The Effect of Ankle Inclination in Supine and Standing Position on the Electromyigraphic Activity of Abdominal and Pelvic Floor Muscles in Women With and Without Stress Urinary Incontinence: Preliminary Results From a Pilot Study

Cerruto, Maria Angela; Vedovi, Ermes; Rossi, Stefano; Mantovani, William; Pozzo, A; Cangemi, A; Sbarbati, Andrea; Ruggera, Lorenzo; Fiaschi, Antonio; Zattoni, Z.

doi:10.1016/s1569-9056(08)60296-1

Cited by 3 publications

(7 citation statements)

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“…The results of two previous studies that examined the effect of ankle position on dynamic PFM activation in standing (Chen et al, 2005;Cerruto et al, 2008) conflict with the results of the current study. In both studies, the study design was based on the assumption that inducing passive ankle dorsiflexion (DF) with subjects in standing would facilitate an anterior pelvic tilt (hyperlordosis), and that inducing passive ankle plantarflexion (PF) would create a posterior pelvic tilt (hypolordosis).…”

Section: Pfm Activation Amplitudecontrasting

confidence: 99%

“…While the results of the current study support that there is decreased maximum voluntary activation of the PFM in the hypo-lordotic posture, there was also reduced PFM activation when MVCs were performed in the hyperlordotic posture. In the second study by Cerruto et al (2008) which was of similar design to that of Chen et al (2005), the authors reported that there were no differences in maximal PFM EMG activation when continent women stood with different ankle angles (n = 35). The results of Chen et al (2005) and Cerruto et al (2008) must be interpreted with caution, however, as neither group provided evidence that the changes in ankle position used in their studies actually induced significant changes in lumbopelvic posture.…”

Section: Pfm Activation Amplitudementioning

confidence: 98%

“…In the second study by Cerruto et al (2008) which was of similar design to that of Chen et al (2005), the authors reported that there were no differences in maximal PFM EMG activation when continent women stood with different ankle angles (n = 35). The results of Chen et al (2005) and Cerruto et al (2008) must be interpreted with caution, however, as neither group provided evidence that the changes in ankle position used in their studies actually induced significant changes in lumbopelvic posture. The effect of changing ankle position from DF to PF may well have an effect on lumbopelvic angle, however the magnitude of this effect is likely quite small.…”

Section: Pfm Activation Amplitudementioning

confidence: 98%

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The role of lumbopelvic posture in pelvic floor muscle activation in continent women

Capson

Nashed

McLean

2011

Journal of Electromyography and Kinesiology

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Section: Pfm Activation Amplitudecontrasting

confidence: 99%

Section: Pfm Activation Amplitudementioning

confidence: 98%

Section: Pfm Activation Amplitudementioning

confidence: 98%

See 1 more Smart Citation

The role of lumbopelvic posture in pelvic floor muscle activation in continent women

Capson

Nashed

McLean

2011

Journal of Electromyography and Kinesiology

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“…However, other studies found greater PFM activity in ankle neutral and induced dorsiflexion as opposed to induced plantar flexion [10,13]. As ankle positions can influence resting and MVC PFM, it is worth identifying the ankle position facilitating greater maximal contraction to aid PFM training for women with SUI.…”

Section: Introductionmentioning

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%

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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Posture Correction Therapy and Pelvic Floor Muscle Function Assessed by sEMG with Intravaginal Electrode and Manometry in Female with Urinary Incontinence

Jórasz

Truszczyńska-Baszak

Dąbek

2022

IJERPH

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Introduction: The aim of the study was to assess the influence of the implemented therapeutic programme, which consisted of body posture correction and of change of habits, on the pelvic floor muscle function in women with stress urinary incontinence. Material and methods: The 60 women were randomly divided into two groups: the study population and the clinical control group (subjects received envelopes with numbers of the group: 1- study population aged 38.3 ± 5.54, 2- clinical control group aged 35.5 ± 4.7. We used the following research methods: A personal questionnaire with subjects’ demographics and with questions related to the type of work, physical activity, childbirths and any issues related to the pelvic floor (pre-test), Pelvic floor muscle assessment with the use of the PERFECT Scheme and the Oxford scale palpation examination, sEMG with intravaginal electrode and manometry with an intravaginal probe—pre-test and post-test. Subjective assessment of body posture in the sagittal plane according to the McKenzie methodology. Results: In both groups, VRP (resting vaginal pressure) and resting PFM tension were significantly reduced. The strength and endurance of PFM, tension during MVC and VSP (intravaginal pressure during contraction) increased, with no difference between the groups. SUI decreased significantly, and quality of life improved significantly in both groups. Conclusions: Education of the pelvic floor and changing habits significantly affected the activity of PFM and improved the quality of life in the group of patients with SUI. The posture correction therapy with manual therapy and stretching exercises did not increase this effect.

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The Effect of Ankle Inclination in Supine and Standing Position on the Electromyigraphic Activity of Abdominal and Pelvic Floor Muscles in Women With and Without Stress Urinary Incontinence: Preliminary Results From a Pilot Study

Cited by 3 publications

References 0 publications

The role of lumbopelvic posture in pelvic floor muscle activation in continent women

The role of lumbopelvic posture in pelvic floor muscle activation in continent women

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

Posture Correction Therapy and Pelvic Floor Muscle Function Assessed by sEMG with Intravaginal Electrode and Manometry in Female with Urinary Incontinence

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