Effect of pelvic floor and transversus abdominis muscle contraction on inter-rectus distance in postpartum women: a cross-sectional experimental study

Physiotherapy ◽  
2019 ◽  
Vol 105 (3) ◽  
pp. 315-320 ◽  
Author(s):  
N-M. Theodorsen ◽  
L.I. Strand ◽  
K. Bø
2019 ◽  
Vol 39 (1) ◽  
pp. 361-366
Author(s):  
Natalia Uechi ◽  
Ana C. N. L. Fernandes ◽  
Kari  Bø ◽  
Letícia M. Freitas ◽  
Aura M. P. Ossa ◽  
...  

2018 ◽  
Vol 3 (86) ◽  
Author(s):  
Brigita Zachovajevienė ◽  
Laimonas Šiupšinskas ◽  
Pavelas Zachovajevas ◽  
Daimantas Milonas ◽  
Loreta Lapinskaitė

Research background and hypothesis. The absolute dominance of the isolated muscle presentation as the first and  last  word  in  muscular  anatomy  leaves  the  current  generation  of  therapists  unlikely  to  think  any  other  way (Myers,  2009).  Hypothesis:  functional  relationships  could  be  found  between  pelvic  floor,  diaphragm,  and  trunk muscles in men with prostate cancer.Research aim. The aim of the study was to evaluate functional associations between pelvic floor, diaphragm, and trunk muscles among men with prostate cancer. Research methods. The study included 81 male volunteers diagnosed with prostate cancer with measurements conducted one day before radical prostatectomy. Pelvic floor muscle strength and endurance were measured using “Peritron  9300”  device,  the  strength  of  diaphragm  –  with  “MicroRPM”,  the  strength  of  transversus  abdominis muscle – with “Stabilizer”. Trunk muscles were tested using tests for static postural endurance of abdominal and back muscles. Associations were estimated using Pearson’s correlation coefficient (r). Research results. Analysis of functional indicators of muscles demonstrated high linear associations between strength of pelvic floor and diaphragm (r = 0.79), between strength of diaphragm and exhalation muscles (r = 0.78), and between static endurance of abdominal and back muscles (r = 0.72). We determined moderate correlations between endurance of pelvic floor and strength of transversus abdominis muscle (r = 0.59), between strength of transversus abdominis and static endurance of abdominal muscles (r = 0.69), between strength of diaphragm and static endurance of abdominal (r = 0.56) and back muscles (r = 0.51), between the strength of exhalation muscles and static endurance of abdominal muscles (r = 0.57) and strength of pelvic floor (r = 0.65), between strength of pelvic floor and static endurance of back muscles (r = 0.50). Low correlations were found between strength of pelvic floor and transversus abdominis (r = 0.31) and static endurance of abdominal muscles (r = 0.44), between endurance of pelvic floor and exhalation muscles (r = 0.37), and finally between transversus abdominis and static strength of back muscles (r = 0.39). All correlations were statistically significant (p  < 0.01). Discussion and conclusions. The findings showed positive associations among different functional indicators of muscles: strength of pelvic floor correlates with endurance of pelvic floor muscles, static abdominal and back muscles, strength of diaphragm, and transversus abdominis muscles. The results of this study confirm that functional associations between pelvic floor, diaphragm, and trunk muscles exist.Keywords: abdominal muscles, static postural endurance, respiration, core stability.


2020 ◽  
Vol 2020 ◽  
pp. 1-10
Author(s):  
Juan Li ◽  
Xiaoyan Sun ◽  
Congyu Wang ◽  
Zujuan Zhang ◽  
Zhenwei Xie

Objectives. Postpartum pelvic floor muscle (PFM) injuries are the result of pregnancy and delivery, which lead to a series of symptoms requiring long-term follow-up. Mobile health platforms are progressively used for monitoring clinical conditions in medical subjects. This survey was a cross-sectional design based on collecting data from an application (Penyikang). We retrospectively analyzed the risk factors for weak postpartum PFM and further analyzed the factors influencing women’s participation in the treatment which may help to improve the app’s application in the future. Methods. We enrolled postpartum women who gave birth at the Women’s Hospital, Zhejiang University School of Medicine from August to November 2017; trained them to use the app; and collected the demographic and clinical information. This app requires users to fill questionnaires to assess their knowledge of pelvic floor dysfunction (PFD) and pelvic floor muscle training (PFMT) and experience with PFMT, and each therapy evaluation was restored. The relationship between the knowledge of PFMT/PFD, UI symptoms, and PFM strength was analyzed. Cluster analysis was used to define the degree of participation and identify the factors influencing the patients’ participation in intensive therapy and evaluation. Results. 1982 postpartum women who enrolled in the app program were defined as weak PFM. Younger maternal age, cesarean section, and without delivery injury were found as the prognostic factors to PFM strength (both type I and type II muscle fibers) (P<0.05), and higher educational level was also in favor of type II muscle fibers (P<0.05). Patient-reported UI symptoms were associated with weak PFM strength (P<0.05); there were no significant differences between knowledge of PFMT or PDF and PFM strength. Finally, patients with a higher degree of participation were more likely to accept the treatment (P<0.05). Conclusions. The mobile app provides a new applicative way to investigate postpartum PFD. The factors influencing women’s participation can help us focus on strategies to increase the patients’ compliance, and then we will apply the app into more areas to improve the prevention and treatment of postpartum PFD.


2014 ◽  
Vol 19 (6) ◽  
pp. 534-540 ◽  
Author(s):  
Takuya Miura ◽  
Masanori Yamanaka ◽  
Kengo Ukishiro ◽  
Harukazu Tohyama ◽  
Hiroshi Saito ◽  
...  

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