Abdominal and pelvic floor electromyographic analysis during abdominal hypopressive gymnastics

Ithamar, Lucas; Filho, Alberto Galvão de Moura; Rodrigues, M. A. B.; Cortez, Kelly Cristina Duque; Machado, Vinícius Gomes; Lima, Claudia Regina Oliveira de Paiva; Moretti, Eduarda; Lemos, Andréa

doi:10.1016/j.jbmt.2017.06.011

Cited by 30 publications

(49 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The results of the current study also suggest that the muscles of the lateral abdominal wall contract during the HEs. This finding concurs with previous studies of HEs in healthy women, 16 and with results found in women with PFD, through ultrasound 26 . Synergistic contraction of the deep abdominal muscles and the PFMs during a volitional PFM has been deemed necessary to achieve maximum PFM activation 20,27 .…”

Section: Discussionsupporting

confidence: 94%

“…Nevertheless, the results suggested that the hypopressive maneuver generated higher PFM activity compared with PFM resting tone (47.09 µV vs 22.90 µV, respectively), but statistically and markedly less than voluntary PFM contraction, producing a mean activation of 101.05 µV 15 . Also, the different hypopressive postures (supine, orthostatic, and quadruped) did not generate differences in the amplitude of the PFM activity generated during the exercise 16 . Indeed, no comprehensive mechanistic studies have evaluated the effect of the hypopressive posture and/or maneuver on pelvic floor or abdominal muscle activation in women with or at risk of developing pelvic floor disorders.…”

Section: Introductionmentioning

confidence: 82%

“…To date, two descriptive studies have been published on the action of the transversus abdominis and PFMs during a hypopressive maneuver and HE. 15,16 One study did not include a description of the hypopressive posture, 15 and in both, the participants were naïve to HEs (they had not received previous training in the method) and had no history of pelvic floor disorders. 15,16 Nevertheless, the results suggested that the hypopressive maneuver generated higher PFM activity compared with PFM resting tone (47.09 µV vs 22.90 µV, respectively), but statistically and markedly less than voluntary PFM contraction, producing a mean activation of 101.05 µV.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Pelvic floor and abdominal muscle responses during hypopressive exercises in women with pelvic floor dysfunction

Navarro-Brazález

Sánchez

Prieto-Gómez

et al. 2020

Neurourology and Urodynamics

View full text Add to dashboard Cite

Aim: To measure the neuromuscular activation of the pelvic floor and abdominal muscles concurrently with vaginal closure forces induced during a hypopressive exercise (HE) and to identify the contribution of the HEs sequences (posture and maneuver) in the muscle's activation. Methods:A cross-sectional study design was employed. Sixty-six women who had participated in a physical therapy program focused on HEs were recruited.Pelvic floor muscle (PFM) activation was measured using surface electromyography (sEMG) in supine and in the orthostatic position, and vaginal closure force was measured through vaginal dynamometry in supine. Activation of the abdominal, gluteal, and hip adductor muscles was measured using sEMG. Maximum effort voluntary contractions (MVCs) of the PFMs and reference contractions of the abdominal and hip muscles were acquired for normalization purposes. A HE was then performed in a supine position with one leg raised, then in an orthostatic position. Results: During the supine HE, the peak PFM sEMG amplitude was 74.4% to 86.5% (49.6%-109.6%) of MVC, the peak vaginal closure force was between 51.2% and 55.7% (95.5%-382.9%) of MVC, and the muscles of the lateral abdominal wall were activated between 25.4% and 35.3% of the reference contraction. During the orthostatic HE, PFM activation was 61.4% (40.1%-105.6%) of MVC, and the lateral abdominal wall muscles contracted at 22.8% of the reference activation level.Conclusions: The PFMs, abdominal, gluteal, and adductor muscles are activated during the performance of a HE. The activation level of the PFMs and abdominal muscles is likely insufficient to result in strength gains; however, they could have an endurance effect. K E Y W O R D Sdeep abdominal muscles, hypopressive exercises, pelvic floor dysfunction, pelvic floor muscles strength, surface electromyography, therapeutic exercise

show abstract

Section: Discussionsupporting

confidence: 94%

Section: Introductionmentioning

confidence: 82%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Pelvic floor and abdominal muscle responses during hypopressive exercises in women with pelvic floor dysfunction

Navarro-Brazález

Sánchez

Prieto-Gómez

et al. 2020

Neurourology and Urodynamics

View full text Add to dashboard Cite

show abstract

“…Abdominal hypopressive gymnastics (AHG) can be defined as a set of postural techniques that synergistically activate the muscles from the pelvic floor and abdomen in response to negative intraabdominal pressure (IAP). 1 AHG have been used traditionally for the enhancement of pre-and postpartum urinary and fecal incontinence, genital prolapse, and other gynecological disorders related to the function of the pelvic floor and abdominal muscles. 2,3 Other applications of the AHG include the treatment of back pain and gym activities to train the core muscles.…”

Section: Introductionmentioning

confidence: 99%

“…2,3 Other applications of the AHG include the treatment of back pain and gym activities to train the core muscles. 1,4,5 The search for an ideal exercise to reinforce the abdominal wall at high activation levels under favorable and safe conditions for the lumbar spine and pelvic diaphragm has encouraged the development of several approaches. [6][7][8] One of the arguments for studying AHG is that it could be a valid training method for the deep abdominal muscles, this could have repercussions in core stability and rehabilitation programs.…”

Section: Introductionmentioning

confidence: 99%

Surface electromyography comparison of the abdominal hypopressive gymnastics against the prone bridge exercise

et al. 2019

View full text Add to dashboard Cite

Objectives: Abdominal hypopressive gymnastics (AHG) is a little-researched method designed to train the muscles of the abdominal wall and pelvic floor under low stress. This study’s objective is to compare levels of muscle activation in AHG against prone bridge by surface electromyography (sEMG) of the abdominal wall muscles. Methods: Twenty healthy subjects were enrolled to measure the muscle activity of the rectus abdominis (RA), transversus abdominis/internal oblique (Tra/IO), and external oblique (EO) during three exercises: prone bridge (PB), orthostatic hypopressive (OH), and hypopressive bridge (HB). Root mean square values normalized to the PB (%PB) as a baseline were used to compare the PB against OH and HB. Results: The median PB ratio (%PB) for the Tra/IO showed –10.31% and +59.7% activation during OH and the HB, respectively, whereas the RA showed –77.8% and +19.3% and the EO –39.8% and +9.8%. Significant differences were found for all muscles except the Tra/IO during the OH. Conclusion: This study’s results suggest that hypopressive exercises facilitate the activation of the Tra/IO similar to bridge exercises while simultaneously reducing RA and EO activity. This suggests that hypopressive training is a valid alternative for activating the abdominal muscles, isolating the Tra/IO at low intra-abdominal pressure.

show abstract

Re: Resende et al. Pelvic floor muscle training is better than hypopressive exercises in pelvic organ prolapse treatment: An assessor‐blinded randomized controlled trial

Rebullido¹,

Chulvi‐Medrano

2019

Neurourology and Urodynamics

View full text Add to dashboard Cite

Abdominal and pelvic floor electromyographic analysis during abdominal hypopressive gymnastics

Cited by 30 publications

References 18 publications

Pelvic floor and abdominal muscle responses during hypopressive exercises in women with pelvic floor dysfunction

Pelvic floor and abdominal muscle responses during hypopressive exercises in women with pelvic floor dysfunction

Surface electromyography comparison of the abdominal hypopressive gymnastics against the prone bridge exercise

Re: Resende et al. Pelvic floor muscle training is better than hypopressive exercises in pelvic organ prolapse treatment: An assessor‐blinded randomized controlled trial

Contact Info

Product

Resources

About