320 the Effect of Ankle Inclination in Upright Position on the Electromyigraphic Activity of Pelvic Floor Muscles in Women With Stress Urinary Incontinence

Cerruto, M.A.; Vedovi, Ermes; Riva, S; Rossi, Stefano; Cardarelli, Sofia; Curi, P.; Ruggera, Lorenzo; Zattoni, Filiberto

doi:10.1016/s1569-9056(07)60319-4

Cited by 3 publications

(6 citation statements)

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“…The achieved results showed that during the dorsal flexion of the feet, the anterior pelvic tilt increased and higher PFM activity was observed. Similar studies were carried out by Cerruto et al [ 60 ], who examined 15 women suffering from SUI. Bioelectrical activity of PFM was measured in the standing position with horizontal positioning of the feet and their plantar (5°, 10°, and 15°) and dorsal (5°, 10°, and 15°) flexion.…”

Section: Discussionsupporting

confidence: 60%

Evaluation of Bioelectrical Activity of Pelvic Floor Muscles and Synergistic Muscles Depending on Orientation of Pelvis in Menopausal Women with Symptoms of Stress Urinary Incontinence: A Preliminary Observational Study

Halski

Słupska

Dymarek

et al. 2014

BioMed Research International

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Objectives. Evaluation of resting and functional bioelectrical activity of the pelvic floor muscles (PFM) and the synergistic muscles, depending on the orientation of the pelvis, in anterior (P1) and posterior (P2) pelvic tilt. Design. Preliminary, prospective observational study. Setting. Department and Clinic of Urology, University Hospital in Wroclaw, Poland. Participants. Thirty-two menopausal and postmenopausal women with stress urinary incontinence were recruited. Based on inclusion and exclusion criteria, sixteen women aged 55 to 70 years were enrolled in the study. Primary Outcome Measures. Evaluation of resting and functional bioelectrical activity of the pelvic floor muscles by electromyography (sEMG) and vaginal probe. Secondary Outcome Measures. Evaluation of activity of the synergistic muscles by sEMG and surface electrodes. Results. No significant differences between orientations P1 and P2 were found in functional and resting sEMG activity of the PFM. During resting and functional PFM activity, higher electrical activity in P2 than in P1 has been recorded in some of the synergistic muscles. Conclusions. This preliminary study does not provide initial evidence that pelvic tilt influences PFM activation. Although different activity of synergistic muscles occurs in various orientations of the pelvic tilt, it does not have to affect the sEMG activity of the PFM.

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Section: Discussionsupporting

confidence: 60%

Evaluation of Bioelectrical Activity of Pelvic Floor Muscles and Synergistic Muscles Depending on Orientation of Pelvis in Menopausal Women with Symptoms of Stress Urinary Incontinence: A Preliminary Observational Study

Halski

Słupska

Dymarek

et al. 2014

BioMed Research International

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“…Two studies were conducted in Taiwan, one in Egypt and one in Italy. Of the four included studies, two [12,14] reported mean and SD, one reported mean and IQR [11] and one study reported median and IQR [13]. The mean age of women in the included studies ranged from 26 to 72 years.…”

Section: Characteristics Of Individual Studiesmentioning

confidence: 99%

“…One study [14] evaluated the effect of ankle position combined with pelvic tilt (neutral ankle position with normal pelvic tilt, anterior pelvic tilt created by ankle dorsiflexion and posterior pelvic tilt created by ankle plantar flexion) on PFM activity in women with SUI. One study [11] of women with SUI evaluated the PFM activity in seven ankle positions: horizontal standing and standing with ankles in dorsi-and plantar flexion at 5°, 10° and 15°.…”

Section: Characteristics Of Individual Studiesmentioning

confidence: 99%

“…Data pooled from four studies [11][12][13][14] revealed significantly greater PFM MVC in ankle dorsiflexion compared to plantar flexion (-2.28 [95% CI -3.96, -0.60] p = 0.008; n = 230) (Figure 5). However, there was no significant MVC difference in ankle neutral position compared to dorsiflexion (0.97 [-0.77, 2.72] p = 0.27; n = 230) (Figure 6).…”

Section: Mvc Of Pfmsmentioning

confidence: 99%

“…Previous studies have found that different ankle positions (dorsiflexion, neutral and plantar flexion) alter PFM activity in women, but with contradictory results [10][11][12][13][14]. Some studies found significantly greater PFM activity in induced ankle plantar flexion (wedges under heels) compared to ankle neutral and induced dorsiflexion (placing wedges under toes) [12,14].…”

Section: Introductionmentioning

confidence: 99%

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Ankle positions potentially facilitating greater maximal contraction of pelvic floor muscles: a systematic review and meta-analysis

Kannan

Winser

Goonetilleke

et al. 2018

Disability and Rehabilitation

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Pelvic floor muscle-training for women with urinary incontinence could be performed in standing with ankles in a neutral position or dorsiflexion to facilitate greater maximal pelvic floor muscle contraction. As urethral support requires resting contraction of pelvic floor muscles, decreased resting activity in plantar flexion identified in the meta-analysis indicates that high-heel wearers with urinary incontinence might potentially experience more leakage during exertion in a standing position. Implications for rehabilitation Pooled analyses revealed that maximal voluntary contraction of pelvic floor muscle is greater in induced ankle dorsiflexion than induced plantar flexion. As pelvic floor muscle strengthening involves achieving a greater maximal voluntary contraction, pelvic floor muscle training for women with stress urinary incontinence could be performed in standing either with ankles in a neutral position or dorsiflexion. Decreased resting activity in plantar flexion identified in the meta-analysis indicates that high-heel wearers with stress urinary incontinence might potentially experience more leakage during exertion in a standing position. Women with stress urinary incontinence should be advised to wear flat shoes instead of high-heels and should be cautioned about body posture and ankle positions assumed during exercise and daily activities.

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Women Pay Attention to Shoe Heels: Besides Causing Schizophrenia They Might Affect Your Pelvic Floor Muscle Activity!!

Cerruto

Vedovi²,

Mantovani

2008

European Urology

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320 the Effect of Ankle Inclination in Upright Position on the Electromyigraphic Activity of Pelvic Floor Muscles in Women With Stress Urinary Incontinence

Cited by 3 publications

References 0 publications

Evaluation of Bioelectrical Activity of Pelvic Floor Muscles and Synergistic Muscles Depending on Orientation of Pelvis in Menopausal Women with Symptoms of Stress Urinary Incontinence: A Preliminary Observational Study

Evaluation of Bioelectrical Activity of Pelvic Floor Muscles and Synergistic Muscles Depending on Orientation of Pelvis in Menopausal Women with Symptoms of Stress Urinary Incontinence: A Preliminary Observational Study

Ankle positions potentially facilitating greater maximal contraction of pelvic floor muscles: a systematic review and meta-analysis

Women Pay Attention to Shoe Heels: Besides Causing Schizophrenia They Might Affect Your Pelvic Floor Muscle Activity!!

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