Effect of an abdominal hypopressive technique programme on pelvic floor muscle tone and urinary incontinence in women: a randomised crossover trial

Soriano, Lidon; Gonzalez-Millán, Cristina; Sáez, Myrian Marta Álvarez; Curbelo, Rafael; Carmona, Loreto

doi:10.1016/j.physio.2020.02.004

Cited by 14 publications

(24 citation statements)

References 21 publications

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“…Many physical therapists integrate other training approaches in the management of women with PFD, including abdominal muscle training and postural education, in the belief that such training will mitigate repetitive and/or chronic loading on the pelvic floor [9]. In this context, hypopressive exercises (HEs) have emerged as a treatment option for PFD; currently HEs are widely prescribed for women with PFD in hospitals and in private practice settings in France, Belgium, Spain and Latin American countries [10][11][12][13][14]. In 1980, Caufriez developed a series of thirty-three consecutive HEs which each involved a posture to be performed in different body positions (standing, kneeling, quadruped, sitting and supine), combined with a hypopressive manoeuvre, in which the women performed an expiratory apnea (breath hold at end expiration), while drawing-in their abdomen and opening their rib cage [10][11][12][13][14][15].…”

Section: Introductionmentioning

confidence: 99%

“…In this context, hypopressive exercises (HEs) have emerged as a treatment option for PFD; currently HEs are widely prescribed for women with PFD in hospitals and in private practice settings in France, Belgium, Spain and Latin American countries [10][11][12][13][14]. In 1980, Caufriez developed a series of thirty-three consecutive HEs which each involved a posture to be performed in different body positions (standing, kneeling, quadruped, sitting and supine), combined with a hypopressive manoeuvre, in which the women performed an expiratory apnea (breath hold at end expiration), while drawing-in their abdomen and opening their rib cage [10][11][12][13][14][15]. The theoretical aim of HEs is to lower intra-abdominal pressure, while concurrently increasing the basal tone of the pelvic floor muscles (PFMs) and deep abdominal muscles without voluntary activation [15].…”

Section: Introductionmentioning

confidence: 99%

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Effectiveness of Hypopressive Exercises in Women with Pelvic Floor Dysfunction: A Randomised Controlled Trial

Navarro-Brazález

Prieto-Gómez

Prieto‐Merino

et al. 2020

JCM

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Hypopressive exercises have emerged as a conservative treatment option for pelvic floor dysfunction (PFD). The aim of this study was to compare the effects of an eight-week hypopressive exercise program to those of an individualized pelvic floor muscle (PFM) training (PFMT) program, and to a combination of both immediately after treatment and at follow-up assessments at 3, 6 and 12 months later. The study was a prospective, single-centre, assessor-blinded, randomised controlled trial. Ninety-four women with PFD were assigned to PFMT (n = 32), hypopressive exercises (n = 31) or both (n = 31). All programs included the same educational component, and instruction about lifestyle interventions and the knack manoeuvre. Primary outcomes were the Pelvic Floor Distress Inventory Short Form (PFDI-20); the Pelvic Floor Impact Questionnaire Short Form (PFIQ-7); PFM strength (manometry and dynamometry) and pelvic floor basal tone (dynamometry). There were no statistically significant differences between groups at baseline, nor after the intervention. Overall, women reduced their symptoms (24.41–30.5 on the PFDI-20); improved their quality of life (14.78–21.49 on the PFIQ-7), improved their PFM strength (8.61–9.32 cmH2O on manometry; 106.2–247.7 g on dynamometry), and increased their pelvic floor basal tone (1.8–22.9 g on dynamometry). These data suggest that individual PFMT, hypopressive exercises and a combination of both interventions significantly reduce PFD symptoms, enhance quality of life, and improve PFM strength and basal tone in women with PFD, both in the short and longer term.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Effectiveness of Hypopressive Exercises in Women with Pelvic Floor Dysfunction: A Randomised Controlled Trial

Navarro-Brazález

Prieto-Gómez

Prieto‐Merino

et al. 2020

JCM

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“…For this reason, motor re-education, in the form of learning motor control and postural re-education, including the restoration of normal PFM-related muscle function, should be included in PFMsT [17,18]. Based on the available studies on the restoration of PFM function, it seems that new possibilities, and methods increasing the probability of success in the treatment of pelvic floor dysfunction [19][20][21][22][23], are still being sought. Therefore, the question arises whether a comprehensive form of therapy, such as SI, can facilitate the restoration of the physiological functions of PFMs and serve as another method of their facilitation, supporting the commonly used PFMsT.…”

Section: Introductionmentioning

confidence: 99%

The Rolf Method of Structural Integration and Pelvic Floor Muscle Facilitation: Preliminary Results of a Randomized, Interventional Study

Kasper-Jędrzejewska

Jędrzejewski

Ptaszkowska

et al. 2020

JCM

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The management of pelvic floor dysfunctions might need to be based on a comprehensive neuro-musculoskeletal therapy such as The Rolf Method of Structural Integration (SI). The aim of the study was to evaluate the pelvic floor muscle (PFM) after the tenth session of SI by using surface electromyography (sEMG). This was a randomized, interventional study. Thirty-three healthy women were randomly assigned to the experimental (SI) or control group. The outcome measures included PFM bioelectrical activity, assessed using sEMG and endovaginal probes. An intervention in the SI group included 60 min of SI once a week, and teaching on how to contract and relax PFMs; in the control group, only the teaching was carried out. In the SI group, a significant difference was found between the PFM sEMG activity during “pre-baseline rest” (p < 0.014) and that during “rest after tonic contraction” (p = 0.021) in the supine position, as were significant increases in “phasic contraction” in the standing position (p = 0.014). In the intergroup comparison, higher PFM sEMG activity after the intervention “phasic contraction” (p = 0.037) and “pre-baseline rest” (p = 0.028) was observed in the SI group. The SI intervention significantly changes some functional bioelectrical activity of PFMs, providing a basis for further research on a new approach to PFM facilitation, particularly in clinical populations.

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“…6 Thirty-three consecutive HEs were developed by Caufriez in which each involved a posture to be performed in different body positions (standing, kneeling, quadruped, sitting and supine) combined with a hypopressive manoeuvre in which a woman per forms an expiratory apnea (breath hold at the end of expiration) while drawing-in their abdomen and opening their rib cage. [7][8][9][10][11][12] They emphasize engaging transverse abdominals with conscious coordination of diaphragm with breathing; it is hypothesized to produce neuromuscular activation of PFM and abdominals; and to increase the endurance of PFM and basal tone of PFM subsequently helping in urethral constriction. 7,9 Thus, one of the indications of these exercises is to treat POP.…”

Section: Introductionmentioning

confidence: 99%

“…[7][8][9][10][11][12] They emphasize engaging transverse abdominals with conscious coordination of diaphragm with breathing; it is hypothesized to produce neuromuscular activation of PFM and abdominals; and to increase the endurance of PFM and basal tone of PFM subsequently helping in urethral constriction. 7,9 Thus, one of the indications of these exercises is to treat POP. 12,13 There is little evidence that HEs training can improve POP and its symptoms.…”

Section: Introductionmentioning

confidence: 99%

Effect of Hypopressive exercise in women with Pelvic Organ Prolapse

Parle¹,

Shahmalak²,

Irkar³

2021

Nepal J Obstet Gynaecol

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Aim: To study the effect of Hypopressive exercises to improve pelvic floor muscle strength in women with Pelvic Organ Prolapse.(grade 1and 2). Methods: This is an experimental study conducted on women of urban and rural areas of Kamothe and Kalamboli in India who presented with grade 1 and grade 2 Pelvic Organ Prolapse. 20 women (35 years and above) were recruited after taking their consent. The outcome measures assessed during pre and post evaluation were pelvic floor muscle strength as measured by modified oxford scale and perinometer whereas Pelvic Organ Prolapse symptoms by pelvic floor distress inventory scale-20. Intervention consisted of 6-weeks of Hypopressive exercises with a physiotherapist. The protocol consisted of three sessions weekly with progression in each week. Precautions to be taken during the study were explained to the participants each time. Results: Hypopressive exercises presented positive results with statistically significant difference in pre and post evaluation of outcome measures. Wilcoxon Signed Rank Test analysis reported p-value of 0.00 for modified oxford scale. For perinometer, p-value for peak, average, duration and gradient was 0.00, 0.00, 0.01 and 0.04 respectively. Pelvic Floor Distress Inventory Scale reported p-value of 0.00. Conclusion: Hypopressive exercises exhibited improvements in pelvic floor muscle strength and reducing the symptoms of Pelvic Organ Prolapse.

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Effect of an abdominal hypopressive technique programme on pelvic floor muscle tone and urinary incontinence in women: a randomised crossover trial

Cited by 14 publications

References 21 publications

Effectiveness of Hypopressive Exercises in Women with Pelvic Floor Dysfunction: A Randomised Controlled Trial

Effectiveness of Hypopressive Exercises in Women with Pelvic Floor Dysfunction: A Randomised Controlled Trial

The Rolf Method of Structural Integration and Pelvic Floor Muscle Facilitation: Preliminary Results of a Randomized, Interventional Study

Effect of Hypopressive exercise in women with Pelvic Organ Prolapse

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