Incontinence During Sports and Fitness Activities

Bourcier, A.

doi:10.1007/978-1-84628-505-9_32

Cited by 6 publications

(5 citation statements)

References 1 publication

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“…The use of biofeedback techniques includes training in different positions and PFM contraction while performing real physical activities. The goal is to provoke a quick, strong and well-defined PFM contraction before and during rise in intra-abdominal pressure, known as ‘the Knack’ 48. Active sport students with urinary incontinence who were treated with PFMT achieved increased PFM strength, reduced frequency of incontinence episodes and a smaller amount of urine leak in each episode 49.…”

Section: Treatmentmentioning

confidence: 99%

Urinary incontinence in physically active women and female athletes

Goldstick¹,

Constantini

2013

Br J Sports Med

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A literature review was performed on the topic of urinary incontinence during physical activity and sports. This paper reviews the prevalence, risk factors, pathophysiology and treatment modalities of urinary incontinence in physically active women and female athletes. Urinary incontinence affects women of all ages, including top female athletes, but is often under-reported. The highest prevalence of urinary incontinence is reported in those participating in high impact sports. Pelvic floor muscle training is considered the first-line treatment, although more research is needed to determine optimal treatment protocols for exercising women and athletes. Trainers, coaches and other athletes' caregivers should be educated and made aware of the need for proper urogynaecological assessment.

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Section: Treatmentmentioning

confidence: 99%

Urinary incontinence in physically active women and female athletes

Goldstick¹,

Constantini

2013

Br J Sports Med

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“…As presented in the PRISMA 2020‐flow diagram (Figure 1), from 2625 records identified by the initial literature searches, 2590 were excluded and 35 articles were included 3,15–48 . The reasons for exclusion and the corresponding references are reported in online Supporting Information File S2.…”

Section: Resultsmentioning

confidence: 99%

“…As presented in the PRISMA 2020‐flow diagram (Figure 1 ), from 2625 records identified by the initial literature searches, 2590 were excluded and 35 articles were included. 3 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 The reasons for exclusion and the corresponding references are reported in online Supporting Information File S 2 .…”

Section: Resultsmentioning

confidence: 99%

What is known from the existing literature about the available interventions for pelvic floor dysfunction among female athletes? A scoping review

Giagio

Innocenti

Pillastrini

et al. 2022

Neurourology and Urodynamics

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Background: Female athletes may be at higher risk of developing pelvic floor dysfunction (PFD). However, despite the great number of epidemiologic studies, the interventions have not been standardized. Aim:The present scoping review aimed to map and summarize the literature to identify the available interventions for PFD among female athletes.Methods: Seven databases were searched up to May 2021. Studies considering female athletes practising sports at any performance level with any type of PFD were eligible for inclusion. Any clinical intervention and any context were considered. No language, study design, and publication type restrictions were applied. Additional studies were identified through gray literature and the reference lists of articles included. The results were presented numerically and thematically.Results: From 2625 initial records, 35 studies met inclusion criteria. The majority of articles were narrative reviews, considering athletes with urinary incontinence practising multiple or high-impact sports. Authors discussed a wide range of interventions: preventive (n = 8); conservative (n = 35), pharmacological (n = 12), and surgical (n = 10). In particular, the Pelvic Floor Muscle Training was considered in 30 studies.Conclusions: This is the first scoping review to provide a comprehensive overview of the topic. Besides the great number of available interventions, specific programs and randomized controlled clinical trials for female athletes are still limited. Findings highlighted evident gaps in the primary research confirming that the current management is based on expert opinion. This review may be useful for the overall management, and it may represent a starting point for future research.

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“…However, the results of another study demonstrated that many women who engaged in Crossfit and Powerlifting, with similar activities, did experience incidences of urinary incontinence; the authors found that some of the participants of these studies were unsure whether they were activating their pelvic floor correctly [14], and this may have led to experiencing urinary incontinence. Activating the 'knack', an element of the Kegel exercise, to counterbrace the pelvic floor at the time of a focused deadlift or squat when intra-abdominal pressure (IAP) is momentarily increased, is thought to be enough to facilitate urethral closure and subsequently prevent leakage [15].…”

Section: Introductionmentioning

confidence: 99%

Does a Kegel Exercise Program Prior to Resistance Training Reduce the Risk of Stress Urinary Incontinence?

Cross

Kirshbaum²,

Wikander³

et al. 2023

IJERPH

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This comparative pre–post intervention study investigated the feasibility and benefits of Kegel exercises amongst incontinent women, prior to commencing resistance training (RT), to reduce the risk of stress urinary incontinence (SUI) compared to a group of women without prior Kegel exercises (KE). Incontinence severity index (ISI) score, pelvic floor muscle strength (PFMS), and body composition (such as body mass index (BMI), fat, and muscle mass), were obtained pre and post intervention. Results demonstrated that RT reduced SUI to a significantly greater extent only if preceded by KE as was observed in the Kegel exercise plus RT group (KE + RT) over time. The improvements in total ISI in both the KE + RT and RT groups were large (d = 1.50 and d = 1.17 respectively). A two-way ANOVA indicated a statistically significant improvement in average PFMS within the KE + RT group over time and between the two groups. A positive correlation was found between the average strength of pelvic floor muscles and SUI. Participants in KE + RT group demonstrated a significant increase in muscle mass (p ≤ 0.001) and concomitant reduction in fat mass (p = 0.018). This study determined a dedicated program of KE preceding a RT program improved average pelvic floor muscle strength and was effective in reducing SUI among incontinent women.

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Incontinence During Sports and Fitness Activities

Cited by 6 publications

References 1 publication

Urinary incontinence in physically active women and female athletes

Urinary incontinence in physically active women and female athletes

What is known from the existing literature about the available interventions for pelvic floor dysfunction among female athletes? A scoping review

Does a Kegel Exercise Program Prior to Resistance Training Reduce the Risk of Stress Urinary Incontinence?

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