Pelvic floor muscle function and symptoms of dysfunctions in midwifes and nurses of reproductive age with and without pelvic floor dysfunction

Tosun, Gökhan; Peker, Nuri; Tosun, Özge Çeliker; Yeniel, Özgür; Ergenoğlu, Ahmet Mete; Elvan, Ata; Yıldırım, Meriç

doi:10.1016/j.tjog.2019.05.014

Cited by 11 publications

(10 citation statements)

References 31 publications

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“…These allow for the assessment of the correctness and effectiveness of PFM work. The examination includes voluntary (will-dependent) contraction, used during PFM training, and involuntary (will-independent) contraction, occurring during increased intra-abdominal pressure [ 30 , 31 ]. The physiotherapist may also use EMG, perineometer, and palpation to evaluate the PFM function [ 32 , 33 ].…”

Section: Introductionmentioning

confidence: 99%

Physiotherapy for Prevention and Treatment of Fecal Incontinence in Women—Systematic Review of Methods

Mazur-Biały

Kołomańska-Bogucka

Opławski³

et al. 2020

JCM

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Fecal incontinence (FI) affects approximately 0.25–6% of the population, both men and women. The most common causes of FI are damage to/weakness of the anal sphincter muscle and/or pelvic floor muscles, as well as neurological changes in the central or peripheral nervous system. The purpose of this study is to report the results of a systematic review of the possibilities and effectiveness of physiotherapy techniques for the prevention and treatment of FI in women. For this purpose, the PubMed, Embase, and Web of Science databases were searched for 2000–2020. A total of 22 publications qualified for detailed analysis. The studies showed that biofeedback (BF), anal sphincter muscle exercises, pelvic floor muscle training (PFMT), and electrostimulation (ES) are effective in relieving FI symptoms, as reflected in the International Continence Society recommendations (BF: level A; PFMT and ES: level B). Research has confirmed that physiotherapy, by improving muscle strength, endurance, and anal sensation, is beneficial in the prevention of FI, both as an independent method of conservative treatment or in pre/post-surgery treatment. Moreover, it can significantly improve the quality of life of patients. In conclusion, physiotherapy (in particular, BF, PFMT, or ES, as effective methods) should be one of the key elements in the comprehensive therapy of patients with FI.

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Section: Introductionmentioning

confidence: 99%

Physiotherapy for Prevention and Treatment of Fecal Incontinence in Women—Systematic Review of Methods

Mazur-Biały

Kołomańska-Bogucka

Opławski³

et al. 2020

JCM

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“…Authors in recent research on PFM function classified strength ≥4 representing strong muscles and strength ≤3 representing weak muscles. In addition, they also state that an effective contraction should result in an elevation of the PFM, which was not observed in 42.1% of the participants (Tosun et al, 2019;Sherburn & Bø, 2005).…”

Section: Discussionmentioning

confidence: 99%

Evaluation of pelvic floor muscles and sexual function in pregnant women: cross-sectional research

Santana¹,

Borgéa²,

Freitas³

et al. 2021

RSD

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The aim of this study was to evaluate pelvic floor functionality and sexual function in pregnant women. The study was characterized as a descriptive and transversal research. The population consisted of 19 pregnant women, living in Parnaíba/PI. The women's assessment instruments were the evaluation and identification form that contained sociodemographic data, clinical history, obstetric and urogynecological data; the NEW PERFECT scheme was used to assess the functionality of the pelvic floor muscles and the Female Sexual Function Index (FSFI) to assess sexual function. Mean age was 25.95 (± 3.54) years, mean pelvic floor muscle strength was 2.47 (± 1.28); resistance was 4.31 (± 2.99) seconds; the number of repetitions of the contractions maintained was 2.63 (± 1.6) times; and rapid contractions were 5.05 (± 2.87) contractions. Sexual function according to the FSFI totaled a score of 25.61. In this study, it was possible to infer important deficiencies and limitations regarding strength, coordination, control and activation of the pelvic floor muscles. As in the sexual function domain, the FSFI result indicates possible dysfunctions with an emphasis on the hypoactivity of sexual desire.

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“…MYT application potentially strengthens the PFMs [ 45 ] which were measured by assessment of PERFECT scheme score [ 46 ] evolved into an upward-lifting of pelvic muscle with effective constriction [ 47 ].…”

Section: Discussionmentioning

confidence: 99%

Assessment of the effect of Mulabandha yoga therapy in healthy women, stigmatized for pelvic floor dysfunctions: A randomized controlled trial

Sweta¹,

Godbole

Prajapati³

et al. 2021

Journal of Ayurveda and Integrative Medicine

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Background In developing countries, women do not reveal their perineum related health issues because most of the time they are stigmatized by the society. Multiparity, mostly found in women of rural areas is one of the major causes of pelvic floor dysfunctions (PFDs) like pelvic organ prolapse, urinary incontinence, rectal incontinence, etc. Usually, they visit health centres in the advanced stage of diseases, and then medical treatment is not the only choice left. Many research studies show that yoga practices promote health conditions, contribute to enhancing endurance, flexibility, and muscular strength, and improving quality of life. Objective(s) The study was conducted to assess the impact of Mulabandha yoga therapy (MYT) in healthy woman participants as a preventive measure. Material and methods The study was a prospective and randomized controlled trial. Fifty healthy woman participants were allocated in two groups viz., MYT group and No MYT group. Mulabandha yoga was conducted for the MYT group for 12 weeks. No MYT group was advised not to do yoga. Pelvic floor muscle strength was internally evaluated by employing the PERFECT scheme score (P = power, E = endurance, R = repetitions, F = fast contractions, ECT = every contraction timed). For eligible samples, MYT sessions were held for 12 weeks. Data interpretation was done with SPSS software 20.0 (IBM Corp. Released 2011. IBM SPSS Statistics for Windows, Version 20.0. Armonk, NY, USA). Results Fifty healthy woman participants were allocated for analysis. There was no statistically significant difference in between the groups comparison in terms of age, socio-economic status, occupation, education, parity and mode of delivery. PERFECT scheme score significantly improved in participants after 12 weeks of regular MYT. No statistically significant differences were observed between the groups comparison in terms of PERFECT scheme score. Conclusion The current study shows that regular practice of MYT for 12 weeks is a better means to reinforce the strength of pelvic floor muscles in women. This MYT procedure will establish evidence for women who are reluctant towards their pelvic organ-related issues. Women must incorporate the MYT practice in their routine life as a preventive measure to refrain from pelvic floor dysfunctions.

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Pelvic floor muscle function and symptoms of dysfunctions in midwifes and nurses of reproductive age with and without pelvic floor dysfunction

Cited by 11 publications

References 31 publications

Physiotherapy for Prevention and Treatment of Fecal Incontinence in Women—Systematic Review of Methods

Physiotherapy for Prevention and Treatment of Fecal Incontinence in Women—Systematic Review of Methods

Evaluation of pelvic floor muscles and sexual function in pregnant women: cross-sectional research

Assessment of the effect of Mulabandha yoga therapy in healthy women, stigmatized for pelvic floor dysfunctions: A randomized controlled trial

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