Variables Affecting Intra-abdominal Pressure During Lifting in the Early Postpartum Period

Hsu, Yvonne; Hitchcock, Robert W.; Niederauer, Stefan; Nygaard, Ingrid; Shaw, Janet M.; Sheng, Xiaoming

doi:10.1097/spv.0000000000000462

Cited by 16 publications

(15 citation statements)

References 28 publications

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“…The maximum AP during lifting was correlated to post-delivery time, subject's weight, height and BMI, but independent from the lifting type. 18 The lifting type that was similar to this study (i.e. straight legs vs. standardized), resulted in increase of the AP.…”

Section: Discussionsupporting

confidence: 64%

“…17 In addition to the above studies that were merely based on questionnaires, some other investigations have quantitatively linked the type and magnitude of loading with some UI-related factors, like intra-abdominal pressure (IAP). [18][19][20][21] There were some limitations in these studies. First, there is no consensus on the direct correlation between the IAP and the UI in the literature.…”

Section: Introductionmentioning

confidence: 97%

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"Heavy lifting and urinary incontinence" top read or toss into the bias list?

et al. 2020

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Introduction: Urinary incontinence (UI) is a multifactorial and prevalent disorder among aged women. Physical activities are believed to have challenging roles in the deterioration of the UI. The aim of this study was to examine the effect of standardized weightlifting on urodynamic parameters in the urinary continent and incontinent individuals. Methods: Twenty-four UI morbid and 21 control subjects participated in a standardized weightlifting task while undergoing multichannel cystometry tests in two empty and full bladder conditions. Maximum weightlifting force (MWF) and vesical and abdominal pressures (APs) were measured to calculate the detrusor pressure. Results: Findings showed that the UI participants with full bladder have significant higher abdominal, vesical and detrusor pressures in comparison to the controls; but in empty bladder condition, only the AP of the UI morbid group was significantly greater. The MWF was not significantly changed between the UI and control groups. The MWF was also not correlated with the detrusor pressure among the UI participants and full bladder controls. Conclusion: Weightlifting till the subject's maximum force can neither produce incontinence in healthy subjects nor deteriorate the UI patients' conditions.

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Section: Discussionsupporting

confidence: 64%

Section: Introductionmentioning

confidence: 97%

"Heavy lifting and urinary incontinence" top read or toss into the bias list?

et al. 2020

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“…One of the reasons—that analyzed trials and reviews cannot provide strong evidence of the use of PFMT in POP prevention—might be that there is an increase in intensity of physical activity and weight-lifting in the postpartum period, due to returning to pre-pregnancy lifestyle and additionally baby-care routine which includes baby and baby-stroller lifting. These activities, if performed incorrectly, may increase severity of POP [ 36 , 75 ]. Other possible reason is follow-up period; if patients start training about 6 weeks postpartum and the last follow-up point is 6 months postpartum, the time interval is too short to evaluate the preventative effect of PFMT.…”

Section: Discussionmentioning

confidence: 99%

Pelvic-Floor Dysfunction Prevention in Prepartum and Postpartum Periods

Romeikienė

Bartkevičienė

2021

Medicina

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Every woman needs to know about the importance of the function of pelvic-floor muscles and pelvic organ prolapse prevention, especially pregnant women because parity and labor are the factors which have the biggest influence on having pelvic organ prolapse in the future. In this article, we searched for methods of training and rehabilitation in prepartum and postpartum periods and their effectiveness. The search for publications in English was made in two databases during the period from August 2020 to October 2020 in Cochrane Library and PubMed. 77 articles were left in total after selection—9 systematic reviews and 68 clinical trials. Existing full-text papers were reviewed after this selection. Unfinished randomized clinical trials, those which were designed as strategies for national health systems, and those which were not pelvic-floor muscle-training-specified were excluded after this step. Most trials were high to moderate overall risk of bias. Many of reviews had low quality of evidence. Despite clinical heterogeneity among the clinical trials, pelvic-floor muscle training shows promising results. Most of the studies demonstrate the positive effect of pelvic-floor muscle training in prepartum and postpartum periods on pelvic-floor dysfunction prevention, in particular in urinary incontinence symptoms. However more high-quality, standardized, long-follow-up-period studies are needed.

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“…It is acknowledged that intra-abdominal pressure rises with increasing waist circumference. 27 As a result, PFMS is expected to be low in patients with high waist circumference. Yet, according to our knowledge, there is no study in the literature evaluating this relationship with quantitative methods.…”

Section: Discussionmentioning

confidence: 99%

“…It is acknowledged that intra‐abdominal pressure rises with increasing waist circumference 27 . As a result, PFMS is expected to be low in patients with high waist circumference.…”

Section: Discussionmentioning

confidence: 99%

Relationship between the types of urinary incontinence, handgrip strength, and pelvic floor muscle strength in adult women

Soytaş

Danacıoğlu

et al. 2021

Neurourology and Urodynamics

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To investigate the relationship between handgrip strength with types of urinary incontinence (UI) and pelvic floor muscle strength (PFMS) in women.Methods: Ninety-two women, who presented to the geriatric and urology outpatient clinics complaining of UI between July 2019 and February 2020 and had indicated to undergo urodynamic assessment after basic neurourological evaluation, were included in this cross-sectional study. The presence and types of UI were identified by clinical examination and urodynamic studies. Demographic parameters, anthropometric data, comorbidities and medications were recorded. The International Consultation on Incontinence Questionnaire-Short Form was applied. Handgrip strength (HGS) was measured by a hand dynamometer. The PFMS was subjectively assessed via vaginal digital palpation and measured quantitatively by the vaginal probe of the perineometer.Results: Thirty-eight urodynamic stress, 28 detrusor overactivity, 26 urodynamic mixed UI patients were reported. Perineometer measurements were significantly lower in the urodynamic stress UI group compared to the other two groups (p = 0.020). There was no relationship between the types of urinary incontinence and HGS. However, a positive correlation was found between PFMS and HGS (p = 0.045, r = 0.298). Conclusion:The positive correlation between HGS and PFMS indicates that low HGS may be a marker for PFMS weakness. Furthermore, the association between sarcopenia and UI may be explained by this condition.

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Variables Affecting Intra-abdominal Pressure During Lifting in the Early Postpartum Period

Abstract: Other than measures of body habitus and lifting duration, we did not identify modifiable factors that could mitigate maximal pressures experienced by the pelvic floor during the early postpartum period.

Cited by 16 publications

References 28 publications

"Heavy lifting and urinary incontinence" top read or toss into the bias list?

"Heavy lifting and urinary incontinence" top read or toss into the bias list?

Pelvic-Floor Dysfunction Prevention in Prepartum and Postpartum Periods

Relationship between the types of urinary incontinence, handgrip strength, and pelvic floor muscle strength in adult women

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