nach oben

International Urogynecology Journal

Erschienen in:

01.02.2018 | Review Article

Influence of pelvic floor muscle fatigue on stress urinary incontinence: a systematic review

verfasst von: Rafaela Prusch Thomaz, Cássia Colla, Caroline Darski, Luciana Laureano Paiva

Erschienen in: International Urogynecology Journal | Ausgabe 2/2018

Einloggen, um Zugang zu erhalten

Abstract

Introduction and hypothesis

Stress urinary incontinence (SUI) is the most common urinary complaint among women and is defined by the International Continence Society as any involuntary loss of urine due to physical effort, sneezing or coughing. Many women with SUI state that the loss of urine occurs after performing repetitive movements, which may suggest that it is the result of fatigue of the pelvic floor muscles (PFM). Thus, we performed the systematic review of the literature on the influence of PFM fatigue on the development or worsening of the symptoms of SUI in women.

Methods

The PubMed, Scopus, EMBASE, PEDro, LILACS, SciELO, Cochrane Library, Google Scholar, CINAHL and Periódicos CAPES databases were searched for articles using the keywords “fatigue”, “pelvic floor”, “stress urinary incontinence” and “women”, in Portuguese and in English. Methodological quality was assessed using the Downs and Black scale, and the data collected from the studies were analyzed descriptively.

Results

Of the 2,010 articles found, five met the inclusion criteria and were analyzed. They were published between 2004 and 2015, and included a total of 30,320 women with ages ranging from 24 to 53.6 years. Of the studies analyzed, three showed an association between fatigue and SUI, and two did not show such an association.

Conclusions

This study confirmed that PFM fatigue can influence the development and/or worsening of SUI.

Haylen BT, de Ridder D, Freeman RM et al (2010) An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female pelvic floor dysfunction. Neurourol Urodyn 29:4–20

Dedicação AC, Haddad M, Saldanha MES, Driusso P (2009) Comparação da qualidade de vida nos diferentes tipos de incontinência urinária feminina. Rev Bras Fisioter 13(2):116–122CrossRef

Papanicolaou S, Hunskaar S, Lose G, Sykes D (2005) Assessment of bothersomeness and impact on quality of life of urinary incontinence in women in France, Germany, Spain and UK. BJU Int 96(6):831–838CrossRef

Reis AO, Câmara CNS, Santos SG, Dias TS (2011) Estudo comparativo da capacidade de contração do assoalho pélvico em atletas de voleibol e basquetebol. Rev Bras Med Esporte 17(2):97–101CrossRef

Oliveira E, Zuliani LMM, Ishicava J et al (2010) Avaliação dos fatores relacionados à ocorrência da incontinência urinária feminina. Rev Assoc Med Bras 56(6):688–690CrossRef

Bo K (2004) Urinary incontinence, pelvic floor dysfunction, exercise and sport. Sports Med 34:451–464CrossRef

Araújo MP, Oliveira E, Zucchi EVM et al (2008) Relação entre incontinência urinária em mulheres atletas corredoras de longa distância e distúrbio alimentar. Rev Assoc Med Bras 54(2):146–149CrossRef

Deffieux X, Hubeaux K, Lapeyre E et al (2006) Perineal neuromuscular fatigue. Ann Readapt Med Phys 49(6):413–417CrossRef

Moher D, Liberati A, Tetzlaff J et al (2009) Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Ann Intern Med 151(4):264–269CrossRef

10.

Downs SH, Black N (1998) The feasibility of creating a checklist for the assessment of the methodological quality both of randomised and non-randomised studies of health care interventions. Epidemiol Community Health 52(6):377–384CrossRef

11.

Ministério da Saúde. Secretaria de Ciência, Tecnologia e Insumos Estratégicos (2014) Diretrizes metodológicas: elaboração de revisão sistemática e metanálise de estudos observacionais comparativos sobre fatores de risco e prognóstico. Ministério da Saúde, Departamento de Ciência e Tecnologia. Brasília. p 41. ISBN 978-85-334-2171-4

12.

Silva FF, Carvalho JF (2015) Intensity of anticoagulation in the treatment of thrombosis in the antiphospholipid syndrome: a meta-analysis. Rev Bras Reumatol 55(2):159–166CrossRef

13.

Hodges P, Schabrun S, Stafford R Pelvic floor muscles have greater central fatigue during voluntary contractions than muscles of the limbs. Proceedings of the 2010 Joint Meeting of the International Continence Society and the International Urogynecological Association (ICS-IUGA 2010), 23–27 August, Toronto, Canada. Wiley, Hoboken, pp 1010–1011

14.

Townsend MK, Danforth KN, Rosner B et al (2008) Physical activity and incident urinary incontinence in middle-aged women. J Urol 179(3):1012–1017CrossRef

15.

Verelst M, Leivseth G (2004) Are fatigue and disturbances in pre-programmed activity of pelvic floor muscles associated with female stress urinary incontinence? Neurourol Urodyn 23(2):143–147CrossRef

16.

Ree ML, Nygaard I, Bø K (2007) Muscular fatigue in the pelvic floor muscles after strenuous physical activity. Acta Obstet Gynecol Scand 86(7):870–876CrossRef

17.

Burti JS, Hacad CR, Zambon JP et al (2015) Is there any difference in pelvic floor muscles performance between continent and incontinent women? Neurourol Urodyn 34(6):544–548CrossRef

18.

Deffieux X, Hubeaux K, Dick J et al (2009) Urine leakage related to physical fatigue in women with urinary stress incontinence. J Obstet Gynaecol Res 35(4):738–745CrossRef

19.

Cifrek M, Medved V, Tonković S, Ostojić S (2009) Surface EMG based muscle fatigue evaluation in biomechanics. Clin Biomech 24(4):327–340CrossRef

20.

Bo K, Borgen JS (2001) Prevalence of stress and urge urinary incontinence in elite athletes and controls. Med Sci Sports Exerc 33(11):1797–1802CrossRef

21.

Vitton V, Baumstarck-Barrau K, Brardjanian S et al (2011) Impact of high-level sport practice on anal incontinence in a healthy young female population. J Womens Health 20(5):757–763CrossRef

22.

Yeung SS, Au AL, Chow CC (1999) Effects of fatigue on the temporal neuromuscular control of vastus medialis muscle in humans. Eur J Appl Physiol 80:379–385CrossRef

23.

Soares MC, Galvão TR, Schuindt da Silva V (2013) Incontinência urinária em atletas: uma revisão de literatura. EFDeportes.com, Revista DIgital, Buenos Aires. Vol. 18, no. 179. http://www.efdeportes.com/efd179/incontinencia-urinaria-em-atletas.htm. Accessed 12 December 2017

24.

Da Roza T, Brandão S, Mascarenhas T et al (2015) Urinary incontinence and levels of regular physical exercise in young women. Int J Sports Med 36(9):776–780CrossRef

25.

Araujo MP, Parmigiano TR, Della Negra LG et al (2015) Avaliação do assoalho pélvico de atletas: existe relação com a incontinência urinária? Rev Bras Med Esporte 21(6):442–446CrossRef

Titel: Influence of pelvic floor muscle fatigue on stress urinary incontinence: a systematic review
verfasst von: Rafaela Prusch Thomaz
Cássia Colla
Caroline Darski
Luciana Laureano Paiva
Publikationsdatum: 01.02.2018
Verlag: Springer International Publishing
Erschienen in: International Urogynecology Journal / Ausgabe 2/2018
Print ISSN: 0937-3462
Elektronische ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-017-3538-6

Neu im Fachgebiet Gynäkologie und Geburtshilfe

23.04.2024 | Medikamente in Schwangerschaft und Stillzeit | Nachrichten

Update Gynäkologie

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

Newsletter bestellen

Springer Medizin

Influence of pelvic floor muscle fatigue on stress urinary incontinence: a systematic review

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

Neu im Fachgebiet Gynäkologie und Geburtshilfe

ICI-Therapie in der Schwangerschaft wird gut toleriert

Weniger postpartale Depressionen nach Esketamin-Einmalgabe

Bei RSV-Impfung vor 60. Lebensjahr über Off-Label-Gebrauch aufklären!

Harnwegsinfektprophylaxe: Es geht auch ohne Antibiotika

Update Gynäkologie

Springer Medizin

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

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

Weitere Artikel der Ausgabe 2/2018

A systematic review of the literature on cystodistension in bladder pain syndrome

Correction to: Impact of surgeon experience on routine prolapse operations

Cystodistension versus cystoscopy in patients with refractory detrusor overactivity: a randomized controlled trial

The effect of pelvic pain and urinary incontinence on women’s self-rated health in northern Mexico

Prevalence and risk factors for cardiac arrest and myocardial infarction after pelvic reconstructive surgery: a national, multi-institutional, surgical database study

Commentary on: Suburethral sling procedures in the United States: complications, readmission, and reoperation

Neu im Fachgebiet Gynäkologie und Geburtshilfe

ICI-Therapie in der Schwangerschaft wird gut toleriert

Weniger postpartale Depressionen nach Esketamin-Einmalgabe

Bei RSV-Impfung vor 60. Lebensjahr über Off-Label-Gebrauch aufklären!

Harnwegsinfektprophylaxe: Es geht auch ohne Antibiotika

Update Gynäkologie