Pelvic floor muscle training to improve urinary incontinence in young, nulliparous sport students: a pilot study

Roza, Thuane Da; Araújo, Maíta Poli de; Viana, Rui; Viana, Sara; Jorge, R.M. Natal; Bø, Kari; Mascarenhas, Teresa

doi:10.1007/s00192-012-1759-2

Cited by 74 publications

(88 citation statements)

References 25 publications

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“…Treinadores devem encorajar as atletas a realizarem a contração muscular durante suas atividades regulares, pois, sem orientação, é improvável que elas pensem a respeito dessa contração voluntariamente 31 .…”

Section: Discussionunclassified

Avaliação Do Assoalho Pélvico De Atletas: Existe Relação Com a Incontinência Urinária?

Araújo

Parmigiano

Negra

et al. 2015

Rev Bras Med Esporte

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RESUMOIntrodução: O assoalho pélvico feminino é formado por um conjunto de músculos, fáscias e ligamentos que sustentam os órgãos pélvicos (bexiga, ânus e vagina). A lesão destas estruturas, devido à idade avançada e parto podem levar à incontinência urinária. Entretanto, ainda não se sabe se o exercício de alta intensidade é capaz de lesar este conjunto músculo-aponevrótico, levando à incontinência urinária. Objetivo: Comparar a capacidade de contração dos músculos do assoalho pélvico entre mulheres sedentárias e atletas de elite, e verificar se existe associação com a ocorrência de incontinência urinária durante a atividade física. Métodos: Estudo caso-controle que incluiu 93 mulheres (49 atletas e 44 sedentárias) convidadas a responder o questionário "International Consultation on Incontinence Questionnaire -Short Form" e realizar avaliação funcional do assoalho pélvico. As atletas (grupo caso) eram praticantes de corrida de longa distância, basquete e ginástica olímpica. As sedentárias (grupo controle) realizavam menos de 150 minutos por semana de atividades moderadas ou vigorosas. A aferição da pressão de contração foi feita por meio de um perineômetro digital de precisão. Resultados: Os grupos foram homogêneos quanto à idade e índice de massa corpórea. As atletas apresentaram maiores valores de pressão vaginal máxima (70,1±2,4 cmH 2 O) quando comparadas às sedentárias (34,3±1,7 cmH 2 O), (p<0,001). As atletas praticantes de basquete tiveram os maiores valores da pressão vaginal máxima (77,2 cmH 2 O) quando comparadas às ginastas (65,5 cmH 2 O) e corredoras (65,4 cmH 2 O). A prevalência de incontinência urinária nas atletas foi de 76% e somente 16% nas sedentárias (p=0,005). Conclusão: Embora a capacidade de contração do assoalho pélvico em atletas de elite seja superior às sedentárias, a prevalência de incontinência urinaria foi elevada neste grupo de praticantes de esporte de alto rendimento e alto impacto.Palavras-chave: incontinência urinária, esportes, diafragma da pelve. ABSTRACT Introduction: The female pelvic floor is formed by a set of muscles, fasciae, and ligaments that sustain pelvic organs (bladder, anus and vagina). Dysfunction of these structures

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Section: Discussionunclassified

Avaliação Do Assoalho Pélvico De Atletas: Existe Relação Com a Incontinência Urinária?

Araújo

Parmigiano

Negra

et al. 2015

Rev Bras Med Esporte

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“…The students performed PFMT exercises every day, modifi ed by physiotherapists every 2 weeks. After eight weeks there was an improvement in strength of the pelvic fl oor muscles and a decrease in frequency and volume of SUI [35].…”

Section: Stress Urinary Incontinence Among Women Practising Sportmentioning

confidence: 97%

“…Codziennie studentki wykonywały ćwiczenia PFMT, modyfi kowane przez fi zjoterapeutów raz na 2 tygodnie. Po 8 tygodniach stwierdzono poprawę siły mięśni dna miednicy oraz zmniejszenie częstotliwości i objętości WNM [35].…”

Section: Stress Urinary Incontinence Among Women Practising Sportunclassified

Pelvic floor muscle exercise as the best stress urinary incontinence prevention method in women practising competitive sport

Opara¹,

Socha²,

Poświata³

2013

Physiotherapy

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Exercises in stress urinary incontinence (SUI) cover Pelvic Floor Muscle Exercises (PFME), also known in literature as Pelvic Floor Muscle Training (PFMT) or Kegel exercises; isometric exercises, exercises of the abdominal and gluteal muscles and of the adductor of thigh, respiratory exercises carried out through the abdominal tract, exercises in water. In persons with urinary incontinence, the interaction between the pelvic floor muscles and the transverse abdominal muscle is impaired, suggesting a significant role of this muscle in urinary continence. Consequently, a moderate training, e.g. including exercises of Pilates method, may be part of the therapy. Stress urinary incontinence is a frequent occurrence among women practising competitive sport. In the review article we have presented the incidence of stress urinary incontinence in sportswomen, risk factors and physiotherapeutic treatment. We have paid specific attention to the prevention of stress urinary incontinence in female athletes.

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“…This questionnaire examines the frequency, amount and duration of urine leakage and its effect on the quality of life. Numerous studies used this tool (23)(24)(25), and its reliability and validity were confirmed in Iran with a Cronbach's alpha of 0.75 (26).…”

Section: Questionnairementioning

confidence: 99%

Pelvic Floor Muscle Training Instruction to Control Urinary Incontinence and its Resulting Stress, Anxiety and Depression in Patients with Multiple Sclerosis

Rafii

Sajjadi

Shareinia

et al. 2016

Jundishapur J Chronic Dis Care

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Background: Urinary disorders are common problems in patients with multiple sclerosis (MS). Urinary incontinence largely affects the physical, social and emotional characteristics and activities of such patients. Objectives: The current study aimed to identify the effect of pelvic floor muscle training on urinary incontinence and its resulting stress, anxiety and depression in patients with MS. Methods: The present clinical trial with a pre-post design was conducted on 50 patients with MS referring to the MS clinic of Imam Khomeini hospital in Tehran, Iran, selected by convenience sampling method. Participants received instructions on pelvic floor muscle exercises and then practiced for three consecutive months. The international consultation on incontinence questionnaireurinary incontinence short form (ICIQ-UI-SF) was used to measure participants' urinary incontinence, and the 21-item depression, anxiety and stress scale (DASS-21) to measure their depression, anxiety and stress, both before the intervention and at the end of the third month of exercising. The obtained data were analyzed by SPSS16 using descriptive statistics and the dependent t test. Results: About 45 (90%) participants practiced pelvic floor muscle exercises until the end of the third month. The frequency and amount of urine leakage and the effect of urinary incontinence on the quality of life differed significantly in the patients after the instructions compared to the status before the intervention (P < 0.001). The mean score of stress (P < 0.001), anxiety (P = 0.04) and depression (P = 0.003) decreased significantly after the intervention. Conclusions: According to the findings, instructing pelvic floor muscle exercises was effective in reducing urinary incontinence and its resulting stress, anxiety and depression in patients with MS. These exercises were recommended as a non-pharmacological, non-invasive and cost-effective method to control urinary incontinence in patients with MS.

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Pelvic floor muscle training to improve urinary incontinence in young, nulliparous sport students: a pilot study

Cited by 74 publications

References 25 publications

Avaliação Do Assoalho Pélvico De Atletas: Existe Relação Com a Incontinência Urinária?

Avaliação Do Assoalho Pélvico De Atletas: Existe Relação Com a Incontinência Urinária?

Pelvic floor muscle exercise as the best stress urinary incontinence prevention method in women practising competitive sport

Pelvic Floor Muscle Training Instruction to Control Urinary Incontinence and its Resulting Stress, Anxiety and Depression in Patients with Multiple Sclerosis

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