Pelvic floor muscle function in women with pelvic floor dysfunction

Tibaek, Sigrid; Dehlendorff, Christian

doi:10.1007/s00192-013-2277-6

Cited by 35 publications

(17 citation statements)

References 16 publications

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“…The studies estimate that regular PFMT deceased loss of urine and improved quality of life [52]. However, research shows that nearly 30%-40% of women are unable to perform the correct voluntary PFM contraction despite the instruction [53] and in the population of women with pelvic floor dysfunction, this value increases to 70% [54]. In this situation, it is necessary to use facilitating techniques for the teaching of PFM voluntary contraction, because PFMT alone will not yield the assumed outcomes [46].…”

Section: Pelvic Floor Muscle Trainingmentioning

confidence: 99%

Urinary Incontinence in Women: Modern Methods of Physiotherapy as a Support for Surgical Treatment or Independent Therapy

Mazur-Biały

Kołomańska-Bogucka

Nowakowski

et al. 2020

JCM

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Urinary incontinence (UI) is a common health problem affecting quality of life of nearly 420 million people, both women and men. Pelvic floor muscle (PFM) training and other physiotherapy techniques play an important role in non-surgical UI treatment, but their therapeutic effectiveness is limited to slight or moderate severity of UI. Higher UI severity requires surgical procedures with preand post-operative physiotherapy. Given that nearly 30%-40% of women without dysfunction and about 70% with pelvic floor dysfunction are unable to perform a correct PFM contraction, therefore, it is particularly important to implement physiotherapeutic techniques aimed at early activation of PFM. Presently, UI physiotherapy focuses primarily on PFM therapy and its proper cooperation with synergistic muscles, the respiratory diaphragm, and correction of improper everyday habits for better pelvic organ support and continence. The purpose of this work is a systematic review showing the possibilities of using physiotherapeutic techniques in the treatment of UI in women with attention to the techniques of PFM activation. Evidence of the effectiveness of well-known (e.g., PFM training, biofeedback, and electrostimulation) and less-known (e.g., magnetostimulation, vibration training) techniques will be presented here regarding the treatment of symptoms of urinary incontinence in women.

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Section: Pelvic Floor Muscle Trainingmentioning

confidence: 99%

Urinary Incontinence in Women: Modern Methods of Physiotherapy as a Support for Surgical Treatment or Independent Therapy

Mazur-Biały

Kołomańska-Bogucka

Nowakowski

et al. 2020

JCM

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“…The puborectalis muscle forms part of the levator muscle complex and is thought to play an important role by supporting the anorectal angle to maintain fecal continence and by contributing to the vaginal high‐pressure zone and urethral pressure to maintain urinary continence. Women with pelvic floor dysfunction and poor ability to contract the PFM have been reported to be at greater risk of suffering from urinary and/or fecal incontinence, suggesting a role for the PFM in the continence mechanism. However, other studies that found no association between levator avulsion and fecal and urinary incontinence have questioned this concept.…”

Section: Introductionmentioning

confidence: 99%

Association of urinary and anal incontinence with measures of pelvic floor muscle contractility

Oversand

Atan

Shek

et al. 2016

Ultrasound Obstet Gynecol

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Objective To assess the association between clinical and sonographic measures of pelvic floor muscle (PFM) function and symptoms of urinary and anal incontinence (AI). Methods This was a retrospective study of women seen at a tertiary urogynecological unit. All women had undergone a standardized interview, clinical examination including Modified Oxford Scale (MOS) grading, urodynamic testing and four-dimensional translabial ultrasound (TLUS). Cranioventral shift of the bladder neck (BN) and reduction in the hiatal anteroposterior (AP) diameter were measured using ultrasound volumes acquired on maximal PFM contraction, blinded against all clinical data.Results Data from 726 women with a mean age of 56 ± 13.7 (range, 18-88) years and a mean body mass index of 29 ± 6.1 (range, 17-55) 4.4 (range, 0.3-25.3) mm; mean reduction in AP hiatal diameter was 8. 6 ± 4.8 (range, 0.3-31.3)

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“…Frawley et al demonstrated that baseline score was a significant predictor of subsequent scores for all variables. Additionally, some studies reported that some women were unable to perform correct voluntary pelvic floor muscle contraction due to age or having levator avulsion defects, even after being trained by a specialized pelvic floor physiotherapist . Furthermore, some women did not respond to PFMT, perhaps due to prolapse type or stage .…”

Section: Discussionmentioning

confidence: 99%

Does pelvic floor muscle training augment the effect of surgery in women with pelvic organ prolapse? A systematic review of randomized controlled trials

Zhang

Fang

Wang

et al. 2015

Neurourology and Urodynamics

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Pelvic floor muscle function in women with pelvic floor dysfunction

Abstract: The majority of the women were unable to perform correct voluntary PFM contraction and almost all had low PFM strength. The most important factor associated with a low level of PFM function was age.

Cited by 35 publications

References 16 publications

Urinary Incontinence in Women: Modern Methods of Physiotherapy as a Support for Surgical Treatment or Independent Therapy

Urinary Incontinence in Women: Modern Methods of Physiotherapy as a Support for Surgical Treatment or Independent Therapy

Association of urinary and anal incontinence with measures of pelvic floor muscle contractility

Does pelvic floor muscle training augment the effect of surgery in women with pelvic organ prolapse? A systematic review of randomized controlled trials

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