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01.05.2019 | Original Article

Assessment of abdominal and pelvic floor muscle function among continent and incontinent athletes

verfasst von: Keyla Mara dos Santos, Thuane Da Roza, Luis Mochizuki, Eliane Regina Mendoza Arbieto, Soraia Cristina Tonon da Luz

Erschienen in: International Urogynecology Journal | Ausgabe 5/2019

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Abstract

Introduction and hypothesis

Studies have shown that there is a co-contraction between the pelvic floor and abdominal muscles. This study aimed to evaluate pelvic floor and abdominal muscle function in continent and incontinent female athletes and to investigate the association between these muscle groups.

Methods

This was a cross-sectional study. Forty nulliparous professional female athletes who competed at the municipal level or above participated in this study. All participants underwent a pelvic floor muscle (PFM) and abdominal muscle assessment. PFM function and strength were assessed using the modified Oxford Scale and a perineometer. Abdominal muscle function and strength were assessed using a 4-Pro isokinetic dynamometer. To assess athletes’ urinary continence, the International Consultation on Incontinence Questionnaire Short-Form (ICIQ-UI-SF) was used.

Results

There was a positive association between PFM and abdominal muscle strength among the incontinent athletes (p = 0.006; r = 0.577). The incontinent athletes had greater PFM strength than the continent athletes (p = 0.02). There was no difference in abdominal muscle function between the groups.

Conclusions

We found that incontinent athletes have greater PFM strength than continent athletes. This suggests that urinary incontinence in this population is not due to PFM weakness. The positive association between abdominal and PFM strengths in incontinent athletes may be due to frequent co-contraction between these muscle groups.

Cugliari G, Boccia G. Core muscle activation in suspension training exercises. J Hum Kinet. 2017;56:61–71. https://doi.org/10.1515/hukin-2017-0023.CrossRefPubMedPubMedCentral

Neumann PGV. Pelvic floor and abdominal muscle interaction: EMG activity and intra-abdominal pressure. Int Urogynecol J Pelvic Floor Dysfunct. 2002;13(2):125–32. https://doi.org/10.1007/s001920200027.CrossRefPubMed

Sapsford R. Rehabilitation of pelvic floor muscles utilizing trunk stabilization. Man Ther. 2004;9(1):3–12.CrossRefPubMed

Pereira LC, Botelho S, Marques J, Amorim CF, Lanza AH, Palma P. Are transversus abdominis/oblique internal and pelvic floor muscles coactivated during pregnancy and postpartum? Neurourol Urodyn. 2013;32:416–9. https://doi.org/10.1002/nau.22315.CrossRefPubMed

Silva VR, Riccetto CL, Martinho NM, Marques J, Carvalho LC, Botelho S. Training through gametherapy promotes coactivation of the pelvic floor and abdominal muscles in young women, nulliparous and continents. Int Braz J Urol. 2016;42(4):779–86. https://doi.org/10.1590/S1677-5538.IBJU.2014.0580.CrossRefPubMedPubMedCentral

Sapsford RR, Hodges P. Contraction of the pelvic floor muscles during abdominal maneuvers. Arch Phys Med Rehabil. 2001;82:1081–8. https://doi.org/10.1053/apmr.2001.24297.CrossRefPubMed

Junginger B, Baessler K, Sapsford R, Hodges PW. Effect of abdominal and pelvic floor tasks on muscle activity, abdominal pressure and bladder neck. Int Urogynecol J. 2010;21(1):69–77. https://doi.org/10.1007/s00192-009-0981-z.CrossRefPubMed

Sultan AH, Monga A, Lee J, Emmanuel A, Norton C, Santoro G, et al. An international Urogynecological association (IUGA)/international continence society (ICS) joint report on the terminology for female anorectal dysfunction. Int Urogynecol J. 2017;28:5–31.CrossRefPubMed

Islam RM, Oldroyd J, Karim MN, Hossain SM, Md Emdadul Hoque D, Romero L, et al. Systematic review and meta-analysis of prevalence of, and risk factors for, pelvic floor disorders in community-dwelling women in low and middle-income countries: a protocol study. BMJ Open. 2017;7(6):01–7.CrossRef

10.

Eliasson K, Larsson T, Mattsson E. Prevalence of stress incontinence in elite trampolinists. Scand J Med Sci Sports. 2002;12(2):106–10.CrossRefPubMed

11.

Da Roza T, Brandão S, Mascarenhas T, Jorge RN, Duarte JA. Urinary incontinence and levels of regular physical exercise in young women. Int J Sports Med. 2015;36(9):776–80. https://doi.org/10.1055/s-0034-1398625.CrossRefPubMed

12.

Bo K. Urinary incontinence, pelvic floor dysfunction, exercise and sport. Sports Med. 2004;34(7):451–64.CrossRefPubMed

13.

Rothstein JL, Lamb RL, Mayhew TP. Clinical uses of isokinetic measurements. Critical issues. Phys Ther. 1987;67(12):1840–4.CrossRefPubMed

14.

Faul F, Erdfelder E, Lang A-G, Buchner A. G*power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods. 2007;39:175–91.CrossRefPubMed

15.

Bø K, Finckenhagen HB. Vaginal palpation of pelvic floor muscle strength: inter-test reproducibility and comparison between palpation and vaginal squeeze pressure. Acta Obstet Gynecol Scand. 2001;80(10):883–7.CrossRefPubMed

16.

Sanches PRS, et al. Correlation between the modified Oxford scale and perineometry measurements in incontinent patients. Rev HCPA. 2010;2(30):125–30.

17.

Bø K, Kvarstein B, Hagen RR, Larsen S. Pelvic floor muscle exercise for the treatment of female stress urinary incontinence: II. Validity of vaginal pressure measurements of pelvic floor muscle strength and the necessity of supplementary methods for control of correct contraction. Neurourol Urodyn. 1990;9(5):479–87. https://doi.org/10.1002/nau.1930090504.CrossRef

18.

Perrin D. Isokinetic exercise and assessment. Champaign: Human Kinetics Publishers; 1993. p. 1.

19.

Grabinger MD, Jeziorowski JJ, Diverkar AD. Isokinetic measurements of trunk extension and flexion performance collected with the biodex clinical data station. J Orthop Sports Phys Ther. 1990;11:590–8.CrossRef

20.

Cohen J. Statistical power analysis for the behavioral sciences. 2nd ed. Hillsdale: Erlbaum; 1988.

21.

Roza TD, Brandão S, Oliveira D, Mascarenhas T, Parente M, Duarte JA, et al. Football practice and urinary incontinence: relation between morphology, function and biomechanics. J Biomech. 2015;48(9):1587–92. https://doi.org/10.1016/j.jbiomech.2015.03.013.CrossRefPubMed

22.

Da Roza T, Brandão S, Mascarenhas T, Jorge RN, Duarte JA. Volume of training and the ranking level are associated with the leakage of urine in young female trampolinists. Clin J Sport Med. 2015;25(3):270–5. https://doi.org/10.1097/JSM.0000000000000129.CrossRefPubMed

23.

Martins LA, dos Santos K, Dorcínio MBA, Alves JO, da Roza TH, da Luz SCT. A perda de urina é influenciada pela modalidade esportiva ou pela carga de treino? Uma revisão sistemática. Rev Bras Med Esporte. 2017;23(1):55–9. https://doi.org/10.1590/1517-869220162301163216.CrossRef

24.

Goldstick C. Urinary incontinence in physically active women and female athletes. Br J Sports Med. 2017;48:296–8. https://doi.org/10.1136/bjsports-2012-091880.CrossRef

25.

Bo K, Ellstrom Engh M, Hilde G. Regular exercisers have stronger pelvic floor muscles than non-regular exercisers at Midpregnancy. Am J Obstet Gynecol. 2017. https://doi.org/10.1016/j.ajog.2017.12.220.

26.

Borin LC, Nunes FR, Guirro EC. Assessment of pelvic floor muscle pressure in female athletes. PM R. 2013;5(3):189–93. https://doi.org/10.1016/j.pmrj.2012.09.001.CrossRefPubMed

27.

Di Benedetto P, Coidessa A, Floris S. Rationale of pelvic floor muscles training in women with urinary incontinence. Minerva Ginecol. 2008;60:529–41.PubMed

28.

Junginger S, Baessler. Bladder-neck effective, integrative pelvic floor rehabilitation program: follow-up investigation. Eur J Obstet Gynecol Reprod Biol. 2014;174:150–3. https://doi.org/10.1016/j.ejogrb.2013.12.022.CrossRefPubMed

29.

Bø K, Braekken IH, Majida M, Engh ME. Constriction of the levator hiatus during instruction of pelvic floor or transversus abdominis contraction: a 4D ultrasound study. Int Urogynecol J Pelvic Floor Dysfunct. 2009;20(1):27–32. https://doi.org/10.1007/s00192-008-0719-3.CrossRefPubMed

30.

Johnson V. Effects of a submaximal exercise protocol to recondition the pelvic floor musculature. Nurs Res. 2001;50(1):33–41.CrossRefPubMed

31.

Frawley HC, Dean SG, Slade SC, Hay-Smith EJC. Is pelvic-floor muscle training a physical therapy or a behavioral therapy? A call to name and report the physical, cognitive, and behavioral elements. Phys Ther. 2017;97(4):425–37. https://doi.org/10.1093/ptj/pzx006.CrossRefPubMed

32.

Oliveira MC, da Rosa T, Dos Santos KM, Virtuoso JF, Tonon da Luz SC. Efeito da Proposta Cinesioterapêutica Educação Perineal Progressiva – E.P.P. na Função Dos Músculos do Assoalho Pélvico. Rev Ciências em Saúde. 2017;6(4):383–93. https://doi.org/10.21876/rcsfmit.v6i4.604.CrossRef

33.

Kandadai P, O’Dell K, Saini J. Correct performance of pelvic muscle exercises in women reporting prior knowledge. Female Pelvic Med Reconstr Surg. 2015;21(3):135–40. https://doi.org/10.1097/SPV.0000000000000145.CrossRefPubMed

Titel: Assessment of abdominal and pelvic floor muscle function among continent and incontinent athletes
verfasst von: Keyla Mara dos Santos
Thuane Da Roza
Luis Mochizuki
Eliane Regina Mendoza Arbieto
Soraia Cristina Tonon da Luz
Publikationsdatum: 01.05.2019
Verlag: Springer International Publishing
Erschienen in: International Urogynecology Journal / Ausgabe 5/2019
Print ISSN: 0937-3462
Elektronische ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-018-3701-8

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Assessment of abdominal and pelvic floor muscle function among continent and incontinent athletes

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Methods

Results

Conclusions

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Springer Medizin

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

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