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Bioelectrical activity of the pelvic floor muscles after 6-week biofeedback training in nulliparous continent women

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Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
Purpose: The aim of the study was to evaluate the effects of a 6-week sEMG-biofeedback-assisted pelvic floor muscle training program on pelvic floor muscle activity in young continent women. Methods: Pelvic floor muscle activity was recorded using a vaginal probe during five experimental trials. Biofeedback training was continued for 6 weeks, 3 times a week. Muscle strenghtening and endurance exercises were performed alternately. SEMG (surface electromyography) measurements were recorded on four different occasions: before training started, after the third week of training, after the sixth week of training, and one month after training ended. Results: A 6-week sEMG-biofeedback-assisted pelvic floor muscle training program significantly decreased the resting activity of the pelvic floor muscles in supine lying and standing. The ability to relax the pelvic floor muscles after a sustained 60-second contraction improved significantly after the 6-week training in both positions. SEMG-biofeedback training program did not seem to affect the activity of the pelvic floor muscles or muscle fatigue during voluntary pelvic floor muscle contractions. Conclusions: SEMG-biofeedback-assisted pelvic floor muscle training might be recommended for physiotherapists to improve the effectiveness of their relaxation techniques.
Rocznik
Strony
105--113
Opis fizyczny
Bibliogr. 25 poz., tab., wykr.
Twórcy
  • Faculty of Physiotherapy, Department of Physiotherapy Basics, Jerzy Kukuczka Academy of Physical Education, Katowice, Poland
autor
  • Faculty of Physiotherapy, Department of Physiotherapy Basics, Jerzy Kukuczka Academy of Physical Education, Katowice, Poland
autor
  • Faculty of Physiotherapy, Department of Physiotherapy Basics, Jerzy Kukuczka Academy of Physical Education, Katowice, Poland
autor
  • Faculty of Physiotherapy, Department of Physiotherapy Basics, Jerzy Kukuczka Academy of Physical Education, Katowice, Poland
  • Department and Faculty of Medical Biophysics, Medical University of Silesia, Katowice, Poland
autor
  • Department of Human Motor Behavior, Jerzy Kukuczka Academy of Physical Education, Katowice, Poland
  • Department of Women’s Health, Medical University of Silesia, Katowice, Poland
Bibliografia
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  • [2] Ashton-Miller J.A., DeLancey J.O.L., Functional anatomy of the female pelvic floor, Ann. N.Y. Acad. Sci., 2007, Vol. 1101, 266–6.
  • [3] AUKEE P., PETTINEN J., OLAVI A., The effect of aging on the electromyographic activity of pelvic floor muscles. A comparative study among stress incontinent patients and asymptomatic women, Maturitas, 2003, Vol. 44, 253–257.
  • [4] BØ K., BERGHMANS B., MØRKVED S., VAN KAMPEN M., Evidence-Based Physical Therapy for the Pelvic Floor, 1st ed., Elsevier Ltd., 2007.
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  • [6] BOYLES S.H., LI H., MORI T., OSTERWEIL P., GUISE J.M., Effect of mode of delivery on the incidence of urinary incontinence in primiparous women, Obstet Gynecol., 2009, Vol. 113(1), 134–141.
  • [7] BROSTRØM S., LOSE G., Pelvic floor muscle training in the prevention and treatment of urinary incontinence in women: what is the evidence?, Acta Obstet Gynecol. Scand., 2008, Vol. 87, 384–402.
  • [8] BURDEN A., How should we normalize electromyograms obtained from healthy participants? What we have learned from over 25 years of research, J. Electromyogr. Kinesiol., 2010, Vol. 20(6), 1023–1035.
  • [9] BURTI J., HACAD C., ZAMBON J., POLESSI E., ALMEIDA F., Is there any difference in pelvic floor muscles performance between continent and incontinent women?, Neurourol. Urodyn., 2014. DOI: 10.1002/nau.22613. [in press]
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  • [13] ENCK P., VODUŠEK D., Electromyography of pelvic floor muscles, J. Electromyogr. Kinesiol., 2006, Vol. 16(6), 568–567.
  • [14] GLAZER H., JANTOS M., HARTMANN E., SWENCIONIS C., Electromyographic comparisons of pelvic floor in women with dysesthetic vulvodynia and asymptomatic women, J. Reprod. Med., 1998, Vol. 43, 959–962.
  • [15] HERMENS H., FRERIKS B., MERLETTI R., STEGEMAN D., BLOK J., RAU G., DISSELHORST-KLUG C., HÄGG G., European Recommendations for Surface ElectroMyoGraphy. Results of the SENIAM project, 8th ed., 1999, Enschede: Roessingh Research and Development.
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  • [19] MADILL S., MCLEAN L., Quantification of abdominal and pelvic floor muscle synergies in response to voluntary pelvic floor muscle contractions, J. Electromyogr. Kinesiol., 2008, Vol. 18(6), 955–964.
  • [20] MESSELINK B., BENSON T., BERGHMANS B., BØ K., CORCOS J., FOWLER C., LAYCOCK J., LIM P.H., VAN LUNSEN R.Á., NIJEHOLT G.L., PEMBERTON J., WANG A., WATIER A., VAN KERREBROECK P., Standardization of terminology of pelvic floor muscle function and dysfunction: report from the pelvic floor clinical assessment group of the International Continence Society, Neurourol. Urodyn., 2005, Vol. 24(4), 374–380.
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  • [22] REE M., NYGAARD I., BØ K., Muscular fatigue in the pelvic floor muscles after strenuous physical activity, Acta Obstet Gynecol. Scand., 2007, Vol. 86(7), 870–876.
  • [23] RESENDE A., PETRCELLI C., BERNARDES B., ALEXANDRE S., NAKAMURA M., ZANETTI M., Electromyographic evaluation of pelvic floor muscles in pregnant and nonpregnant women, Int. Urogynecol. J., 2012, Vol. 23(8), 1041–1045.
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Uwagi
PL
Opracowanie ze środków MNiSW w ramach umowy 812/P-DUN/2016 na działalność upowszechniającą naukę.
Typ dokumentu
Bibliografia
Identyfikator YADDA
bwmeta1.element.baztech-2e597d61-9869-49c9-8128-7a4776afced7
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