nach oben

Erschienen in:

2016 | OriginalPaper | Buchkapitel

8. Beckenboden

verfasst von : B. Schulte-Frei, L. Jäger

Erschienen in: Sport in der Schwangerschaft

Verlag: Springer Berlin Heidelberg

Einloggen, um Zugang zu erhalten

Zusammenfassung

Positive Effekte sportlicher Betätigungen auf Körper, Psyche, Kognition und Lebensqualität sind unumstritten und Sport als präventive Maßnahme wird empfohlen. Gleichzeitig besteht große Unsicherheit bezüglich der zu empfehlenden körperlichen Aktivität während einer Schwangerschaft. Folglich wird Schwangeren häufig grundsätzlich von Sport abgeraten. Dem widersprechen Studien, die positive Auswirkungen auf den Gesundheitszustand von Mutter und Kind belegen. Da eine hohe Anzahl von Schwangeren nicht erst nachgeburtlich, sondern bereits während der Schwangerschaft unter Inkontinenz leidet, wird zudem insbesondere ein Fokus auf die Auswirkungen von Sport auf den Beckenboden gelegt. Der diesbezügliche Forschungsstand wird dargelegt, und mögliche Schlussfolgerungen werden diskutiert.

Alanee S, Heiner J, Liu N, Monga M (2009) Horseback riding: impact on sexual dysfunction and lower urinary tract symptoms in men and women. Urology 73 (1): 109–114 [doi: 10.1016/j.urology.2008.07.058. Epub 2008 Oct 31]PubMedCrossRef

Albert HB, Godskesen M, Korsholm L, Westergaard JG (2006) Risk factors in developing pregnancy-related pelvic girdle pain. Acta Obstet Gynecol Scand 85 (5): 539–544PubMedCrossRef

Araújo MP, Oliveira Ed, Zucchi EV, Trevisani VF, Girão MJ, Sartori MG (2008) The relationship between urinary incontinence and eating disorders in female long-distance runners. Rev Assoc Med Bras 54 (2): 146–149PubMedCrossRef

Aukee P, Immonen P, Penttinen J, Laippala P, Airaksinen O (2002) Increase in pelvic floor muscle activity after 12 weeks’ training: a randomized prospective pilot study. Urology 60 (6): 1020–3; discussion 1023–1024PubMedCrossRef

Baessler K, O‘Neill S, Maher C, Battistutta D (2004) Neurourol Urodynam 23 (5–6), 398–399

Basu M, Mukerji S, Doumouchtsis SK (2014) Perineal trauma in women undergoing vaginal delivery following intra-uterine fetal demise: a case-control analysis. Int Urogynecol J 25 (1): 61–4 [doi: 10.1007/s00192–013–2148–1. Epub 2013 Jul 2PubMedCrossRef

Bernstein I, Juhl L, Grøncall S, Bonde B, Klarkov P (1991) Pelvic floor muscle thickness measured by perinea ultrasonography. Scand J Urol Nephrol Suppl 137: 131–133PubMed

Bjelland EK, Kristianson P,Nordeng HVangen, Eberhard-Gran M (2013) Hormonal contraception and pelvic girdle pain during pregnancy: a population study of 91,721 pregnancies in the Norwegian Mother and Child Cohort. Hum Reprod 28 (11): 3134–40 [doi: 10.1093/humrep/det301. Epub 2013 Jul 25]PubMedPubMedCentralCrossRef

Bø K (1992) Stress urinary incontinence physical activity and pelvic floor muscle strength training. Scand J Med Sci Sports 2: 197–206CrossRef

Bø K (2004a) Pelvic floor muscle training is effective in treatment of female stress urinary incontinence but how does it work? Int Urogynecol J Pelvic Floor Dysfunct 15 (2): 76–84 [Epub 2004 Jan 24]PubMedCrossRef

Bø K (2004b) Urinary incontinence pelvic floor dysfunction exercise and sport. Sports Med 34 (7): 451–464PubMedCrossRef

Bø K (2006) Can pelvic floor muscle training prevent and treat pelvic organ prolapse? Acta Obstet Gynecol Scand 85 (3): 263–8. ReviewPubMedCrossRef

Bø K, Borgen JS (2001) Prevalence of stress and urge urinary incontinence in elite athletes and controls. Med Sci Sports Exerc 33 (11): 1797–802PubMedCrossRef

Bø K, Herbert RD (2013) There is not yet strong evidence that exercise regimens other than pelvic floor muscle training can reduce stress urinary incontinence in women: a systematic review. J Physiother 59: 159–168PubMedCrossRef

Bø K, Sundgot-Borgen J (2008) Are former female elite athletes more likely to experience urinary incontinence later in life than non-athletes? 20 (1): 100–104 [doi: 10.1111/j.1600–0838.2008.00871]

Bø K, Sundgot-Borgen J (2010) Are former female elite athletes more likely to experience urinary incontinence later in life than non-athletes? Scand J Med Sci Sports 20 (1): 100–104 [doi: 10.1111/j.1600–0838.2008.00871.x]CrossRef

Bø K, Stien R (1994) Needle EMG registration of striated urethral wall and pelvic floor muscle activity patterns during cough Valsalva abdominal hip adductor and gluteal muscle contractions in nulliparous healthy females. Neurourol Urodyn 13 (1): 35–41PubMedCrossRef

Brehm W, Bös K, Opper E, Saam J (2001) Gesundheitssportprogramme in Deutschland. Analysen und Hilfen zum Qualitätsmanagement für Sportverbände und andere Anbieter von Gesundheitssport. Karl Hoffmann Verlag, Schorndorf

Bullinger M, Kirchberger I, Ware J (1995) Der deutsche SF-36 Health Survey Übersetzung und psychometrische Testung eines krankheitsübergreifenden Instruments zur Erfassung der gesundheitsbezogenen Lebensqualität. Z Gesundheitswiss 3,1: 21–36CrossRef

Bump RC, Hurt WG, Fantl JA, Wyman JF (1991) Assessment of Kegel pelvic muscle exercise performance after brief verbal instruction. Am J of Obstet Gynecol 165: 322–329CrossRef

Cardozo L, Cutner A (1997) Lower urinary tract symptoms in pregnancy. Br J Urol 80 Suppl 1: 14–23PubMed

Carls C (2007) The prevalence of stress urinary incontinence in high school and college-age female athletes in the midwest: implications for education and prevention. Urol Nurs 27 (1): 21–4, 39PubMed

Carrière B, Brown C, Chiarelli P, Dorey G, Markel Feldt C, Drooker-Frahm J, Fritsch H, Gödl-Purrer B, Heller A, Henscher U, Hodges PW, Holey L, Karbowniczek Kusunose,R, Landmesser A, Ospelt V, Raadgers MC, Ramakers MJ, Reynolds-Gillespie J, Rock CM, Klemer Rosenberg M, Sandalcidi D, Schulte-Frei B, Soeder S, Spitznagle T, Umphred D, van Lunsen R, Viereck V, Vleminckx M, von der Heide S (2012) Beckenboden. In: Carrière B (Hrsg) Physiotherapie und Training, 2. Aufl. Thieme, Stuttgart

Caylet N, Fabbro-Peray P, Marès P, Dauzat M, Prat-Pradal D, Corcos J (2006) Prevalence and occurrence of stress urinary incontinence in elite women athletes. Can J Urol 13 (4): 3174–9PubMed

Criner JA (2001) Urinary Incontinence in vulnerable populations: female soldiers. Urol Nurs 21 (2): 120–123PubMed

Dall’alba V, Callegari-Jacques SM, Krahe C, Bruch JP, Alves BC, Barros S. G (2015) Health-related quality of life of pregnant women with heartburn and regurgitation. Arq Gastroenterol 52 (2): 100–104 [doi: 10.1590/S0004–28032015000200005]PubMedCrossRef

Da Roza T Brandão S Mascarenhas T Jorge RN Duarte JA (2014) Volume of training and the ranking level are associated with the leakage of urine in young female trampolinists. Clin J Sport Med 25 (3): 270–275 [Epub ahead of print]CrossRef

Dimpfl T, Hesse U, Schüssler B (1992) Incidence and cause of postpartum urinary stress incontinence. Eur J Obstet Gynecol Reprod Biol 9;43 (1): 29–33PubMedCrossRef

Ehrlich GE (2003) Low back pain. Bull WHO 81: 671–676PubMedPubMedCentral

Eliasson K, Larsson T, Mattsson E (2002) Prevalence of stress incontinence in nulliparous elite Trampolinists. Scand J Med Sci Sports 12: 106–110PubMedCrossRef

Eliasson K, Edner A, Mattsson E (2008) Urinary incontinence in very young and mostly nulliparous women with a history of regular organised high-impact trampoline training: occurrence and risk factors. Int Urogynecol J Pelvic Floor Dysfunct 19 (5): 687–96 [doi: 10.1007/s00192–007–0508–4. Epub 2008 Jan 26]PubMedCrossRef

Fernandes A, Fitz F, Silva A, Filoni E, Filho JM (2014) Prevalence of Urinary Incontinence Symptoms in Adolescent Female Soccer Players and their Impact on Quality of Life. Occup Environ Med 71 Suppl 1: A59–60 [doi: 10.1136/oemed-2014–102362.184]

Franklin M, Conner-Kerr T (1998) An analysis of posture and back pain in the first and third trimesters of pregnancy. J Orthopaed Sports Physical Ther 28 (3): 133–138CrossRef

Garrison S.R, Allan GM, Sekhon. R. K, Musini VM, Khan KM (2012) Magnesium for skeletal muscle cramps. Cochrane Database Syst Rev 12; 9: CD009402 [doi: 10.1002/14651858.CD009402.pub2]

Gausel AM, Kjærmann I, Malmquvist S, Dalen I Larsen JP, Økland I (2015) Pelvic girdle pain 3–6 months after delivery in an unselected cohort of Norwegian Women. Eur Spine J [Epub ahead of print]

Gilleard WL, Crosbie J, Smith R (2002) Static trunk posture in sitting and standing during pregnancy and early postpartum. Arch Phys Med Rehabil 83 (12): 1739–1744PubMedCrossRef

Goldstick O Constantini N (2014) Urinary incontinence in physically active women and female athletes. Br J Sports Med 48 (4): 296–8 [doi: 10.1136/bjsports-2012–09188010.1136/bjsports-2012–091880. Epub 2013 May 18. Review]PubMedCrossRef

Goldsmith LT, Weiss G (2009) Relaxin in human Pregnancy. Ann NY Acad Sci 1160: 130–135 [doi: 10.1111/j.1749–6632.2008.03800.x]PubMedCrossRef

Granath AB, Hellgren MS, Gunnarsson RKJ (2006) Water aerobics reduces sick leave due to low back pain during pregnancy. Obstet Gynecol Neonatal Nurs 35 (4): 465–471CrossRef

Gunnarsson M, Teleman P, Mattiasson A, Lidfeldt J, Nerbrand C, Samsioe G (2002) Effects of pelvic floor exercises in middle aged women with a history of naïve urinary incontinence: a population based study. Eur Urol 41 (5): 556–561PubMedCrossRef

Gutke A, Betten C, Degerskär K, Pousette S, Fagevik Olsén M (2015) Treatments for pregnancy-relatedlumbopelvic pain: A systematic review of physiotherapy modalities. Acta Obstet Gynecol Scand [doi: 10.111/aogs.12681 Epub ahead of print]

Heidler H (1991) Stress- und Dranginkontinenz. Neue Sicherheit durch Beckenbodentraining. Therapiewoche 41 (49): 3210–3217

Hextall A, Cardozo L (2001) The role of estrogen supplementation in lower urinary tract dysfunction. Int Urogynecol J Pelvic Floor Dysfunct 12 (4): 258–261PubMedCrossRef

Hodges PW, Kaigle Holm Elkstrom L, Cresswell A, Hansson T, Thorstensson A (2003) Intervertebral stiffness of the spine is increased by evoked contraction of transversus abdominis and the diaphragm: in vivo porcine studies. Spine 28 (23): 2594–2601PubMedCrossRef

Hunskaar S, Vinsnes A (1991) The quality of life in women with urinary incontinence as measured by the sickness impact profile. J Am Geriatr Soc 39 (4): 378–382PubMedCrossRef

Inanir A, Cakmak B, Hisim Y, Demirturk F (2014) Evaluation of postural equilibrium and fall risk during pregnancy. Gait Posture 39 (4): 1122–5 [doi: 10.1016/j.gaitpost.2014.01.013. Epub 2014 Feb 2.]PubMedCrossRef

Jácome C, Oliveira D, Marques A, Sá-Couto P (2011) Prevalence and impact of urinary incontinence among female athletes. Int J Gynaecol Obstet 114 (1): 60–63 [doi: 10.1016/j.ijgo.2011.02.004. Epub 2011 May 14]PubMedCrossRef

Jiang K, Novi JM, Darnell S, Arya LA (2004) Exercise and urinary incontinence in women. Obstet Gynecol Surv 59 (10): 717–21; quiz 745–6. ReviewPubMedCrossRef

Juhl M, Andersen PK, Olsen J, Madsen M, Jørgensen T, Nøhr EA., Andersen A-M. N (2007) physical exercise during pregnancy and the risk of preterm birth: A study within the Danish National Birth Cohort. Am J of Epidem 167: 7. DOI: 10.1093/aje/kwm364 CrossRef

Juhl M Olsen J Andersen PK Nøhr EA, Andersen A-M. N (2010) Physical exercise during pregnancy and fetal growth measures: a study within the Danish National Birth Cohort. Am J Obstet Gynecol 202: 63 e1–8PubMedCrossRef

Kanakaris NK, Roberts CS, Giannoudis PV (2011) Pregnancy-related pelvic girdle pain: an update. BMC Med 15, 9: 15 [doi: 10.1186/1741–7015–9-15]

Kelleher C. J, Cardozo LD, Khullar V, Salvatore S (1997) A new questionnaire to assess the the quality of life of urinary incontinent women. Br J Obstet Gynaecol 104: 1374–1379PubMedCrossRef

Knoepp LR, McDermott KC, Muñoz A, Blomquist JL, Handa VL (2013) Joint hypermobility obstetrical outcomes and pelvic floor disorders. Int Urogynecol J 24 (5): 735–40 [doi: 10.1007/s00192–012–1913-x. Epub 2012 Aug 17]PubMedCrossRef

Kölbl H (2003) Make a cesarean sectio safer – have a vaginal delivery: Wie ist es jetzt wirklich mit dem Beckenboden und dem Geburtsmodus? J Urol Urogynäkol (Österreich) 10 (3): 17–21

Koyasu K, Kinkawa M, Ueyama N, Tanikawa Y, Adachi K, Matsuo H (2015) The prevalence of primary neck and shoulder pain and its related factors in Japanese postpartum women. Clin Exp Obstet Gynecol 42 (1): 5–10PubMed

Krejci J, Poloczkova H, Nemec P (2015) Current therapeutic concepts in peripartum cardiomyopathy. Curr Pharm Des 21 (4): 507–514PubMedCrossRef

Kristiansson P, Svardsudd K, von Schoultz B (1996) Back pain during pregnancy: a prospective study. Spine 21: 702–709 [doi: 10.1097/00007632–199603150–00008]PubMedCrossRef

Lapitan MC, Chye PL (2001) The epidemiology of overactive bladder among females in Asia: A questionnaire survey. Int. Urogynecol J 12 (4): 226–2311CrossRef

Larsen EC, Wilken-Jensen C, Hansen A, Jensen DV, Johansen S, Minck H, Wormslev M, Davidsen M, Hansen TM (1999) Symptom-giving pelvic girdle relaxation in pregnancy. I: Prevalence and risk factors. Acta Obstet Gynecol Scand 78: 105–110 [doi: 10.1080/j.1600–0412.1999.780206.x]PubMedCrossRef

Laycock J (1994) Clinical evaluation of the pelvic floor. In: Schussler B, Laycock J, Norton P, Stanton S (eds) Pelvic floor re-education: principles and practice. Springer London, 42–47

Laycock J, Jerwood D (2001) Pelvic floor muscle assessment: The PERFECT scheme. Physiotherapy 87: 12CrossRef

Leet T, Flick L (2003) Effect of exercise on birthweight. Clin Obstet Gynecol 46: 423–431PubMedCrossRef

Liang CC, Chang SD, Lin SJ, Lin YJ (2012) Lower urinary tract symptoms in primiparous women before and during pregnancy. Arch Gynecol Obstet 285 (5): 1205–10 [doi: 10.1007/s00404–011–2124–2. Epub 2011 Nov 1]PubMedCrossRef

Martínez Franco E, Parés D, Lorente Colomé N, Méndez Paredes JR, Amat Tardiu L (2014) Urinary incontinence during pregnancy. Is there a difference between first and third trimester? Eur J Obstet Gynecol Reprod Biol 182: 86–90 [doi: 10.1016/j.ejogrb.2014.08.035. Epub 2014 Sep 2]PubMedCrossRef

Massey EW, Guidon AC (2014) Peripheral neuropathies in pregnancy. Continuum (Minneap Minn) (1 Neurology of Pregnancy): 100–14 [doi: 10.1212/01.CON.0000443839.02884.bb]

May L (2015) Cardiac physiology of pregnancy. Compr Physiol 1;5 (3): 1325–44 [doi: 10.1002/cphy.c140043]PubMedCrossRef

Meczekalski B Katulski K Czyzyk A, Podfigurna-Stopa A (2014) Health in older women athletes. Maturitas 79 (4): 357–61 [doi: 10.1016/j.maturitas.2014.08.004. Epub 2014 Sep 16]PubMedCrossRef

Meems M, Truijens S, Spek V, Visser LH, Pop V (2015) Prevalence course and determinants of carpal tunnel syndrome symptoms during pregnancy: a prospective study. BJOG 122 (8): 1112–1118 [doi: 10.1111/1471–0528.13360. Epub 2015 Mar 17]PubMedCrossRef

Mens JM, Pool-Goudzwaard A, Stam HJ (2009) Mobility of the pelvic joints in pregnancy-related lumbopelvic pain: a systematic review. Obstet Gynecol Surv 64 (3): 200–8 [doi: 10.1097/OGX.0b013e3181950f1b]PubMedCrossRef

Milsom I, Abrams P, Cardozo L, Roberts RG, Thüroff J, Wein AJ (2001) How widespread are symptoms of an overactive bladder and how are they managed? A population based prevalence study. Br J Urol Int 87: 760–766CrossRef

Mørkved S, Bø K (2014) Effect of pelvic floor muscle training during pregnancy and after childbirth on prevention and treatment of urinary incontinence: a systematic review. Br J Sports Med 48 (4): 299–310 [doi: 10.1136/bjsports-2012–091758. Epub 2013 Jan 30]PubMedCrossRef

Mukkannavar P, Desai BR, Mohanty UParvatikar V, Karwa D, Daiwajna S (2013) Pelvic girdle pain after childbirth: the impact of mode of delivery. J Back Musculoskelet Rehabil 26 (3): 281–90 [doi: 10.3233/BMR-130378]PubMedCrossRef

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

Nygaard IE (1997) Does prolonged high-impact activity contribute to later urinary incontinence? A retrospective cohort study of female Olympians. Obstet Gynecol 90 (5): 718–722PubMedCrossRef

Nygaard I, DeLancey JO, Arnsdorf L, Murphy E (1990) Exercise and incontinence. Obstet Gynecol 75 (5): 848–851PubMed

Nygaard IE, Thompson FL, Svengalis SL, Albright JP (1994) Urinary incontinence in elite nulliparous athletes. Obstet Gynecol 84 (2): 183–187PubMed

Nygaard IE, Glowacki C, Saltzman CL (1996) Relationship between foot flexibility and urinary incontinence in nulliparous varsity athletes. Obstet Gynecol 87 (6): 1049–51PubMedCrossRef

Nygaard I, Girts T, Fultz NH, Kinchen K, Pohl G, Sternfeld B (2005) Is urinary incontinence a barrier to exercise in women? Obstet Gynecol 106 (2): 307–314PubMedCrossRef

Nygaard IE Shaw JM Bardsley T Egger MJ (2015) Lifetime physical activity and female stress urinary incontinence. Am J Obstet Gynecol 213(1): 40.e1–10; pii: S0002–9378 (15)00100–3 [doi: 10.1016/j.ajog.2015.01.044. Epub ahead of print]PubMedPubMedCentralCrossRef

Onida S, Lane TR, Davies AH (2013) Improving the management of varicose veins. Practitioner 257 (1766): 21–4, 2–3PubMed

Oxlund BS, Ørtoft G, Brüel A, Danielsen CC, Oxlund H, Uldbjerg N (2010) Cervical collagen and biomechanical strength in non-pregnant women with a history of cervical insufficiency. Reprod Biol Endocrinol 8, 92 [doi: 10.1186/1477–7827–8-92]PubMedPubMedCentralCrossRef

Pelaez M Gonzalez-Cerron S Montejo R Barakat R (2014) Pelvic floor muscle training included in a pregnancy exercise program is effective in primary prevention of urinary incontinence: a randomized controlled trial. Neurourol Urodyn 33 (1): 67–71 [doi: 10.1002/nau.22381. Epub 2013 Feb 6]PubMedCrossRef

Peters C, Schulz T, Michna H (2003) Sport und gesunde Lebensführung in Vorsorge und Therapie des Prostatakarzinoms. Dtsch Z Onkol 35: 24–29CrossRef

Petros PE, Ulmsten U (1990) An Integral Theory of female urinary incontinence. Acta Obst Gynecol Scand Suppl 153 Vol. 69: 1–79CrossRef

Ponnapula P, Boberg JS (2010) Lower extremity changes experienced during pregnancy. J Foot Ankle Surg 49 (5): 452–8 [doi: 10.1053/j.jfas.2010.06.018]PubMedCrossRef

Poświata A, Socha T, Opara J (2014) Prevalence of stress urinary incontinence in elite female endurance athletes. J Hum Kinet 44: 91–96 [doi: 10.2478/hukin-2014–0114]PubMedPubMedCentralCrossRef

Poyatos-León R, García-Hermoso A, Sanabria-Martínez G, Álvarez-Bueno C, Sánchez-López M, Martínez-Vizcaíno V (2015) Effects of exercise during pregnancy on mode of delivery: a meta-analysis. Acta Obstet Gynecol Scand 10: 1039–1047 [doi: 10.1111/aogs.12675. Epub ahead of print]CrossRef

Reimers C, Staer-Jensen J, Siafarikas F, Saltyte-Benth J, Bø K, Ellström Engh M (2016) Change in pelvic organ support during pregnancy and the first year postpartum: a longitudinal study. BJOG 123 (5): 821–829 [doi: 10.1111/1471–0528.13432. [Epub ahead of print]PubMedCrossRef

Roberts JM, Pearson GD, Cutler JA, Lindheimer MD (2015) Summary of the NHLBI Working Group on Research on Hypertension During Pregnancy. Hypertens Pregn 22 (2): 109–127 [doi: 10.1081/PRG-120016792]CrossRef

Robinson JE, Short RVChanges in breast sensitivity at puberty during the menstrual cycle and at parturition (1977) Br Med J 1: 1188–1191PubMedPubMedCentralCrossRef

Robinson HS, Mengshoel AM, Bjelland EK, Vøllestad NK (2010) Pelvic girdle pain clinical tests and disability in late pregnancy. Man Ther 15 (3): 280–285 [doi: 10.1016/j.math.2010.01.006. Epub 2010 Feb 8]PubMedCrossRef

Rock C-M (2003) Funktionelle Störungen und reflektorische Inkontinenz. In: Carrière B (Hrsg) Beckenboden. Thieme, Stuttgart Thieme, Stuttgart, S 83–101

Sachsenmaier B (1991) Inkontinenz. Hilfen Versorgung und Pflege. Schlütersche Verlagsbuchhandlung, Hannover

Salvatore S, Serati M, Laterza R, Uccella S, Torella M, Bolis PF (2009) The impact of urinary stress incontinence in young and middle-age women practising recreational sports activity: an epidemiological study. Br J Sports Med 43 (14): 1115–8 [doi: 10.1136/bjsm.2008.049072. Epub]PubMedCrossRef

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

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

Schettino MT Mainini G Ercolano S Vascone C Scalzone G D’Assisi D Tormettino B Gimigliano F Esposito E Di Donna MC Colacurci N Torella M (2014) Risk of pelvic floor dysfunctions in young athletes. Clin Exp Obstet Gynecol 2014;41 (6): 671–676PubMed

Schmolling J, Göpfert E, Kolberg HC (2004) Auswirkung von Schwangerschaft und Geburt auf den weiblichen Beckenboden. Gynäkologe 37 (11): 989–995CrossRef

Schüle K, Huber G (2004) Grundlagen der Sporttherapie – Prävention ambulante und stationäre Rehabilitation. Urban, Fischer, München

Schulte-Frei B (2007) Sport- und Bewegungstherapie für den weiblichen Beckenboden. Alltagsrelevanz Analyse und Therapie unter Berücksichtigung der neuromuskulären Ansteuerung. Dissertation zur Erlangung des akademischen Grades. Deutsche Sporthochschule Köln. Institut für Rehabilitation und Behindertensport

Schulte-Frei B (2013) Beckenboden und Sport. Inkontinenzprävention im Alltag. Uro-News 17 (2): 18–24CrossRef

Shek KL, Dietz HP (2009) The effect of childbirth on hiatal dimensions. Obstet Gynecol 113 (6): 1272–8 [doi: 10.1097/AOG.0b013e3181a5ef23]PubMedCrossRef

Shek KL, Kruger J, Dietz HP (2012) The effect of pregnancy on hiatal dimensions and urethral mobility: an observational study. Int Urogynecol J 23 (111): 1561–7 [doi: 10.1007/s00192–012–1795-y. Epub 2012 May 15]PubMedCrossRef

Suda S, Segi-Nishida E, Newton SS, Duman RS (2008) A postpartum model in rat: behavioral and gene expression changes induced by ovarian steroid deprivation. Biol Psychiat 64: 311–319PubMedPubMedCentralCrossRef

Tamussino K, Lippitt G (2005) Inkontinenz und Sport. J Urol Urogynäkol (Sonderheft 4) (Ausg Österreich) 12: 24

Tanzberger R (1991) Krankengymnastische Therapie bei Inkontinenz. Krankengymnastik 43: (12) 1364–1371

Tara F, Vakilian F, Moosavi-Baigy F, Salehi M, Moghiman T (2015) Prenatal and cardiovascular outcome in pregnant patients with dyspnea. Res Cardiovasc Med 4 (2): e20950 [doi: 10.5812/cardiovascmed.20950. eCollection 2015]CrossRef

Thyssen HH, Clevin L, Olesen S, Lose G (2002) Urinary incontinence in elite female atheletes and dancers. Int Urogynecol J Pelvic Floor Dysfunct 13 (1): 15–17PubMedCrossRef

Trottier M, Erebara A, Bozzo P (2012) Treating constipation during pregnancy. Can Fam Physician 58 (8): 836–838PubMedPubMedCentral

Ulmsten U (1997) Some reflections and hypotheses on the pathophysiology of female urinary incontinence. Acta Obstet Gynecol Scand Suppl 166: 3–8PubMed

Vitton V, Baumstarck-Barrau K, Brardjanian S, Caballe I, Bouvier M, Grimaud JC (2011) Impact of high-level sport practice on anal incontinence in a healthy young female population. J Womens Health (Larchmt) 20 (5): 757–63 [doi: 10.1089/jwh.2010. 2454. Epub 2011 Apr 18]CrossRef

Vleeming A, de Vries HJ, Mens JM, van Wingerden JP (2002) Possible role of the long dorsal sacroiliac ligament in women with peripartum pelvic pain. Acta Obstet Gynecol Scand 81 (5): 430–436PubMedCrossRef

Wang SM (2003) Backaches related to pregnancy: the risk factors etiologies treatments and controversial issues. Curr Opin Anaesthesiol 16 (3): 269–273PubMedCrossRef

Wanichsetakul P, Lekskulchai O (2014) Effect of pregnancy on urinary functions in Thai nulliparous pregnant women. J Med Assoc Thai 97 Suppl 8: S164–170

Wijma J, Potters AE, de Wolf BT, Tinga DJ, Aarnoudse JG (2003) Anatomical and functional changes in the lower urinary tract following spontaneous vaginal delivery. BJOG 110 (7): 658–663PubMedCrossRef

Woll A, Bös K (2004) Wirkungen von Gesundheitssport. Bewegungstherapie und Gesundheitssport. 20: 97–106CrossRef

Zelle BA, Gruen GS, Brown S, George S (2005) Sacroiliac joint dysfunction evaluation and management. Clin J Pain21: 446–455PubMedCrossRef

Titel: Beckenboden
verfasst von: B. Schulte-Frei
L. Jäger
Verlag: Springer Berlin Heidelberg
Buch: Sport in der Schwangerschaft
Print ISBN: 978-3-662-48759-4

Electronic ISBN: 978-3-662-48760-0

Copyright-Jahr: 2016
DOI: https://doi.org/10.1007/978-3-662-48760-0_8

Neu im Fachgebiet Gynäkologie und Geburtshilfe

16.04.2024 | Maligne primäre ZNS-Tumoren | Nachrichten

Update Gynäkologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert – ganz bequem per eMail.

Newsletter bestellen

Springer Medizin

8. Beckenboden

Zusammenfassung

Neu im Fachgebiet Gynäkologie und Geburtshilfe

Manche Gestagene können das Risiko für Meningeome erhöhen

Stillende Frauen haben geringeres kardiovaskuläres Risiko

Chronische Schmerzen nach Op. oft mit neuropathischer Komponente

Das Ende der vollständigen axillären Lymphknotendissektion

Update Gynäkologie

Springer Medizin

Zusammenfassung

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Neu im Fachgebiet Gynäkologie und Geburtshilfe

Manche Gestagene können das Risiko für Meningeome erhöhen

Stillende Frauen haben geringeres kardiovaskuläres Risiko

Chronische Schmerzen nach Op. oft mit neuropathischer Komponente

Das Ende der vollständigen axillären Lymphknotendissektion

Update Gynäkologie