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International Urogynecology Journal

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01.04.2010 | Original Article

Breathing with the pelvic floor? Correlation of pelvic floor muscle function and expiratory flows in healthy young nulliparous women

verfasst von: Helena Talasz, Markus Kofler, Elisabeth Kalchschmid, Michael Pretterklieber, Monika Lechleitner

Erschienen in: International Urogynecology Journal | Ausgabe 4/2010

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Abstract

Introduction and hypothesis

The aim of this cross-sectional study was to determine correlations between pelvic floor muscle (PFM) function and expiratory function in healthy young nulliparous women.

Methods

In 40 volunteers, PFM function was assessed by vaginal palpation. Forced expiration patterns were evaluated visually and by palpation of the suprapubic insertion region of the anterolateral abdominal muscles. Forced vital capacity (FVC) and forced expiratory flows (FEF) were determined by spirometry.

Results

Incremental positive correlation was found between voluntary PFM contraction strength and forced expiratory flow at 25%, 50% and 75% (FEF_25%, FEF_50%, FEF_75%) of the FVC, respectively. Positive correlation was also found between PFM contraction strength and forced expired volume in 1 s (FEV₁). No correlation was found between PFM contraction strength and FVC or peak expiratory flow (PEF).

Conclusions

Despite some limitations of this study, the observed correlation between PFM contraction strength and forced expiratory flows may serve as theoretical background for a potential role of coordinated abdominal and PFM training in diseases with expiratory flow limitations.

Messelink B, Benson T, Berghmans B, Bo K, Corcos J, Fowler C, Laycock J et al (2005) Standardisation of terminology of pelvic floor muscle function and dysfunction: report from the pelvic floor clinical assessment group of the international continence society. Neurourol Urodyn 24:374–380CrossRefPubMed

DeLancey DOL, Ashton-Miller JA (2004) Pathophysiology of adult urinary incontinence. Gastroenterol 126:23–32CrossRef

Bo K (2004) Pelvic floor muscle training is effective in treatment of female stress urinary incontinence, but how does it work? Int Urogynecol J Pelvic Floor Dysfunct 2:76–84CrossRef

Bo K, Sherburn M (2005) Evaluation of female pelvic-floor muscle function and strength. Phys Ther 85(3):269–282PubMed

Hodges P (2008) Transversus abdominis: a different view of an elephant. Br J Sports Med 42:941–944CrossRefPubMed

Laycock J (2008) Concept of neuromuscular rehabilitation and pelvic floor muscle training. In: Baesler K, Schüssler B, Burgio KL, Moore KH, Norton PA, Stanton SL (eds) Pelvic floor re-education. Springer, London, pp 179–180

Neumann P, Gill V (2002) Pelvic floor and abdominal muscles interaction: EMG activity and intra-abdominal pressure. Int Urogynecol J 13:125–132CrossRef

Sapsford RR, Hodges PW (2001) Contraction of the pelvic floor muscles during abdominal maneuvers. Arch Phys Med Rehabil 82:1081–1088CrossRefPubMed

Sapsford RR, Hodges PW, Richardson CA, Cooper DH, Markwell SJ, Jull GA (2001) Co-activation of the abdominal and pelvic floor muscles during voluntary exercises. Neurourol Urodyn 20(1):31–42CrossRefPubMed

10.

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

11.

Hodges PW, Sapsford RR, Pegel LHM (2007) Postural and respiratory functions of the pelvic floor muscles. Neurourol Urodyn 26(3):362–371CrossRefPubMed

12.

Hodges PW (2006) Low back pain and the pelvic floor. In: Carriere B, Feldt CM (eds) The pelvic floor, 2nd edn. Thieme, New York, pp 81–96

13.

Cresswell AG, Grundström H, Thorstensson A (1992) Observations on intra-abdominal pressure and patterns of abdominal intra-muscular activity in man. Acta Physiol Scand 144(4):409–418CrossRefPubMed

14.

Carriere B (2006) Interdependence of posture and the pelvic floor. In: Carriere B, Feldt CM (eds) The pelvic floor, 2nd edn. Thieme, New York, pp 68–81

15.

McArdle WD, Katch FI, Katch VL (2007) Pulmonary structure and function. In: McArdle WD, Katch FI, Katch VL (eds) Exercise physiology, 6th edn. Williams & Wilkins, Philadelphia, pp 260–270

16.

Rock CM (2006) Action of the Transversus abdominis muscle when posture is physiological. In: Carriere B, Feldt CM (eds) The pelvic floor, 2nd edn. Thieme, New York, pp 101–107

17.

Weinberger SE, Lipson D (2006) Cough and hemoptysis. In: Fauci A, Braunwald E, Kaspar D, Hauser S, Longo D, Jameson JL, Loscalzo J (eds) Harrison's internal medicine, 17th edn. McGraw-Hill, New York, p 225

18.

Constantinou CE, Govan DE (1982) Spatial distribution and timing of transmitted and reflex generated urethral pressure in healthy women. J Urol 127:964–969PubMed

19.

Bolser DC, Reier PJ, Davenport PW (2000) Responses of the anterolateral abdominal muscles during cough and expiratory threshold loading in the cat. J Appl Physiol 88:1207–1214PubMed

20.

Laycock J, Whelan MM, Dumoulin C (2008) Patient assessment. In: Haslam J, Laycock J (eds) Therapeutic management of incontinence and pelvic pain, 2nd edn. Springer, London, pp 57–66

21.

Miller MR, Hankinson J, Brusasco V, Burgos F, Casaburi R, Coates A et al (2005) Standardisation of spirometry. Eur Respir J 26:319–338CrossRefPubMed

22.

American Thoracic Society, European Respiratory Society (2002) ATS/ERS statement on respiratory muscle testing. Am J Respir Crit Care Med 166:518–624CrossRef

23.

Pellegrino R, Viegi G, Brusasco V, Crapo RO, Burgos F, Casaburi R et al (2005) Interpretative strategies for lung function tests. Eur Respir J 26:948–968CrossRefPubMed

24.

Healy JC, Borley NR (2005) Anterior abdominal wall. In: Standring S (ed) Gray's anatomy, 39th edn. Edinburgh, London, pp 1101–1111

25.

Bunch M (1995) Dynamics of the singing voice, 3rd edn. Springer, Vienna, pp 22–55

26.

Frawley HC, Galea MP, Phillips BA, Sherburn M, Bo K (2006) Effect of test position on pelvic floor muscle assessment. Int Urogynecol J 17(4):365–371CrossRef

Titel: Breathing with the pelvic floor? Correlation of pelvic floor muscle function and expiratory flows in healthy young nulliparous women
verfasst von: Helena Talasz
Markus Kofler
Elisabeth Kalchschmid
Michael Pretterklieber
Monika Lechleitner
Publikationsdatum: 01.04.2010
Verlag: Springer-Verlag
Erschienen in: International Urogynecology Journal / Ausgabe 4/2010
Print ISSN: 0937-3462
Elektronische ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-009-1060-1

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Breathing with the pelvic floor? Correlation of pelvic floor muscle function and expiratory flows in healthy young nulliparous women

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

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Live-Webinar: Aktuelle Leitlinien bei Herz-Kreislauf-Erkrankungen

Springer Medizin

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

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