Are transversus abdominis/oblique internal and pelvic floor muscles coactivated during pregnancy and postpartum?

Pereira, Larissa; Botelho, Simone; Marques, Joseane; Amorim, César Ferreira; Lanza, A; Palma, Paulo; Riccetto, Cássio

doi:10.1002/nau.22315

Cited by 48 publications

(43 citation statements)

References 24 publications

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“…Działanie mię-śni brzucha w połączeniu z MDM dotyczy najmocniej mię-śnia poprzecznego brzucha (musculus transversus abdominis -TrA), co zostało zaobserwowane w badaniach Pereira i wsp. [11]. Potwierdzono wówczas, że następuje aktywacja TrA w momencie napięcia MDM oraz brak aktywacji u kobiet będących po porodzie naturalnym.…”

Section: Wstępunclassified

“…Być może przeprowadzone przez Pereira i wsp. [11] badania trwały zbyt krótko, ćwicze-nia MDM zalecane były przez 6 tygodni, 2 razy dziennie, po 1 godz., ponieważ nie przyniosły takich rezultatów. Pacjentki nie wskazały istotnych zmian w pojawianiu się wyczerpania, zmęczenia czy kłopotów ze snem, pomimo iż faktyczna ilość sesji gimnastycznych była analogiczna jak w badaniach opisanych w niniejszej pracy.…”

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Wpływ ćwiczeń mięśni dna miednicy z udziałem i bez udziału mięśni synergistycznych na jakość życia kobiet z wysiłkowym nietrzymaniem moczu

Ptak

2017

Pomeranian J Life Sci

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Introduction: Stress urinary incontinence (SUI) is an ailment diagnosed in many women in different periods of life. It is estimated that nearly 60% of them will experience the effect of SUI on the quality of life (QOL) in the perimenopausal period. The International Continence Society (ICS) recommended pelvic floor muscle (PFM) exercise as first line treatment. The aim of this study was to compare the QOL of patients with stage 1 SUI that performed PFM and the synergistic muscle (PFM and SM) exercise and isolated PMF (PFM) exercise for the period of 3 months. The additional objective was to evaluate the influence of menopausal status, body mass index (BMI), waist-hip ratio (WHR) and the number of births given on the effectiveness of treatment. Materials and methods: After urodynamic testing executed at the Clinic of Gynaecology, Endocrinology and Gynaecologic Oncology in the Pomeranian Medical University in Szczecin (in Poland), 140 patients were selected. Women were in the perimenopausal period and suffered from SUI stage 1. The conservative treatment was carried out under supervision in 2 groups, 70 patients each. The mean age of women was 51-53 years, BMI -27.4 kg/m2 and WHR was 0.88 (first group) and 0.81 (second group). Before and after the treatment, patients' QOL was evaluated with the use of the ICIQ LUTS qol questionnaire. Moreover, the patients in both groups received vaginal oestriol. Statistica v. 12.0 PL, StatSoft, USA, was used for statistical calculations. Results: Analysis demonstrated the effectiveness of both exercise protocols. The study revealed that exercise according to protocol A (PMF and SM) is more effective than protocol B (PMF). There was no change in QOL in personal relationships. The influence of menopausal status, WHR and number of births was proven. Conclusions: PFM and SM exercise and PFM exercise alone improved the QOL of women with SUI stage 1. However, a stronger impact was observed in the physiotherapy of PFM and SM. The PFM and SM exercise was proven to be more effective than the PFM exercise alone when performed by women with SUI in their premenopausal period, with a gynoidal body type, and in the case of women who gave birth less than three times. Keywords: stress urinary incontinence; perimenopausal period; physiotherapy; pelvic floor muscles; ICIQ LUTS qol; quality of life. ABSTRAKT Wstęp:Wysiłkowe nietrzymanie moczu (WNM) jest dolegliwością dotyczącą wielu kobiet w różnych okresach życia. Szacuje się, iż prawie 60% z nich w wieku perimenopauzalnym doświadczy wpływu WNM na jakość życia (QOL). Według International Continence Society leczenie rozpoczyna się od metod zachowawczych, do których zalicza się gimnastykę mięśni dna miednicy (MDM). Celem pracy było porównanie QOL pacjentek z WNM I stopnia po zastosowaniu gimnastyki MDM z mięśniem synergistycznym oraz gimnastyki wyłącznie MDM, którą przeprowadzono w okresie 3 miesięcy. Dodatkowo oceniono wpływ wskaźnika masy ciała (BMI), wskaźnika dystrybucji tkanki tłuszczowej w organizmie (WHR), liczby porodów oraz statusu...

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Wpływ ćwiczeń mięśni dna miednicy z udziałem i bez udziału mięśni synergistycznych na jakość życia kobiet z wysiłkowym nietrzymaniem moczu

Ptak

2017

Pomeranian J Life Sci

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“…The exercises will obey a sequence, according to the gestation week, considering the following factors/parameters: exercise position, number and sustaining period of slow and fast contractions, and relaxation time between contractions as given in Table 1. 21 All pregnant women should contract the PFM during the expiratory phase of breathing associated with an isometric contraction of the abdominal muscles and at the end of each series of contractions, perform a one minute interval between sets and in that time perform the diaphragmatic breathing exercise to promote overall relaxation. At that moment, the pregnant woman may adopt any comfortable and convenient position for her.…”

Section: Pelvic Floor Muscles Training Group (Pfmtg)mentioning

confidence: 99%

“…At that moment, the pregnant woman may adopt any comfortable and convenient position for her. 21 The participants will carry out the PFMT protocol proposed once a day, every day from the 34th week of gestation until the beginning of labor. Digital palpation will be used only to verify the correct PFM contraction in all weekly sessions of physiotherapy follow up.…”

Section: Pelvic Floor Muscles Training Group (Pfmtg)mentioning

confidence: 99%

Effects of antenatal pelvic floor preparation techniques on the perineal integrity: a randomized controlled trial protocol

et al. 2016

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Background: The objective of the present study was to compare the effects of perineal massage, vaginal dilator and pelvic floor muscles training on the perineal integrity of primiparae women. Methods: Primigravidae women over 18 years old will be selected, from the 32th gestational week and wishing to have a vaginal delivery.Pregnant women will be randomly allocated from a sequence generated by a computer program into three groups: perineal massage, vaginal dilator and pelvic floor muscles training. The technique should be practiced from the 34th week of pregnancy until the beginning of labor. Randomization will be done by a researcher who was not involved with the recruitment, assessment and treatment of the participants. All participants will undergo a clinical and functional assessment of the pelvic floor before the beginning of the technique practice, as well as a reassessment of these items and an assessment of perineal integrity between 45 and 60 days after delivery for a blind physiotherapist regarding the interventional procedures. The evaluative procedures will be done by a ‘blinded’ physiotherapist in relation to the intervention procedures. The outcome will be determined by the perineal integrity by the presence or absence of perineal laceration as well as their characteristics observed immediately after delivery. Conclusions: The knowledge of the effects of antenatal pelvic floor preparation techniques on the perineal integrity and pelvic floor muscles function after delivery, will allow a better choice about which approach is the best to pregnant women to prevent perineal trauma.

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“…TrA activation is a natural reflex to an increase in the tension of PFM. The lack of such activation was observed among women after giving birth [30]. Sapsford [31] mentions more muscles which recruit movement units during MVC.…”

Section: Introductionmentioning

confidence: 99%

The Impact of Pelvic Floor Muscles Exercises with and without Synergistic Muscles on Quality of Life of Women with Stage I Stress Urinary Incontinence

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Brodowska

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et al. 2017

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Are transversus abdominis/oblique internal and pelvic floor muscles coactivated during pregnancy and postpartum?

Abstract: There is co-activation of the transversus abdominis/internal oblique and the pelvic floor muscles in young, asymptomatic nulliparous women. This pattern was modified in primigravid pregnant and primiparous postpartum women regardless of the delivery mode.

Cited by 48 publications

References 24 publications

Wpływ ćwiczeń mięśni dna miednicy z udziałem i bez udziału mięśni synergistycznych na jakość życia kobiet z wysiłkowym nietrzymaniem moczu

Wpływ ćwiczeń mięśni dna miednicy z udziałem i bez udziału mięśni synergistycznych na jakość życia kobiet z wysiłkowym nietrzymaniem moczu

Effects of antenatal pelvic floor preparation techniques on the perineal integrity: a randomized controlled trial protocol

The Impact of Pelvic Floor Muscles Exercises with and without Synergistic Muscles on Quality of Life of Women with Stage I Stress Urinary Incontinence

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