Effect of different contraction methods on pelvic floor muscle contraction in middle-aged women

Abstract

Objective: Pelvic floor muscles (PFMs) form the base of the abdomino-pelvic cavity and also the PFMs function is important for urinary continence. PFMs training (PFMT) is considered to be the first method for PFM dysfunction. This study demonstrated correct PFMs contraction among commonly used different contraction methods for PFMT. Design: Cross-sectional study. Methods: In this study, nineteen middle-aged (40-70 years) women participated. To evaluate PFM function, ultrasonography was used to measure the distance of the bladder base movement. The distance of the PFM movements were calculated at rest and during the other contractions. The following four different contraction methods were performed randomly: (1) PFM contraction, (2) abdominal drawing-in maneuver (ADIM), (3) anal contraction, and (4) hip adductor muscle contraction. The participants held the contraction for 3 seconds for a total of 3 times with a 30 seconds rest period between each trial. The mean of three measurements in each position were obtained and compared with that in the resting position. Results: The bladder base movement values were significantly greater when comparing PFM with ADIM and hip adductor contractions (p<0.05). The bladder base movement values were significantly greater when comparing ADIM and anal contractions with hip adductor contractions (p<0.05). Conclusions:The results of this study suggest that performing PFM contractions is the best method among the common methods for PFMT. Performing PFM contractions was more effective than the other contraction methods.

Effectiveness of two types of incontinence rehabilitation exercises: A pilot study

“…From the perspective of physiology, the bladder base movement is considered to be the principal mechanism of continence and as an indicator of PFM contractility and strength. Using ultrasonography, Kim et al recently conducted a study of bladder base movements of four different PFM contraction methods in healthy women, including the conventional PFM contraction, an abdominal drawing‐in manoeuvre, anal contractions and hip adductor contractions. Their results showed that the women who applied the conventional PFM contractions had the greatest bladder base movement and the value of which was significantly higher than that of the abdominal drawing‐in manoeuvre.…”

Asemptomati̇k Kadinlarda Farkli Kontraksi̇yon Yöntemleri̇ni̇n Pelvi̇k Taban Kas Fonksi̇yonu Üzeri̇ne Etki̇si̇ni̇n İncelenmesi̇

“…Pelvik taban kasları ve abdominal kaslar arasındaki ilişki, artmış üretral basınç durumunda üriner kontinansın sürdürülmesini sağlamaktadır (9). Literatürde abdominal kasların kontraksiyonu ve pelvik taban-la ilişkilendirilen kontraksiyonlar; pelvik taban kas kontraksiyonu, anal kas kontraksiyonu, Hollowing in manevrası ve korseleme manevrası olarak belirtilmiştir (11,12). Hollowing in manevrası Pilates egzersizlerinin, korseleme manevrası ise spinal stabilizasyon egzersizlerinin temelini oluşturmaktadır.…”