Pelvic floor muscle activity during impact activities in continent and incontinent women: a systematic review

Moser, Helene; Leitner, Monika; Baeyens, Jean Pierre; Radlinger, Lorenz

doi:10.1007/s00192-017-3441-1

Cited by 38 publications

(31 citation statements)

References 49 publications

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“…In another study of 16 healthy women, EMG activity during jumps occurring while drop landing and mini-trampolining was above that of the PFM onset threshold and pre-and co-contraction activity increased significantly with jumping height and body weight force [45]. A review of 28 studies about PFM activity during impact activities, concluded that the timing of PFM activity in relation to the activity of other trunk muscles appears to be important in maintaining continence and that women with SUI have delayed PFM activity during impact activities [46].…”

Section: How Does Exercise Affect Pfm Activity?mentioning

confidence: 99%

Is Physical Activity Good or Bad for the Female Pelvic Floor? A Narrative Review

2019

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More women participate in sports than ever before and the proportion of women athletes at the Olympic Games is nearly 50%. The pelvic floor in women may be the only area of the body where the positive effect of physical activity has been questioned. The aim of this narrative review is to present two widely held opposing hypotheses on the effect of general exercise on the pelvic floor and to discuss the evidence for each. Hypothesis 1: by strengthening the pelvic floor muscles (PFM) and decreasing the levator hiatus, exercise decreases the risk of urinary incontinence, anal incontinence and pelvic organ prolapse, but negatively affects the ease and safety of childbirth. Hypothesis 2: by overloading and stretching the PFM, exercise not only increases the risk of these disorders, but also makes labor and childbirth easier, as the PFM do not obstruct the exit of the fetus. Key findings of this review endorse aspects of both hypotheses. Exercising women generally have similar or stronger PFM strength and larger levator ani muscles than non-exercising women, but this does not seem to have a greater risk of obstructed labor or childbirth. Additionally, women that specifically train their PFM while pregnant are not more likely to have outcomes associated with obstructed labor. Mild-to-moderate physical activity, such as walking, decreases the risk of urinary incontinence but female athletes are about three times more likely to have urinary incontinence compared to controls. There is some evidence that strenuous exercise may cause and worsen pelvic organ prolapse, but data are inconsistent. Both intra-abdominal pressure associated with exercise and PFM strength vary between activities and between women; thus the threshold for optimal or negative effects on the pelvic floor almost certainly differs from person to person. Our review highlights many knowledge gaps that need to be understood to understand the full effects of strenuous and non-strenuous activities on pelvic floor health.

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Section: How Does Exercise Affect Pfm Activity?mentioning

confidence: 99%

Is Physical Activity Good or Bad for the Female Pelvic Floor? A Narrative Review

2019

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“…De fato, existem diferentes fabricantes de transceptores de sinal de EMG com diferentes padrões de transmissão, software de analise e compatibilidade [28]. Assim, pesquisas que objetivam aferir o AP com EMG precisam se adaptar às restrições dos produtos do mercado, implicando em mais custos ou limitações nas análises devido aos softwares impostos pelos fabricantes como nos trabalhos de Park [23], Luginbuehl [14] e Moser [18] O sistema foi avaliado através de critérios pré estabelecidos para o hardware e para o software. Separar a avaliação do software da avaliação do hardware foi uma solução encontrada para acelerar o processo de prototipagem, permitindo entregar os subsistemas separadamente para análise.…”

Section: Trabalhos Relacionadosunclassified

Projeto e prototipagem de sistema para aquisição e análise de EMG do assoalho pélvico

Souza¹,

Fonseca²,

Melo³

et al. 2019

Anais Estendidos Do IX Simpósio Brasileiro De Engenharia De Sistemas Computacionais (SBESC Estendido 2019)

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Electromyography (EMG) is one of the methods used to measure the muscular activity, it can be done via external electrodes or using needles. Nowadays the EMG is used in many areas as medicine, physiotherapy, odontology, phonoaudiology and even to create prosthetic limbs. This technology is used by physiotherapists to evaluate the activity of specific muscles. A specific example is the evaluation of muscles on the Pelvic Floor, field covering the evaluation and treatment of this set of muscles. Most of these evaluation techniques require that the patient be on still positions, since the measurement device is physically wired to the data analysis system. To mitigate this problem our work shows the development of a Wearable Pelvic Floor EMG evaluation system that transmits the data wirelessly to the data analysis system, allowing the patient to be evaluated in more natural positions such as running, crouching and others. This paper covers the development process of the device and dada analysis software, resulting in a system that is ready to clinical tests by the end of the year.

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“…18 In a systematic review on electromyographic PFM activity during impact activities such as coughing, running on a treadmill, horseback riding, and rapid arm movements, the authors found that nonpregnant women with stress UI had delayed PFM activity. 19 The authors concluded that impact activities causing involuntary and reflex PFM activity needs further study. Bø 3 proposed in one of the hypotheses about how exercise may affect the PFM, that a feed-forward loop or cocontractions of the PFM during increase in intraabdominal pressure may strengthen the PFM.…”

Section: Commentmentioning

confidence: 99%

Regular exercisers have stronger pelvic floor muscles than nonregular exercisers at midpregnancy

Bø

Engh

Hilde

2018

American Journal of Obstetrics and Gynecology

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Pelvic floor muscle activity during impact activities in continent and incontinent women: a systematic review

Cited by 38 publications

References 49 publications

Is Physical Activity Good or Bad for the Female Pelvic Floor? A Narrative Review

Is Physical Activity Good or Bad for the Female Pelvic Floor? A Narrative Review

Projeto e prototipagem de sistema para aquisição e análise de EMG do assoalho pélvico

Regular exercisers have stronger pelvic floor muscles than nonregular exercisers at midpregnancy

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