Relevant bibliographies by topics / Pelvic floor muscles

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Academic literature on the topic 'Pelvic floor muscles'

Author: Grafiati
Published: 4 June 2021
Last updated: 26 January 2023

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Journal articles on the topic "Pelvic floor muscles"

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Wollmann, Letícia, Cássia da Luz Goulart, Kamila Mohammad Kamal Mansour, Taís Marques Cerentini, Lisiane Lisboa Carvalho, and Ana Cristina Sudbrack. "Influence of amateur futsal practice on pelvic floor muscle strength." Revista Pesquisa em Fisioterapia 8, no. 3 (September 17, 2018): 313–18. http://dx.doi.org/10.17267/2238-2704rpf.v8i3.1981.

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INTRODUCTION: In futsal athletes there is few information about the impact of intense ball training on pelvic floor muscles’ biomechanics. OBJECTIVE: to evaluate the influence of amateur futsal practice on pelvic floor muscle strength. METHODS AND MATERIALS: Cross-sectional, descriptive observational study of a quantitative nature with 10 amateur futsal athletes. A questionnaire on gynecological history and sports practice was applied. Physical examination with a perineometer demonstrated muscle contraction through the Sauer Scale. RESULTS: Average adult age of 27.0 ± 4.1 years, body mass index 23.9±3.3 kg/cm2, the athletes had regular pelvic floor function (n =8, 80%), contraction time of the pelvic floor muscles 9.2 ± 1.6s, playing time 18.4±4.9. We found a moderate association between the pelvic floor muscles’ contraction time vs. playing time (r = -0.653; p = 0.040) and this finding was ratified by a simple linear regression analysis, where there is a 36% influence of the futsal practice on pelvic floor muscles’ strength. CONCLUSION: There is a direct influence of amateur futsal practice on pelvic floor muscles’ contraction force. It is essential to emphasize pelvic floor muscles’ importance in these athletes, since muscle weakness is a predisposing factor to the presence of urinary loss symptoms.
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Cho, Sung Tae, and Khae Hawn Kim. "Pelvic floor muscle exercise and training for coping with urinary incontinence." Journal of Exercise Rehabilitation 17, no. 6 (December 27, 2021): 379–87. http://dx.doi.org/10.12965/jer.2142666.333.

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The pelvic floor consists of levator ani muscles including puborectalis, pubococcygeus and iliococcygeus muscles, and coccygeus muscles. Pelvic floor muscle exercise (PFME) is defined as exercise to improve pelvic floor muscle strength, power, endurance, relaxation, or a combination of these parameters. PFME strengthens the pelvic floor muscles to provide urethral support to prevent urine leakage and suppress urgency. This exercise has been recommended for urinary incontinence since first described by Kegel. When treating urinary incontinence, particularly stress urinary incontinence, PFME has been recommended as first-line treatment. This article provides clinical application of PFME as a behavioral therapy for urinary incontinence. Clinicians and physical therapist should understand pelvic floor muscle anatomy, evaluation, regimen, and instruct patients how to train the muscles properly.
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Castelán, Francisco, Estela Cuevas-Romero, and Margarita Martínez-Gómez. "The Expression of Hormone Receptors as a Gateway toward Understanding Endocrine Actions in Female Pelvic Floor Muscles." Endocrine, Metabolic & Immune Disorders - Drug Targets 20, no. 3 (March 24, 2020): 305–20. http://dx.doi.org/10.2174/1871530319666191009154751.

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Objective: To provide an overview of the hormone actions and receptors expressed in the female pelvic floor muscles, relevant for understanding the pelvic floor disorders. Methods: We performed a literature review focused on the expression of hormone receptors mainly in the pelvic floor muscles of women and female rats and rabbits. Results: The impairment of the pelvic floor muscles can lead to the onset of pelvic floor dysfunctions, including stress urinary incontinence in women. Hormone milieu is associated with the structure and function alterations of pelvic floor muscles, a notion supported by the fact that these muscles express different hormone receptors. Nuclear receptors, such as steroid receptors, are up till now the most investigated. The present review accounts for the limited studies conducted to elucidate the expression of hormone receptors in pelvic floor muscles in females. Conclusion: Hormone receptor expression is the cornerstone in some hormone-based therapies, which require further detailed studies on the distribution of receptors in particular pelvic floor muscles, as well as their association with muscle effectors, involved in the alterations relevant for understanding pelvic floor disorders.
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Wang, Xiaolan, Fan Yang, Wenjuan Chen, and Xiaohong Yuan. "Ultrasonic Diagnosis and Analysis of the Effect of Labor Analgesia on Early Pelvic Floor Function and Pelvic Floor Dysfunction." Journal of Medical Imaging and Health Informatics 11, no. 7 (July 1, 2021): 1903–10. http://dx.doi.org/10.1166/jmihi.2021.3585.

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Pelvic floor dysfunction disease (PFD) is a common pelvic organ dysfunction disease in the clinic of obstetrics and gynecology. Its cause is mainly the damage, defects and dysfunction of the pelvic floor support structure. Not only is the pathogenesis complicated, but also various symptoms coexist, which seriously affects the physical and mental health of female patients. Mechanical injury of the pelvic floor fascia tissue and levator ani muscles is the anatomical basis of PFD after birth; early postpartum pelvic floor examination and treatment can prevent and control the occurrence or development of PFD. Spinal canal anesthesia has good analgesic effect during labor and delivery, has little effect on mothers and infants, and is widely used. However, there are few domestic and foreign reports on the effect of labor analgesia on the pelvic floor. Labor analgesia relaxes the pelvic floor muscles, unblocks the birth canal, and the influence on the pelvic floor muscles is worth exploring. Based on the pelvic floor muscle strength screening to understand the changes in the function of the pelvic floor muscles, combined with the three-dimensional pelvic floor ultrasound examination, the pelvic floor structure and the levator ani muscle are clearly imaged, and the pelvic floor muscle structure is evaluated in the natural state and the analgesic muscle relaxation state. This study used a combination of the two to evaluate the effect of labor analgesia on pelvic floor function of primiparous women; provide individualized intervention treatment for high-risk groups screened; provide clinical basis for the prevention and treatment of PFD.
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Caagbay, Delena-Mae, Kirsten Black, Ganesh Dangal, and Camille Rayes-Greenow. "Can a Leaflet with Brief Verbal Instruction Teach Nepali Women How to Correctly Contract Their Pelvic Floor Muscles?" Journal of Nepal Health Research Council 15, no. 2 (September 15, 2017): 105–9. http://dx.doi.org/10.3126/jnhrc.v15i2.18160.

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Background: Pelvic organ prolapse is a common disorder for women in Nepal causing symptoms and reduced quality of life. Pelvic floor muscle exercise is a conservative treatment option for pelvic organ prolapse but the effective way to teach women in Nepal is not known. The objective of this pilot study was to determine if an illustrative leaflet with brief verbal instruction could teach Nepali women to correctly contract their pelvic floor muscles.Methods: Fifteen parous women attending two outpatient gynecology clinics in Kathmandu Valley were interviewed to assess their knowledge of pelvic organ prolapse and pelvic floor muscles exercise. Following verbal instruction and an illustrative leaflet on how to contract their pelvic floor muscles, the transabdominal real time ultrasound was applied to assess the muscle contraction. Results: The median age of 15 participants was 45 years (range 18-75 years) and 10 women had pelvic organ prolapse. Some of the participants (9/15) knew about pelvic organ prolapse but none were aware of the pelvic floor muscles. After being taught how to contract their pelvic floor muscle, only 4 of 14 correctly contracted the pelvic floor muscle. Conclusions: This study highlighted the low knowledge of the pelvic floor muscle, and brief verbal instruction with an illustrative leaflet is also not sufficient in teaching Nepali women how to correctly contract their pelvic floor muscle. Further research is needed to determine how to teach a correct pelvic floor muscle contraction for women with low literacy in resource poor settings.
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Pischedda, Antonella, Ferdinando Fusco, Andrea Curreli, Giovanni Grimaldi, and Furio Pirozzi Farina. "Pelvic floor and sexual male dysfunction." Archivio Italiano di Urologia e Andrologia 85, no. 1 (April 19, 2013): 1. http://dx.doi.org/10.4081/aiua.2013.1.1.

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The pelvic floor is a complex multifunctional structure that corresponds to the genito- urinary-anal area and consists of muscle and connective tissue. It supports the urinary, fecal, sexual and reproductive functions and pelvic statics. The symptoms caused by pelvic floor dysfunction often affect the quality of life of those who are afflicted, worsening significantly more aspects of daily life. In fact, in addition to providing support to the pelvic organs, the deep floor muscles support urinary continence and intestinal emptying whereas the superficial floor muscles are involved in the mechanism of erection and ejaculation. So, conditions of muscle hypotonia or hypertonicity may affect the efficiency of the pelvic floor, altering both the functionality of the deep and superficial floor muscles. In this evolution of knowledge it is possible imagine how the rehabilitation techniques of pelvic floor muscles, if altered and able to support a voiding or evacuative or sexual dysfunction, may have a role in improving the health and the quality of life.
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Zając, Bartosz, Iwona Sulowska-Daszyk, Anna Mika, Artur Stolarczyk, Ewelina Rosłoniec, Aleksandra Królikowska, Marian Rzepko, and Łukasz Oleksy. "Reliability of Pelvic Floor Muscle Assessment with Transabdominal Ultrasound in Young Nulliparous Women." Journal of Clinical Medicine 10, no. 15 (August 3, 2021): 3449. http://dx.doi.org/10.3390/jcm10153449.

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The aim of this study was to assess the reliability of pelvic floor muscles evaluation via transabdominal ultrasonography in young nulliparous women and to present the methodology for quantitative assessment of the ultrasound image of the pelvic floor muscles visible as displacement of the posterior wall of the bladder, caused by action of the pelvic floor muscles. The study comprised 30 young, Caucasian, nulliparous women (age 22–27; 168.6 ± 5.1 cm; 57.1 ± 11.8 kg) without pelvic floor muscle dysfunctions. The intra-rater, test-retest and inter-rater reliability of pelvic floor muscles evaluation was performed using transabdominal ultrasound at rest and during voluntary contraction. The reliability was assessed at three points of the image (at the middle, on the right and left side). The reliability of the three-point measurement of the pelvic floor muscles transabdominal ultrasound is excellent in the case of intra-rater assessments, both at rest (ICC = 0.98–0.99) and during contraction (ICC = 0.97–0.98); moderate at rest (ICC = 0.54–0.62) and poor during contraction (ICC = 0.22–0.50) in the case of test–retest assessment; excellent at rest (ICC = 0.95–0.96), and good during contraction (ICC = 0.81–0.87) in the case of inter-rater assessment. Transabdominal ultrasound is a reliable method of pelvic floor muscle evaluation. The three-points of assessment used in our study allowed for broader and more comprehensive imaging of the pelvic floor muscle, e.g., for quantitative detection contractility imbalances between the left and right side Due to the fact that understanding mechanisms of pelvic floor muscle functioning is crucial in the therapy of pelvic floor dysfunctions, therefore, reliable, valid tests and instruments are important.
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Mittal, Rajni, Gayatri Rath, R. N. Sahai, and Mahima Aggarwal. "Understanding pelvic floor in women." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 9, no. 10 (September 25, 2020): 4329. http://dx.doi.org/10.18203/2320-1770.ijrcog20204337.

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Change from quadruped to erect posture has resulted in changes in the human pelvis. This has resulted in pelvis supporting the abdominal viscera. The bony pelvis is deficient on inferior aspect. Muscles covered by fascia on superior and inferior aspect. A good knowledge of pelvic floor is very basic and mandatory for any gynecologist as pelvic floor is crucial to support the pelvic organs and is required to maintain urinary and fecal continence.
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Suriyut, Janyaruk, Satoru Muro, Phichaya Baramee, Masayo Harada, and Keiichi Akita. "Various significant connections of the male pelvic floor muscles with special reference to the anal and urethral sphincter muscles." Anatomical Science International 95, no. 3 (December 23, 2019): 305–12. http://dx.doi.org/10.1007/s12565-019-00521-2.

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AbstractThe male pelvic floor is a complex structure formed by several muscles. The levator ani muscle and the perineal muscles are important components of the pelvic floor. The perineal muscles comprise the external anal sphincter, bulbospongiosus, superficial transverse perineal muscles, and ischiocavernosus. Although the connections of the muscles of the pelvic floor have been reported recently, the anatomical details of each muscle remain unclear. In this study, we examined the male pelvic floor to clarify the connection between the muscles related to function. Fifteen male pelvises were used for microscopic dissection, and three male pelvises were used for histological examination. On the lateral aspect, the perineal muscles were connected to each other. Bundles of the levator ani muscle extended to connect to the perineal muscles. In addition, the extended muscle bundle from the levator ani muscle and the perineal muscles surround the external urethral sphincter. On the medial aspect, the levator ani muscle and the external anal sphincter form the anterior and posterior muscular slings of the anal canal. The connection between the perineal muscles and levator ani muscle indicates a possible close relationship between the functions of the urethra and anus.
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Ferla, Lia, Caroline Darski, Luciana Laureano Paiva, Graciele Sbruzzi, and Adriane Vieira. "Synergism between abdominal and pelvic floor muscles in healthy women: a systematic review of observational studies." Fisioterapia em Movimento 29, no. 2 (June 2016): 399–410. http://dx.doi.org/10.1590/0103-5150.029.002.ao19.

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Abstract Introduction: The training of the pelvic floor muscles is widely used for treating pelvic floor dysfunctions, like urinary incontinence. During the training, abdominal contractions are avoided; however several studies support the use of the synergy between these muscle groups. Objective: Carrying out a systematic review of studies that seek to identify the presence of synergy between the muscles of the abdomen and the pelvic floor and its functionality in women without pelvic floor dysfunction. Methodology: To conduct the review, we have followed the recommendations proposed by the Cochrane Collaboration for systematic reviews. The literature search included the databases SCIELO, PEDro, MEDLINE, Cochrane CENTRAL and EMBASE, and manual research, the starting date of the databases until August 2013. We included cross observational studies with healthy women who were assessed to find the presence of synergy between the abdominal muscles and the pelvic floor. Results: We included 10 articles and they all showed the existence of synergy between the abdominal and pelvic floor muscles in healthy women in the supine, sitting and standing positions. Conclusion: Thus, we can conclude that there is synergy between the muscles of the abdomen and the pelvic floor in healthy women. Better understanding the behavior of these muscles and synergy may favor the development of strategies for the prevention and treatment of disorders of the female pelvic floor muscles.
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Dissertations / Theses on the topic "Pelvic floor muscles"

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Brown, Cindy Christine. "Reliability of electromyography detection systems for the pelvic floor muscles." Thesis, Kingston, Ont. : [s.n.], 2007. http://hdl.handle.net/1974/948.

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Pires, Telma Filipa Rodrigues Pereira. "Effects of pelvic floor muscles training on prevention and treatment of stress urinary incontinence in pregnant." Master's thesis, Universidade de Aveiro, 2015. http://hdl.handle.net/10773/16541.

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Mestrado em Fisioterapia
Introduction: Stress urinary incontinence (SUI) is the most common type of urinary incontinence (UI) in pregnant women and is known to have detrimental effects on the quality of life (QoL). Pelvic floor muscle training (PFMT) is considered the first-line treatment and prevention of SUI in pregnant women. Since there are few randomized controlled trial studies (RCT) in this population, it is important to check the effectiveness of another randomized protocol of the PFMT. Objectives: This study aimed to verify the effects of PFMT between the Intervention Group (IG) and the Control Group (CG) and exploring the effects with and without PFMT, in pregnant women. Methods: Participated in this RCT, pregnant women (aged 21-44 years), having been applied two questionnaires: King's Health Questionnaire (KHQ's) and Broome Pelvic Muscle self-efficacy Scale. The amount of urine was assessed using the modified pad test (20 minutes) and the muscular strength of the Pelvic Floor Muscles (PFM) was measured with Oxford Grading Scale. There were two moments of assessment, T1: 1st time of evaluation (pre- delivery) and T2: 2nd time of evaluation (6 weeks after delivery). The IG was added an exercise plan with duration of six weeks, applicable in Preparation for childbirth classes and at home exercise plan for 9 weeks. Results:The loss of urine, quantified by the Pad test significantly reduced, 0.86±0.83at T1 to 0.50±0.67at T2 in IG (p= 0.021). The degree of muscle contraction, measured by the Oxford Grading Scale, increased significantly in IG (p<0.001) from 3.59±0.85 to 4.82 ± 0:39 and did not change significantly in the CG (p=0.609). The total KHQ and severity of symptoms were observed significant improvements in both groups (p <0.05). As for the scale of Broome - Total scale women's IG improved significantly (p = 0.001 and p = 0.031, respectively) while in CG women no significant change (p> 0.05). Conclusion: PFMT can prevent and treat SUI, and recommend strength training of the PFM during pregnancy, two times per week for at least 6-9 weeks, making it extremely relevant for clinical practice.
Enquadramento: A Incontinência Urinária de Esforço (SUI) é o tipo mais comum em mulheres grávidas, tendo implicações prejudiciais para a qualidade de vida. O treino dos músculos do pavimento pélvico (PFMT) é considerado um tratamento de primeira linha para a SUI. Uma vez existirem poucos estudos randomizados controlados (RCT) nesta população, é importante verificar a eficácia de mais um protocolo randomizado de PFMT. Objetivos: Este estudo teve como objetivos verificar os efeitos do treino dos músculos do pavimento pélvico entre o grupo de intervenção (IG) e o grupo controle (CG) e explorar os efeitos com e sem treino dos músculos do pavimento pélvico, em mulheres grávidas. Métodos: Participaram neste RCT, mulheres grávidas (com idades compreendidas entre os 21-44 anos), tendo sido aplicados dois questionários: King´s Health Questionnaire (KHQ’s) e Broome Pelvic Muscle Self-Efficacy Scale. A quantidade de urina foi avaliada através do pad-test modificado (20minutos) e a força muscular dos músculos do pavimento pélvico (PFM) foi medida com o Oxford Grading Scale. Houve dois momentos de avaliação, a 1ª avaliação (T1), no período pré-parto e a 2ª avaliação (T2), 6 semanas após o parto. Ao IG foi acrescentado um plano de exercícios com duração de 6 semanas, aplicável nas aulas de preparação para o parto, com supervisão e um plano de exercícios ao domicílio, durante 9 semanas, sem supervisão. Resultados: A perda de urina, quantificada pelo pad test, reduziu significativamente, de 0.86±0,83 em T1 para 0.50±0.67 em T2 no IG (p = 0.021). O grau de contração muscular, avaliado pelo Oxford Grading Scale, aumentou significativamente no IG (p <0.001) de 3.59±0,85 para 4.82±0.39 e não sofreu alterações significativas no GC (p=0.609). No KHQ total e severidade dos sintomas observaram-se melhorias significativas em ambos os grupos (p <0,05). Quanto à escala de Broome – Total, as mulheres do IG melhoraram significativamente (p=0.001 e p=0.031, respetivamente) e nas mulheres do CG não se verificaram nenhumas alterações significativas (p> 0,05). Conclusão: O PFMT pode prevenir e tratar a SUI, e recomenda-se o treino da força do PFM durante a gravidez, 2 vezes por semana durante pelo menos 6-9 semanas, tornando-se de extrema relevância para a prática clínica.
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Van, der Walt Ina. "An investigation of pelvic floor muscle strength and vaginal resting pressure in nulliparous women of different race groups." Thesis, Stellenbosch : University of Stellenbosch, 2010. http://hdl.handle.net/10019.1/4196.

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Thesis (MScPhysio (Interdisciplinary Health Sciences. Physiotherapy))--University of Stellenbosch, 2010.
ENGLISH ABSTRACT: The pelvic floor muscles (PFM) contribute to urinary continence and overactive PFM seem to be associated with pelvic pain syndrome (PPS). The literature indicates that ethnic differences regarding symptoms of urinary incontinence may exist. Research is needed to establish relationships between PFM function and symptoms reported by women of different ethnic groups. Objectives: To compare the PFM strength and endurance in black, white and coloured women. To investigate relationships between PFM strength, vaginal resting pressures, risk factors and symptoms associated with PFM dysfunction and PPS. Method: A cross-sectional study assessed the PFM strength and vaginal resting pressures of 122 nulliparous black (n=44), white (n=44) and coloured (n=34) university students. A self-developed questionnaire determined inclusion, demographic variables, factors affecting/factors associated with PFM strength and symptoms related to PPS. Maximum voluntary contraction pressure (cmH2O) and vaginal resting pressure (cmH2O) were measured with the Peritron TM 9300 (Cardio Design, Australia) used with the Camtech AS vaginal balloon sensor (Sandvika, Norway). Two sets of 3 maximum voluntary contractions of the PFM were recorded. Results: The mean age of the group was 22 ± 3.54 years and mean BMI of 23± 4.16 kg/m2. Black women (25 cmH2O ± 13.5) had significantly stronger PFM than white (p=0.02) or coloured (p<0.01) women, but no significant difference (p=0.78) in PFM strength existed between white (18.4 cmH2O ± 9.8) and coloured (15.6 cmH2O ± 8) women. In black women, PFM strength decreased significantly (p=0.02) between the sets, whereas no significant difference between sets was noted in the other ethnic groups. Increased PFM strength was associated with SUI (p=0.03) and amenorrhoea (p=0.01) and decreased PFM strength was associated with decreased frequency of bowel motion (p=0.01). In this sample, increased vaginal resting pressure was associated with menorrhagia (p=0.04). Conclusion: Black nulliparous women had stronger PFM than white and coloured women. There was no difference in PFM strength between white and coloured women. Endurance, as measured in this study, indicates that black women have decreased endurance of the PFM compared to white and coloured women. These findings inform the current research on ethnic differences in the prevalence of urinary incontinence. Preliminary data suggest that there was no relationship between vaginal resting pressures and symptoms of PPS and risk factors for PFM dysfunction, except for menorrhagia.
AFRIKAANSE OPSOMMING: Die bekkenvloer spiere (BVS) dra by tot urinêre kontinensie en ooraktiewe BVS kan moontlik geassosieer wees met pelviese pyn sindroom (PPS). Uit die literatuur blyk dit of daar etniese verskille bestaan in die simptome van urinere inkontinensie gerapporteer deur vroue. Navorsing is nodig om die verwantskap tussen BVS funksie en simptome wat deur pasiënte van verskillende etniese groepe gerapporteer word vas te stel. Doel: Om „n vergelyking te tref tussen BVS sterkte in swart, wit en kleurling vroue. Om vas te stel of daar assosiasies bestaan tussen BVS sterkte, rustende vaginale druklesings en risiko faktore en simptome geassosieer met bekkenvloer disfunksie en PPS. Metodologie: „n Dwarssnit studie het die BVS sterkte en rustende vaginale drukke van 122 nullipareuse swart (n=44), wit (n=44) en kleurling (n=34) universiteit studente geëvalueer. Insluiting, uitsluiting, demografiese veranderlikes, faktore wat kan affekteer/faktore geassosieer met BVS sterkte en simptome geassosier met PPS is deur „n self ontwikkelde vraelys geëvalueer. Maksimale willekeurige spiersametrekking drukke (cmH2O) en rustende vaginale drukke (cmH2O) was gemeet met „n Peritron™9300 perineometer (Cardio Design, Australië) wat saam „n vaginale ballon sensor (Camtech AS, Sandvika, Noorweë) gebruik is. Twee stelle van 3 maksimale willekeurige sametrekkings van die BVS was gemeet. Resultate: Die groep se gemiddelde ouderdom was 22±3.54 jaar en die gemiddelde liggaamsgewig indeks was 23±4.16kg/m2. Swart vroue (25 cmH2O ±13.5) het beduidend sterker BVS gehad as wit (p=0.02) en kleurling (p<0.01) vroue, maar daar was geen beduidende verskil (p=0.78) in BVS sterkte tussen wit (18.4 cmH2O ± 9.8) en kleurling (15.6 cmH2O ± 8) vroue nie. Die BVS sterkte in swart vroue het beduidend (p=0.02) verminder tussen die stelle, maar geen beduidende verskille was waargeneem in die ander etniese groepe tussen stelle. Verhoogde BVS sterkte was geassosieer met druklek (p=0.03), amenorrhoea (p=0.01) en verminderde BVS sterkte was geassosieer met verminderde frekwensie van opelyf (p=0.01). Verhoogde rustende vaginale drukke was geassosieer met menoragie in hierdie steekproef. Gevolgtrekking: Swart nullipareuse vroue het sterker BVS gehad as wit en kleurling vroue, Daar was geen verskil in BVS sterkte tussen wit en kleurling vroue nie. Uithouvermoë soos in hierdie studie getoets toon dat swart vroue verminderde uithouvermoë het i.v.m. wit en kleurling vroue. Hierdie bevindings dra by tot die huidige navorsing oor etniese verskille in die prevalensie van urinêre inkontinensie. Daar was geen verwantskap tussen vaginale rustende drukke en simptome van PPS en risiko faktore vir die ontwikkeling van bekkenvloer disfunksie, behalwe vir menoragie.
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Brooks, Kaylee. "Characteristics Predictive of Successful Pelvic Floor Muscle Training Outcomes Among Women with Stress Urinary Incontinence." Thesis, Université d'Ottawa / University of Ottawa, 2017. http://hdl.handle.net/10393/36667.

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Physiotherapist-supervised pelvic floor muscle (PFM) training is the recommended first-line treatment for women with stress urinary incontinence (SUI); however, only up to 50% of women are cured with this treatment. The primary objective of this study was to develop a predictive model of successful physiotherapy intervention outcomes among women with SUI using predictors that are accessible to clinicians. The secondary objective of this study was to run a preliminary investigation of morphologic differences between women with SUI who were cured with a physiotherapy intervention and those who were not cured, using a subset of ultrasound imaging data. Seventy-nine women with SUI were assessed at baseline on measures of demographic data (i.e. age, body mass index, etc.), 3-day bladder diary, 30-minute standardized pad test, clinical assessments of PFM strength and tone, and transperineal ultrasound assessments of PFM morphology. Women then attended a 12-week physiotherapy intervention and returned for a follow-up assessment. The multivariate logistic regression model was significant (p < .001) with two predictors: baseline ICIQ-FLUTS UI subscale (SUI severity; p = .01) and parity (p = .06). A significant ROC curve for the ICIQ-FLUTS UI subscale (p ˂ .01) predicts physiotherapy intervention outcomes with 55.6% sensitivity and 80.8% specificity at a cut-off score of 7.50. Women most likely to be cured with a physiotherapy intervention were those with lower scores on the ICIQ-FLUTS UI subscale and those who have given birth to fewer children. Significant differences were found in a subset of data between women with SUI who are cured with the physiotherapy intervention and women who are not cured on morphologic measures in standing of bladder neck height at peak cough (p = .03), descent of the bladder neck during maximal Valsalva maneuver (MVM; p = .04), levator hiatus circumference at rest (p = .03) and at maximal voluntary contraction in both standing and supine (MVC; p = .01; p = .03). Variables that were trending towards significance included bladder neck height in standing at rest, levator plate length (LPL) at maximal excursion during a cough and MVM in standing, and mid-urethral wall cross-sectional area. These significant differences indicate potential value in using ultrasound imaging outcomes as predictors of a cure with physiotherapy intervention in future models, and a combination of demographic, clinical, and morphologic variables may build a more robust predictive model.
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Semmen, Mahin. "Are Age-related Changes Evident in the Active and/or Passive Components of Pelvic Floor Muscle Force Outcomes in Nulliparous Women?" Thesis, Université d'Ottawa / University of Ottawa, 2018. http://hdl.handle.net/10393/37717.

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Background: Age-related changes in pelvic floor muscle (PFM) biomechanics may contribute to urinary incontinence in older women; however, empirical evidence is scant. Purpose: This study aimed to understand the age-related changes in the biomechanical properties of the PFMs in women with no major risk factors for urinary incontinence. Methods: Thirty-three nulliparous women (20-64 years) were recruited to study active force, rate of force development, endurance, resistance to passive stretch and stiffness properties of the PFMs using an automated dynamometer. Separate regression analyses were performed to investigate the relationship between age and each outcome measure. Results: No significant relationships were observed between age and any of the outcome measures. Conclusion: The findings from this study do not support the presence of any age-related changes in PFM mechanics among women aged 20-64. Recruiting women over the age of 65 may be essential to detect age-related changes in PFM biomechanics in nulliparous women.
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Thubert, Thibault. "Impact d'un détournement d'attention sur les mécanismes neuromusculaires impliqués dans la contraction des muscles du plancher pelvien." Thesis, Paris 6, 2017. http://www.theses.fr/2017PA066178/document.

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But: L’attention semble avoir un impact sur le fonctionnement des muscles périnéaux.Matériels : L’activité électromyographique (EMG) du sphincter anal externe (SAE) a été receuillie au cours d’effort de contractions périnéales volontaires et reflexe (provoquées par la toux) réalisées en réponse à un stimulus au marteau reflexe chez des femmes volontaires saines avec et sans épreuve de charge cognitive (ECC). Le temps de réaction (RT1) correspondant à la latence entre le stimulus et le début d’activité EMG du SAE lors d’une contraction périnéale volontaire, le RT3, correspondant au temps de latence entre le début d’activité EMG du SAE et le début d’activité EMG des muscles intercostaux externes (ICE) lors d’un effort de toux, ont été mesurés. Après randomisation (1/2) 13 femmes ont bénéficié d’une rééducation en double tache (cognitivo-musculaire) et 26 femmes constituaient le groupe témoin. Ces mêmes paramètres ont été enregistrés avant et apres rééducation dans les deux groupes.Resultats: Une ECC provoque un allongement du RT1 par un facteur 3,98 (p<0,001). Une ECC entrainne une diminution de 29% de la contraction périnéale réflexe: RT3 était respectivement de -80.00 ms sans ECC contre -56,7 ms en cas d’ECC (r=0,7, p=0,0045). Dans le groupe « rééducation » le RT1 en présence d’une ECC passait de 461,1 à 290,7 ms (r=0,6, p=0,006) contre 370 à 343 ms dans le groupe témoin (r=0,9, p=NS). Le RT3 dans le groupe « rééducation » en absence d’une ECC passait de -68,5 à -127,8 ms (r=1,9, p=0,03) et en présence d’une ECC de -42,6 ms à -59,3 ms (r=1,4, p=0,04). Conclusion: Une rééducation specifique corrige les effets provoqués par une ECC sur la contraction périnéale
Aims: Attention may be involved in pelvic floor muscles (PFM) Methods: The electromyographic (EMG) activity of the external anal sphincter (EAS) was recorded on healthy female volunteers, during voluntary and involuntary (induced by cough) PFM contraction, elicited by local stimulation, combined (or not) with a mental Distraction Task (DT). Reaction time (RT1), ie. the latency between stimulus and the onset of EAS EMG activity, RT3, ie. the latency between the onset of EAS EMG activity and the onset of External intercostal muscle (EIC) (cough) were measured. Following randomisation (2/1) 13 volunteers underwent dual task cognitive (an attentional test and PFM exercises) rehabilitation program and 26 were the control group (no specific instruction). RT1 and RT3 were recorded before and after the program in both group.Results: The mental distraction task led to a 3.98 times greater reaction time between stimulus and EAS EMG activation (RT1), (p<0.001). DT led to a 29% shorter anticipation of the involontary PFM contraction: RT3 were respectively -80.00 ms without a DT versus -56.67 ms with a DT (r=0.7, p=0.004). In the rehabilitation group RT1 in DT conditions decreased from 461.1 ms to 290.7 ms (r=0.6, p=0.006)vs 370 to 343 ms in the control group (r=0.9, p=NS). In the study group RT3 without a DT increased from −68.5 ms to −127.8 ms (r=1.89, p = 0.03) and from 42,6 ms to -59,3 ms with a DT (r= 1.4, p=0.04).Conclusions: A specific dual task rehabilitation can prevent the effect of DT on PFM contraction characteristics
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7

Pereira, Larissa Carvalho 1983. "Fatores que interferem na contratilidade dos músculos do assoalho pélvico e na sua coativação com os músculos transverso abdome/oblíquo interno durante o ciclo vital feminino = estudo eletromiográfico = Factors that interfere on the contractility of the pelvic floor muscle and in its coactivation with the transversus abdomen/internal oblique during the female life cycle : electromyographic study." [s.n.], 2015. http://repositorio.unicamp.br/jspui/handle/REPOSIP/312549.

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Orientadores: Cássio Luís Zanettini Riccetto, Simone Botelho
Tese (doutorado) - Universidade Estadual de Campinas, Faculdade de Ciências Médicas
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Resumo: O assoalho pélvico (AP) feminino é uma estrutura complexa e vulnerável, suscetível a uma série de alterações funcionais ao longo da vida. Ampliar o conhecimento sobre esta estrutura poderia prevenir ou mesmo tratar tais disfunções. Objetivo: (1) Avaliar e comparar a contratilidade dos músculos do assoalho pélvico (MAP) em diferentes fases do ciclo vital feminino: nuligestas; primigestas; puérperas primíparas; climatéricas e pós-menopausadas. (2) Correlacionar a contratilidade dos MAP e sua coativação a partir da contração dos músculos transverso abdome/oblique interno (TrA/OI) com os fatores: idade; prática de atividade física; gestação; Índice de Massa Corpórea (IMC); paridade; presença e severidade dos sintomas urinários. Métodos: 331 mulheres participaram do estudo e foram avaliadas através dos questionários: International Consultation on Incontinence Questionnaire - Short Form (ICIQ UI-SF) e International Consultation on Incontinence Questionnaire Overactive Bladder (ICIQ-OAB) para estudo dos sintomas urinários e eletromiografia (EMG) dos MAP para avaliação da contratilidade. Destas mulheres 92 foram submetidas também à EMG dos músculos TrA/OI e analisadas de acordo com os fatores propostos para estudar a influenciar da contratilidade na coativação. Resultado: Entre os grupos estudados, as nuligestas apresentam maior contratilidade (46.59±16.83?V) dos MAP, seguido do grupo das primigestas (35.31±18.22?V), puérperas de parto cesariana (33.28±13.00?V), puérperas de parto vaginal (31.23±16.12?V), climatéricas (25.81±17.57?V) e pós menopausadas (21.23±15.11?V). Houve correlação negativa entre a contratilidade dos MAP e a idade (p<0.0001), paridade (p<0.0001), ICIQ-SF (p=0.0001) e ICIQ OAB (p=0.0006). Não foi verificada correlação entre MAP e IMC (p=0.1348) e as mulheres que praticam atividade físca apresentam maior contratilidade dos MAP (p=0.03). Sobre os fatores que podem interferir na coativação foram significativos: a gestação (p=0.01), prática de atividade física (p=0.03) e altos valores do escore do ICIQ IU SF (p<0.0001). Em análise multivariada a atividade física juntamente com ICIQ IU SF influenciaram a contratilidade dos MAP e TrA/OI (p<0.001). Conclusão: A contratilidade dos MAP durante o ciclo vital feminino apresenta-se na seguinte ordem decrescente: nuligestas, primigestas, primíparas pós parto cesariana, primíparas pós parto vaginal, climatéricas e pós menopausadas. Os MAP apresentam sua contratilidade correlacionada inversamente com a idade, paridade, e escores do ICIQ SF e ICIQ OAB. A coativação entre o TrA/OI e os MAP é influenciada diretamente pela atividade física, e inversamente pela gestação e ICIQ IU SF. Em análise multivariada, verificou-se que, conjuntamente, a coativação é influenciada diretamente pela prática de atividade física e inversamente pelo escore ICIQ IU SF
Abstract: The female pelvic floor (PF) is a complex and vulnerable structure, susceptible to a number of functional changes throughout life. Increasing the knowledge of this structure could prevent or even treat such disorders. Objective: (1) To evaluate and compare the contractility of the pelvic floor muscle (PFM) at different stages of the female life cycle: nulliparous; primigravidae; primiparous postpartum women; climacteric and menopause. (2) To correlate the contractility of the PFM and their coactivation from the contraction of the transversus abdomen muscles/ internal oblique (TrA/IO) with the following factors: age; physical activity; pregnancy; Body Mass Index (BMI); parity; presence and severity of urinary symptoms. Methods: 331 women were evaluated through questionnaires: International Consultation on Incontinence Questionnaire - Short Form (ICIQ-UI SF) and International Consultation on Incontinence Questionnaire Overactive Bladder (OAB-ICIQ) for study of urinary symptoms and PFM electromyography (EMG) for contractility assessment. Of these women 92 were also submitted to the TrA EMG / IO muscles and analyzed according to the proposed factors to study the influence of contractility in coactivation. Results: Among the groups, the nulliparous have greater contractility (46.59 ± 16.83_V) of PFM, followed by the group of first pregnancy (35.31 ± 18.22_V), cesarean birth mothers (33.28 ± 13.00_V), vaginal birth mothers (31.23 ± 16.12_V), weather (25.81 ± 17.57_V) and postmenopausal (± 15.11_V 21:23). There was a negative correlation between the contractility of PFM and age (p <0.0001), parity (p <0.0001), ICIQ-SF (p = 0.0001) and ICIQ OAB (p = 0.0006). There was no correlation between the contractility of PFM and BMI (p = 0.1348). Women who practice physical activity have greater contractility of PFM About the factors that can interfere with coactivation were significant: pregnancy (p = 0.01), physical activity (p = 0.03) and high values of the ICIQ UI SF score (p<0.0001). In multivariate analysis, physical activity along with ICIQ UI SF influence the contractility of PFM and TrA/IO (p<0.001). Conclusion: The contractility of PFM during the female life cycle is presented in the following descending order: nulliparous, primiparous, primiparous after cesarean delivery, primiparous after vaginal delivery, climateric and postmenopausal. The PFM present their contractility inversely correlated with age, parity, and scores of ICIQ SF and ICIQ OAB. The co-activation between the TrA /IO and PFM is directly influenced by physical activity, and inversely by pregnancy and ICIQ UI SF. In multivariate analysis, it was found that, together, the co-activation is directly influenced by physical activity and inversely by ICIQ UI SF score
Doutorado
Fisiopatologia Cirúrgica
Doutora em Ciências
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Souza, Samantha de Miranda Ferreira 1984. "Treinamento dos músculos do assoalho pélvico de mulheres em idade reprodutiva = avaliação funcional e sexual = Pelvic floor muscles training of women in reproductive age: functional and sexual evaluation." [s.n.], 2013. http://repositorio.unicamp.br/jspui/handle/REPOSIP/311585.

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Orientadores: Paulo César Giraldo, Rose Luce Gomes do Amaral
Dissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Ciências Médicas
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Resumo: Introdução: O treinamento dos músculos do assoalho pélvico (TMAP) é uma técnica amplamente utilizada pela fisioterapia com o objetivo de aumentar a força muscular, aumentar o fluxo sanguíneo local e a mobilidade pélvica, além de informar a mulher sobre a sua anatomia e melhorar a conscientização corporal. O treinamento com esse foco poderia influenciar de maneira positiva a função dos músculos do assoalho pélvico (MAP) e a função sexual feminina. Objetivo: Avaliar as funções muscular e sexual feminina pré e pós TMAP de mulheres em idade reprodutiva sem disfunção uroginecológica e/ou sexual. Métodos: Ensaio clínico incluindo 68 mulheres nulíparas em idade reprodutiva sem disfunção uroginecológica e/ou sexual. A função dos MAP foi mensurada pré e pós TMAP pelas pressões intravaginais, potencial eletromiográfico de superfície (sEMG) e palpação bidigital. A função sexual foi avaliada pré e pós TMAP pelo questionário Female Sexual Function Index (FSFI) que enfatiza seis domínios (desejo, excitação, lubrificação, orgasmo, satisfação sexual e dor). O TMAP foi realizado em grupo, uma vez por semana durante 8 semanas, com 45 minutos de duração, usando 11 diferentes posições. Para cada posição foram solicitadas 5 contrações tônicas sustentadas por 6 segundos com igual tempo de relaxamento entre cada contração e 5 contrações fásicas, totalizando 110 contrações a cada sessão. As voluntárias foram orientadas a realizar em casa 30 contrações todos os dias da semana. Resultados: Foram observadas diferenças significativas ao compararmos os valores máximos das avaliações das pressões intravaginais pré e pós TMAP das contrações fásicas 41,7±13,7 vs. 47±14 (p=0,0023), tônicas de 10 segundos 42,7±13,8 vs. 47,7±15 (p=0,0085) e tônicas de 60 segundos 42,1±13 vs. 47,5±14,5 (p=0,0013) respectivamente. Também foram observadas diferenças significativas nos valores máximos do sEMG das avaliações pré e pós TMAP das contrações fásicas 27,7±11,2 vs. 31,3±12,6 (p=0,0009), tônicas de 10 segundos 27,7±10,9 vs. 31,5±13,6 (p=0,0017), tônicas de 60 segundos 28,6±11,8 vs. 31,1±13 (p=0,0232) e tempo de contração em segundos 41,7±22,1 vs. 49,3±27,7 (p=0,0252) respectivamente. Foram encontradas diferenças significativas pré e pós TMAP no escore total do FSFI 29,8±3,7 vs. 31,9±2,7 (p<0,0001) e nos domínios desejo 4,4±0,9 vs. 4,7±0,8 (p=0,0076), excitação 4,8±0,8 vs. 5,2±0,5 (p=0,0001), lubrificação 5,2±0,8 vs. 5,5±0,5 (p=0,0140) e orgasmo 4,5±1,4 vs. 5,3±0,9 (p<0,0001) respectivamente. Conclusão: O TMAP aumenta a função dos MAP e melhora a função sexual de mulheres em idade reprodutiva sem disfunção uroginecológica e/ou sexual
Abstract: Introduction: Pelvic floor muscles training (PFMT) is a technique widely used for physical therapy in order to increase muscle strength, increase local blood flow and pelvic mobility and inform women about their anatomy and improve awareness body. Training with this focus could positively influence the function of the pelvic floor muscles (PFM) and female sexual function. Objective: To evaluate the muscular function and female sexual function pre and post PFMT of women of reproductive age without urogynecologic and/or sexual dysfunction. Methods: A clinical trial including 68 nulliparous women of reproductive age without urogynecologic and/or sexual dysfunction. The function of the PFM was measured before and after the PFMT intravaginal pressures, potential surface electromyography (sEMG) and palpation bidigital. Sexual function was assessed before and after the PFMT the survey Female Sexual Function Index (FSFI) that emphasizes six domains (desire, arousal, lubrication, orgasm, sexual satisfaction, and pain). The PMAT group was performed once a week for 8 weeks, with 45 minutes using 11 different positions. For each position were requested 5 tonic contractions sustained for 6 seconds with equal relaxation time between contractions and 5 phasic contractions, totaling 110 contractions each session. The volunteers were instructed to perform 30 contractions at home every day of the week. Results: Significant differences were observed when comparing the maximum rating of intravaginal pressure pre and post PFMT of phasic contractions 41.7±13.7 vs. 47±14 (p=0.0023), tonic contractions of 10 seconds 42.7±13.8 vs. 47.7±15 (p=0.0085) and tonic of 60 seconds 42.1±13 vs. 47.5±14.5 (p=0.0013) respectively. There were also significant differences in the maximum values of sEMG pre and post PFMT of phasic contractions 27.7±11.2 vs. 31.3±12.6 (p=0.0009), tonic contractions of 10 seconds 27.7±10.9 vs. 31.5±13.6 (p=0.0017), tonics of 60 seconds 28.6±11.8 vs. 31.1±13 (p=0.0232) and contraction time in seconds 41.7±22.1 vs. 49.3±27.7 (p=0.0252), respectively. There were significant differences pre and post PFMT in total score FSFI of 29.8±3.7 vs. 31.9±2.7 (p<0.0001) and in those areas desire 4.4±0.9 vs. 4.7±0.8 (p=0.0076), arousal 4.8±0.8 vs. 5.2±0.5 (p=0.0001), lubrication 5.2±0.8 vs. 5.5±0.5 (p=0.0140) and orgasm 4.5±1.4 vs. 5.3±0.9 (p<0.0001) respectively. Conclusion: The PFMT increases the function of PFM and improves sexual function in women of reproductive age without urogynecologic and/or sexual dysfunction
Mestrado
Fisiopatologia Ginecológica
Mestra em Ciências da Saúde
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Czyrnyj, Catriona. "UROKIN: A Novel Software for Kinematic Analysis of Urogenital Motion Using Transperineal Ultrasound Imaging." Thesis, Université d'Ottawa / University of Ottawa, 2017. http://hdl.handle.net/10393/36147.

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Dynamic transperineal ultrasound (TPUS) video allows for kinematic analysis of urogenital morphology and mobility, however, measures are often limited to peak displacements of anatomical landmarks and are vulnerable to error incurred by probe rotation during imaging. This thesis aimed to (1) develop an algorithm to calculate kinematic curves of urogenital landmark motion from TPUS video and to (2) investigate the error incurred in these kinematic measures due to in-plane ultrasound probe rotation. UROKIN, a semi-automated software, was developed and, as a proof of concept, was used to identify differences in urogenital kinematics during pelvic floor muscle maximum voluntary contractions between women with and without stress urinary incontinence. A mathematical model revealed that the error incurred by TPUS probe rotation in the x- (anterior-posterior) and y- (cranial-caudal) directions, was a factor of: r, the radius of rotation; Ɵ, the in-plane angular probe rotation; and α, the angular deviation between the anatomical planes and the coordinate system in which error was calculated. As an absolute measure, the error incurred by in-plane probe rotation is reduced to a factor of only r and Ɵ. Moving forward, UROKIN must be adapted to include findings from (1), and must be tested for validity and reliability.
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Paulitsch, Alessandra Fayh. "O Magic Circle aumenta a atividade eletromiográfica abdominal e a pressão intravaginal no exercício The Hundred do Método Pilates?" reponame:Biblioteca Digital de Teses e Dissertações da UFRGS, 2013. http://hdl.handle.net/10183/103910.

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O Método Pilates parte do princípio da centralização, no qual todo movimento começa e é sustentado no centro do corpo, chamado de centro de força, ou, ainda, de powerhouse. Com a finalidade de ajudar o praticante do método a localizar o powerhouse, aumentar o controle e o recrutamento dos músculos que o compõem, Joseph Pilates criou o acessório Magic Circle, o qual consiste num aro flexível com aproximadamente 40 cm de diâmetro, utilizado, entre outras finalidades, para aumentar a atividade dos músculos abdominais em alguns exercícios do Método Pilates. O objetivo deste trabalho foi comparar a atividade eletromiográfica abdominal, bem como analisar a pressão intravaginal, nos exercícios The Hundred e The Hundred modificado, executados com e sem o acessório Magic Circle. Foram analisados, simultaneamente, o sinal eletromiográfico de superfície dos músculos reto abdominal, oblíquo externo, oblíquo interno e adutor longo, e a pressão intravaginal durante a execução dos exercícios The Hundred e The Hundred modificado com e sem a utilização do Magic Circle. Verificou-se uma maior atividade nos músculos abdominais apenas quando o Magic Circle foi utilizado em situações de instabilidade, enquanto a pressão intravaginal não foi afetada pelo uso do acessório. O Magic Circle pode ser recomendado para uma maior ativação da musculatura abdominal nas situações de maior instabilidade mecânica e não é recomendado quando se busca uma maior pressão intravaginal.
The Pilates method is based on the centering principle, in which every movement starts and is supported by the center of the body, called strong core or powerhouse. In order to help the practitioner locate the powerhouse and increase the control and recruitment of its muscles, Joseph Pilates created the accessory Magic Circle, which consists of a flexible ring, approximately 40cm wide, used, among other purposes, to increase abdominal muscle activity in some exercises of the Pilates Method. The aim of this study was to compare the abdominal electromiographic activity, as well as to analyze intra-vaginal pressure in the exercises The Hundred and The Hundred modified, performed with and without the accessory Magic Circle. The study simultaneously analyzed the electomiographic signal on the surface of the rectus abdominis, external oblique, internal oblique, aductor longus, as well as intra-vaginal pressure during the performance of the exercises The Hundred and The Hundred modified with and without the use of the Magic Circle. There was higher activity on the abdominal muscles only when the Magic Circle was used in instability situations, while the intra-vaginal pressure was not affected by the use of the accessory. The Magic Circle can be recommended for higher activation of the abdominal muscles in mechanical instability situations and is not recommended when pursuing higher intravaginal pressure.
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Books on the topic "Pelvic floor muscles"

1

1947-, Schüssler B., ed. Pelvic floor re-education: Principles and practice. Berlin: Springer-Verlg, 1994.

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Berihanova, Rumisa, and Inessa Minenko. Complex non-drug correction of menopausal disorders in patients with metabolic syndrome. ru: INFRA-M Academic Publishing LLC., 2021. http://dx.doi.org/10.12737/1599004.

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The monograph is devoted to the complex non-drug correction of menopausal disorders in patients with metabolic syndrome in the period of menopausal transition. Modern ideas about menopausal and metabolic syndromes are presented, a review of modern approaches to their treatment is carried out. A complex personalized system of non-drug correction of functional disorders in patients with metabolic syndrome and menopausal syndrome of mild and moderate severity in the period of menopausal transition is presented, including preformed therapeutic factors (vibrotherapy, chromotherapy, aeroionotherapy, musicotherapy (melotherapy), aromatherapy), physical therapy with pelvic floor muscle training, drinking balneotherapy, vitamins and minerals against the background of lifestyle modification. The algorithm of dynamic clinical and laboratory examination of women with menopausal disorders of mild and moderate severity and metabolic syndrome in the period of menopausal transition has been developed, including a general clinical examination, assessment of alimentary, thyroid, psycho-emotional, gynecological, urological statuses, the state of the intestinal microbiota, the function of the hypothalamic-pituitary complex, biochemical blood profile, hemostasis, levels of markers of inflammation, assessment of the state of the musculoskeletal system, sexual function, allowing to get an idea of the state of mental and physical health of patients, evaluate the effectiveness of the complex of measures, optimize therapeutic tactics. It is addressed to a wide range of readers interested in women's health. It can be useful for students, postgraduates, teachers of medical universities, obstetricians, gynecologists, endocrinologists, cardiologists, specialists of restorative medicine.
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F, Nielsen Poul M., Miller Karol, and SpringerLink (Online service), eds. Computational Biomechanics for Medicine: Soft Tissues and the Musculoskeletal System. New York, NY: Springer Science+Business Media, LLC, 2011.

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Calvaries, Igor. Pelvic Floor Exercises for Strong Pelvic Floor Muscles. Independently Published, 2021.

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John, Anderson. Pelvic Floor Exercises for Women : Restoring the Pelvic Floors: Improve Your Bladder and Bowel Health, Sexual Health, Reduce Pelvic Pain, Solve Incontinence and Restore Your Pelvic Floor Muscles. Independently Published, 2019.

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Moricz, Judith. Women's Sexual Health: How to Use Your Pelvic Floor Muscles in Everyday Activities? Independently Published, 2017.

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Moricz, Judith. Men's Sexual Health: How to Use Your Pelvic Floor Muscles in Everyday Activities? Independently Published, 2017.

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Brown, Olivia. Kegel Exercise for Women: Enjoy Your Sex Life and Strengthen Your Pelvic Floor Muscles. Independently Published, 2019.

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Elizabeth, Patrick. Kegel Exercises for Women: Solution to Urinary Incontinence, Better Sex Life and Strengthen Pelvic Floor Muscles. Independently Published, 2019.

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Morris, Oliver. Kegel Exercises for Women: The Solution Guide to Urinary Incontinence, Better Sex Life and Strengthen Pelvic Floor Muscles. Independently Published, 2022.

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Book chapters on the topic "Pelvic floor muscles"

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Dubuisson, Jean-Bernard, Jean Dubuisson, and Juan Puigventos. "The Muscles." In Laparoscopic Anatomy of the Pelvic Floor, 7–11. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-35498-5_2.

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Vodušek, David B. "Neural Control of Pelvic Floor Muscles." In Pelvic Floor Re-education, 22–35. London: Springer London, 2008. http://dx.doi.org/10.1007/978-1-84628-505-9_2.

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Vignoli, Giancarlo. "Electromyography of Pelvic Floor Muscles." In Urodynamics, 129–41. Cham: Springer International Publishing, 2016. http://dx.doi.org/10.1007/978-3-319-33760-9_8.

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Vodušek, David B. "Pelvic Floor Muscles-Innervation, Denervation and Ageing." In Imaging Pelvic Floor Disorders, 45–59. Berlin, Heidelberg: Springer Berlin Heidelberg, 2008. http://dx.doi.org/10.1007/978-3-540-71968-7_3.

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Bower, Wendy F. "Overactive Pelvic Floor Muscles and Related Pain." In Pelvic Floor Re-education, 83–88. London: Springer London, 2008. http://dx.doi.org/10.1007/978-1-84628-505-9_8.

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Newman, Diane K., and Jo Laycock. "Clinical Evaluation of the Pelvic Floor Muscles." In Pelvic Floor Re-education, 91–104. London: Springer London, 2008. http://dx.doi.org/10.1007/978-1-84628-505-9_9.

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Quiroz, Lieschen H., and S. Abbas Shobeiri. "3D Endovaginal Ultrasound Imaging of the Levator Ani Muscles." In Practical Pelvic Floor Ultrasonography, 69–89. New York, NY: Springer New York, 2013. http://dx.doi.org/10.1007/978-1-4614-8426-4_4.

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Quiroz, Lieschen H., and S. Abbas Shobeiri. "3D Endovaginal Ultrasound Imaging of the Levator Ani Muscles." In Practical Pelvic Floor Ultrasonography, 101–19. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-52929-5_5.

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Serati, Maurizio, and Giorgio Bogani. "A Computerized Model of Pelvic Floor Muscles Physiology During Delivery." In Childbirth-Related Pelvic Floor Dysfunction, 35–39. Cham: Springer International Publishing, 2016. http://dx.doi.org/10.1007/978-3-319-18197-4_3.

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Carvalhais, Alice, Thuane Da Roza, and Renato Natal Jorge. "Interaction of Abdominal and Pelvic Floor Muscles." In Insights Into Incontinence and the Pelvic Floor, 235–45. Cham: Springer International Publishing, 2022. http://dx.doi.org/10.1007/978-3-030-94174-1_31.

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Conference papers on the topic "Pelvic floor muscles"

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Oliveira, Dulce, Marco Parente, Renato Natal Jorge, Begona Calvo, and Teresa Mascarenhas. "A structural damage model for pelvic floor muscles." In 2015 IEEE 4th Portuguese Meeting on Bioengineering (ENBENG). IEEE, 2015. http://dx.doi.org/10.1109/enbeng.2015.7088865.

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Davis, Frances M., Ting Tan, Suzanne Nicewonder, and Raffaella De Vita. "Tensile Properties of the Swine Cardinal Ligament." In ASME 2013 Summer Bioengineering Conference. American Society of Mechanical Engineers, 2013. http://dx.doi.org/10.1115/sbc2013-14294.

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Pelvic floor disorders such as urinary incontinence, fecal incontinence, and pelvic organ prolapse represent a major public health concern in the United States affecting one third of adult women [1]. These disorders are determined by structural and mechanical alterations of the pelvic organs, their supporting muscles and connective tissues that occur mainly during pregnancy, vaginal delivery, and aging [1].
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Patel, Sanket N., Donna J. Haworth, Anton E. Xavier, Douglas W. Chew, and David A. Vorp. "Characterization of Isolated Urethral Smooth Muscle Cells and Their Incorporation Into a Tissue Engineered Urethral Wrap." In ASME 2009 Summer Bioengineering Conference. American Society of Mechanical Engineers, 2009. http://dx.doi.org/10.1115/sbc2009-206253.

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Millions of people worldwide suffer from an involuntary leakage of urine, a condition known as urinary incontinence. In the US alone, the estimated cost of managing this is more than $16 billion [1]. Stress urinary incontinence (SUI), the most common form, is characterized by involuntary leakage of urine from effort or exertion during actions such as laughing, coughing, or sneezing. SUI largely occurs as a result of weak or damaged pelvic muscles that support the bladder and urethra, which makes the urethra unable to maintain its seal and allows urine to leak. Current SUI treatments such as pelvic floor muscle training, vaginal inserts, pharmacologic therapeutics, and surgical procedures are limited by ineffectiveness and/or subsequent complications [2, 3].
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Kask, Nathalie, David M. Budgett, Jennifer A. Kruger, Poul M. F. Nielsen, Damiano Varagnolo, and Steffi Knorn. "Data-driven modelling of fatigue in pelvic floor muscles when performing Kegel exercises." In 2019 IEEE 58th Conference on Decision and Control (CDC). IEEE, 2019. http://dx.doi.org/10.1109/cdc40024.2019.9029629.

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Souza, Diogo, Lucas Fonseca, Julio Melo, Alethea Cury, Elizabel Viana, and Edgard Correa. "Projeto e Prototipagem de sistema para aquisição e análise de EMG do Assoalho Pélvico." In IX Simpósio Brasileiro de Engenharia de Sistemas Computacionais. Sociedade Brasileira de Computação - SBC, 2019. http://dx.doi.org/10.5753/sbesc_estendido.2019.8636.

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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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Bhosale, Shilpa S., Lavanya Gurram, Supriya Chopra, and Anuradha Daptardar. "2022-RA-729-ESGO Strengthening of pelvic floor muscles for incontinence in cervical cancer." In ESGO 2022 Congress. BMJ Publishing Group Ltd, 2022. http://dx.doi.org/10.1136/ijgc-2022-esgo.53.

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Souza, Robson Arruda, Marcela Cavalcanti Moreira, Marco A. B. Rodrigues, and Andrea Lemos. "Development of mobile virtual application to increase consciousness and relaxation of the pelvic floor muscles." In 2017 International Conference on Virtual Rehabilitation (ICVR). IEEE, 2017. http://dx.doi.org/10.1109/icvr.2017.8007533.

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de Carvalho Teixeira, Karen, Manoela Motta Pontes, Maria Luiza Lopes de Nogueira Alberto, Thayane dos Anjos Rodrigues, and Luciano Matos Chicayban. "The importance of physiotherapy in the puerperium." In 7th International Congress on Scientific Knowledge. Biológicas & Saúde, 2021. http://dx.doi.org/10.25242/8868113820212397.

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The gestational period promotes changes in the woman's body, so that the baby can develop in a healthy way in the uterus. These transformations can interfere in a woman's daily life. Physiotherapy promotes re-education of the abdominal muscles, analgesia in the perineum region, restoration of gastrointestinal function, in addition to helping them with psychological changes. To verify the benefits of physiotherapy in the puerperium. A non-systematic review of the literature was carried out, through randomized clinical trials, published between 1999 and 2018. The search involved the databases PubMed, MEDLINE, SciELO, LILACS and PEDro. The following keywords were used: postpartum physiotherapy. 6 RCTs were included. There was a significant decrease in pain in the treatment group in four studies, increase in strength of the pelvic floor muscles (PFM) and decrease in urinary incontinence in two studies, but 3 postpartum women presented voiding symptoms; in another study, there was a decrease in the score related to anal incontinence; in another study, immediate physiotherapy after delivery reduced abdominal diastasis. Postpartum physiotherapy, through an exercise program, contributes to pain reduction, increase in pelvic floor strength, decrease in urinary incontinence, anal incontinence and abdominal diastasis.
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Men, Yong-chao, Cheng-feng Sun, Yu Han, Xi-zhen Wang, Guang-hui Chang, Gui-hua Zhang, and Bin Wang. "The optimized fractional anisotropy and apparent diffusion coefficient threshold in fiber tracking of pelvic floor muscles." In 2016 12th International Conference on Natural Computation and 13th Fuzzy Systems and Knowledge Discovery (ICNC-FSKD). IEEE, 2016. http://dx.doi.org/10.1109/fskd.2016.7603478.

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Chanda, Arnab, Vinu Unnikrishnan, Holly E. Richter, and Mark E. Lockhart. "Computational Modeling of Anterior and Posterior Pelvic Organ Prolapse (POP)." In ASME 2016 International Mechanical Engineering Congress and Exposition. American Society of Mechanical Engineers, 2016. http://dx.doi.org/10.1115/imece2016-67949.

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Pelvic Organ Prolapse (POP) is a condition of the female pelvic system suffered by a significant proportion of women in the U.S. and more across the globe, every year. POP is caused by the weakening of the pelvic floor muscles and musculo-connective tissues due to child birth, menopause and morbid obesity. Prolapse of the pelvic organs namely the urinary bladder, uterus, and rectum into the vaginal canal can cause vaginal discomfort, strained urination or defecation, and sexual dysfunction. To date, success rates of native tissue POP surgeries vary from 50–70% depending on the definition of cure and time-point of assessment. A better understanding of the mechanics of prolapse may lead to improvement in surgical outcomes. In the current work, the mechanics of progression of anterior and posterior vaginal prolapse were modeled to understand the effect of bladder fill and posterior vaginal stresses using computational approaches. A realistic and full-scale female pelvic system model, comprised of the urinary bladder, vaginal canal, uterus, rectum, and fascial connective tissue, was developed using image segmentation methods. All of the relevant loads and boundary conditions were applied based on a comprehensive study of the anatomy and functional morphology of the female pelvis. Hyperelastic material models were adopted to characterize all pelvic tissues, and a non-linear analysis was invoked. In the first set of simulations, a realistic bladder filling and vaginal tissue stiffening in prolapse were modeled and their effects on the anterior vaginal wall (AVW) were estimated in terms of the induced stresses, strains and displacements. The degree of bladder filling was found to be a strong indicator of stress build-up on the AVW. Also, vaginal tissue stiffening was found to increase the size of the high stress zone on the AVW. The second simulation consisted of modeling the different degrees of posterior vaginal wall (PVW) prolapse, in the presence of an average abdominal pressure. The vaginal length was segmented into four sections to study the localized stresses and strains. Also, a clinically well-known phenomena known as the kneeling effect was observed with the PVW in which the vaginal wall displaces away from the rectum and downward towards the vaginal hiatus. All of these results have relevant clinical implications and may provide important perspective for better understanding the mechanics of POP pathophysiology.
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Reports on the topic "Pelvic floor muscles"

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XU, Fangyuan, Qiqi Yang, Wenchao ZHANG, and Wei HUANG. Effects of acupuncture and moxibustion in reducing urine leakage for female stress urinary incontinence: A protocol for an overview of systematic reviews and meta-analyses. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, March 2022. http://dx.doi.org/10.37766/inplasy2022.3.0100.

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Review question / Objective: Participants: Female patients who are diagnosed with SUI according to any widely recognized and accepted criteria, regardless of their age, ethnicity, education, or social status. Interventions: The treatment used in the experimental group mainly includes acupuncture, electroacupuncture, warm needle acupuncture, stick-moxibustion, direct-moxibustion, partition moxibustion, or one of the above therapies combined with traditional Chinese medicine or pelvic floor muscle exercise. Comparator/control: The control groups were treated with conventional western medicine, pelvic floor muscle exercise, electrical stimulation, or placebo. Outcome indicators: (1) Primary outcomes: effective rate, urine leakage in 1-hour pad test; (2) Secondary outcomes: International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF) score, pelvic floor muscle strength, frequency of 24-hour urinary incontinence, and adverse reactions. Types of studies: Peer-reviewed SRs and MAs based on randomized controlled trials (RCTs) will be included in this overview.
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Leonardo, Kevin, Doddy Hami Seno, Hendy Mirza, and Andika Afriansyah. Biofeedback Pelvic Floor Muscle Training and Pelvic Electrical Stimulation in Women with Overactive Bladder : A Systematic Review and Meta-analysis of Randomized Controlled Trials. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, February 2022. http://dx.doi.org/10.37766/inplasy2022.2.0024.

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Review question / Objective: Population : Overactive Bladder, Women; Intervention : Biofeedback assisted PFMT and/or pelvic Electrical Stimulation with non-implanted electrodes (on the skin surface around perianal, intra vaginal or rectal); Comparison : PFMT only / Bladder Training / Life style modification-recommendation; Outcome : Changes in Quality of life, Incontinence Episodes, Number of participant cured/improved. Condition being studied: Overactive Bladder syndrome which has been defined as urinary urgency. It is not life threatening disease, therefore, often ignored by patients, but the effect in daily life can be very bothersome.
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ZHANG, Shiwen, Meiling HUANG, Jincao ZHI, Fei PEI, and Yan WANG. Meta-analysis of the effects of pelvic floor muscle training during pregnancy to prevent or treat incontinence. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, November 2021. http://dx.doi.org/10.37766/inplasy2021.11.0039.

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Liu, Zejun, Kai Yu, Rui Hu, Tengteng Jian, Sunmeng Chen, Fan Bu, and Ji Lu. Meta-analysis of the influence of perioperative pelvic floor muscle training on postoperative urinary control during radical prostatectomy. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, May 2022. http://dx.doi.org/10.37766/inplasy2022.5.0092.

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mba, chidinma goodness, and Sam Ibeneme. Effect of intraluminal (Endoanal and Intravaginal) and surface electrode placement in the stimulation of pelvic floor muscle among women with postpartum anal incontinence. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, November 2022. http://dx.doi.org/10.37766/inplasy2022.11.0019.

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Li, Shujuan, Qiaoqiao Zhu, Juan Wu, and Yuping Sa. Clinical Evidence for Acupuncture Related to the Improvement of Female Stress Urinary Incontinence:A systematic Review and Meta-Analysis. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, May 2022. http://dx.doi.org/10.37766/inplasy2022.5.0135.

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Review question / Objective: The purpose of this systematic review is to evaluate the effect of acupuncture on SUI and the quality of life-based on the latest literature. Condition being studied: At least 25% of adult females in the world have urinary incontinence in some measure, of which more than half are stress urinary incontinence (SUI). SUI seriously affects the mental health of patients, but also leads to perineal rash, urinary tract infection, and other harms. The American Urological Association recommends pelvic floor muscle training (PFMT) as a conservative treatment for patients with mild to moderate SUI, but the cost of treatment is the main obstacle to its wide use of it. Acupuncture is one of the traditional therapies in ancient China, which is simple and cheap. Some systematic reviews and meta-analyses provide evidence for acupuncture in the treatment of SUI. Due to the quality of the study, these research results are not very reliable.
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Pelvic floor muscle training can improve symptoms of urinary incontinence. National Institute for Health Research, January 2019. http://dx.doi.org/10.3310/signal-000702.

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Biofeedback offers no additional benefit to pelvic floor muscle training. National Institute for Health Research, September 2021. http://dx.doi.org/10.3310/alert_47028.

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Pelvic floor muscle training can be delivered by appropriately trained non-specialists for women with prolapse, research finds. National Institute for Health Research, June 2021. http://dx.doi.org/10.3310/alert_46537.

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