prolonged standing has been associated with an increased prevalence of low back pain (LBP) and is recognized as a potential workplace hazard for employees such as retail staff, assembly line workers, and healthcare personnel. Low back pain is more prevalent in women than in men, and disability due to LBP is worse in women with severe urinary incontinence. However, it is unclear whether pelvic floor dysfunction observed in stress urinary incontinence is a risk factor for LBP. The main purpose of this study is to determine whether co-activation patterns between the pelvic floor and abdominal muscles during a 2-hour prolonged standing task predict transient LBP in women with and without stress urinary incontinence. Methods: In this is prospective cohort study, 60 female volunteers will stand in a confined area for 2 hours (120 minutes) while performing tasks such as, ‘computer work’ and ‘small object assembly’. The primary outcome measure is transient LBP, which will be monitored every 10 minutes using a numeric pain rating scale. Surface electromyography (EMG) will be collected from the gluteus medius and internal oblique/transverse abdominis muscles, and an intravaginal electrode will be used to monitor pelvic floor muscle activity. The EMG signals will be divided into 12 10-minute blocks to assess changes in co-activation over time. Cross-correlation analyses will be used to quantify co-activation between the muscle pairs (e.g. pelvic floor and internal oblique/transverse abdominis), and the coefficient of co-activation will be expressed as a percentage for each block. A mixed-model regression analysis will be used to determine whether co-activation patterns can predict transient LBP during the prolonged standing task. Discussion: The primary objective of this research is to improve current understanding regarding the role of pelvic floor muscles in the onset of LBP and the potential association between stress urinary incontinence and LBP. These findings have the potential to inform prevention and rehabilitation programmes for women with stress urinary incontinence and LBP. Trial registration: ACTRN12618000446268 [Protocol Version 2].

scholarly journals Associations between low back pain, urinary incontinence, and abdominal muscle recruitment as assessed via ultrasonography in the elderly

2015 ◽  
Vol 19 (1) ◽  
pp. 70-76 ◽  
Author(s):  
Vânia F. Figueiredo ◽  
Juleimar S. C. Amorim ◽  
Aline M. Pereira ◽  
Paulo H. Ferreira ◽  
Leani S. M. Pereira
Keyword(s):  
Urinary Incontinence ◽  
Low Back Pain ◽  
Back Pain ◽  
The Elderly ◽  
Abdominal Muscle ◽  
Low Back ◽  
Muscle Recruitment

The effect of pelvic floor muscle exercise on women with chronic non-specific low back pain

2011 ◽  
Vol 15 (1) ◽  
pp. 75-81 ◽  
Author(s):  
Mohammad A. Mohseni-Bandpei ◽  
Nahid Rahmani ◽  
Hamid Behtash ◽  
Masoud Karimloo
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Pelvic Floor ◽  
Pelvic Floor Muscle ◽  
Low Back ◽  
Muscle Exercise ◽  
Pelvic Floor Muscle Exercise

scholarly journals 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

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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