Stabilization exercise affects function of transverse abdominis and pelvic floor muscles in women with postpartum lumbo-pelvic pain: a double-blinded randomized clinical trial study

Ehsani, Fatemeh; Sahebi, Nasrin; Shanbehzadeh, Sanaz; Arab, Amir Massoud; ShahAli, Shabnam

doi:10.1007/s00192-019-03877-1

Cited by 29 publications

(34 citation statements)

References 29 publications

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“…Furthermore, the importance of pelvic stabilization and coordination exercises in patients with some pathologies, such as lower back pain, has been widely addressed [1,6,28,48]. Analyzing the obtained results, AHT could be a complementary and additional intervention option for the improvement of deep trunk muscle activation.…”

Section: Discussionmentioning

confidence: 99%

“…The performance of postural stability is integrated by mechanisms that determine the processes of balance control, provided by the complex activity of the control system, which includes neuromuscular synergies and the sensory and cognitive systems of anticipative and adaptive mechanisms [3][4][5]. Previous research has shown that co-activation of the spinal stabilizer muscles, including systems like the thoracic diaphragm, deep trunk muscles (especially the transverse abdominal (TrA), and pelvic floor muscles (PFM)), have a major role in postural stability [6,7]. The correct activation of the deep trunk muscles results in a significant improvement of the lumbar spine stability through greater intra-abdominal pressure and increased stress of the thoracolumbar fascia (by direct connection with the TrA) [6].…”

Section: Introductionmentioning

confidence: 99%

“…Previous research has shown that co-activation of the spinal stabilizer muscles, including systems like the thoracic diaphragm, deep trunk muscles (especially the transverse abdominal (TrA), and pelvic floor muscles (PFM)), have a major role in postural stability [6,7]. The correct activation of the deep trunk muscles results in a significant improvement of the lumbar spine stability through greater intra-abdominal pressure and increased stress of the thoracolumbar fascia (by direct connection with the TrA) [6]. In healthy individuals, TrA activity is usually triggered before any postural disturbance, to protect the lumbar region from imposed forces.…”

Section: Introductionmentioning

confidence: 99%

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The Effects of Abdominal Hypopressive Training on Postural Control and Deep Trunk Muscle Activation: A Randomized Controlled Trial

Moreno-Muñoz

Hita‐Contreras

Estudillo-Martínez

et al. 2021

IJERPH

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Cellular automata (CA) models have been used in urban studies for dealing with land use change. Transport and accessibility are arguably the main drivers of urban change and have a direct influence on land use. Land use and transport interaction models deal with the complexity of this relationship using many different approaches. CA models incorporate these drivers, but usually consider transport (and accessibility) variables as exogenous. Our paper presents a CA model where transport variables are endogenous to the model and are calibrated along with the land use variables to capture the interdependent complexity of these phenomena. The model uses irregular cells and a variable neighborhood to simulate land use change, taking into account the effect of the road network. Calibration is performed through a particle swarm algorithm. We present an application of the model to a comparison of scenarios for the construction of a ring road in the city of Coimbra, Portugal. The results show the ability of the CA model to capture the influence of change of the transport network (and thus in accessibility) in the land use dynamics.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The Effects of Abdominal Hypopressive Training on Postural Control and Deep Trunk Muscle Activation: A Randomized Controlled Trial

Moreno-Muñoz

Hita‐Contreras

Estudillo-Martínez

et al. 2021

IJERPH

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“…After removing 504 duplicates, 2211 titles and abstracts were reviewed. The full-text versions of 47 studies were assessed, and 15 RCTs were included in this review (26-30, [43][44][45][46][47][48][49][50][51][52].…”

Section: Resultsmentioning

confidence: 99%

“…Eight studies investigated the effects of MCT on muscle thickness during rest of TrA (26,27,30,43,44,49,50), IO (27,30,43), EO (27,30,43), rectus abdominis (RA) (30) and multi dus muscles (26,44,47,49,50). Six articles analyzed treatment-related changes in the "contraction ratio" of the TrA, IO, and EO muscles (28,29,45,48,51,52). Only one study also evaluated abdominal muscle timing using USI (46).…”

Section: Abdominal and Lumbar Muscle Morphometry And Functionmentioning

confidence: 99%

Changes in Morphometry of Trunk Muscles, Pain, and Disability Associated With Motor Control Training in People With Chronic Low Back Pain: a Systematic Review and Meta-analysis

Shanbehzadeh

ShahAli

Hides

et al. 2021

Preprint

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Background: This study aimed to review studies investigating the effects of motor control training (MCT) on the morphometry of trunk muscles (measured by ultrasound imaging; USI) and pain/or disability in individuals with chronic low back pain (CLBP).Method: PubMed, Web of Science, Scopus, and Cochrane Library databases were searched from inception until January 2020. Randomized control trials (RCTs) which included measurements of both muscle morphometry using USI and assessments of pain or disability in individuals with CLBP were included. Study selection, data extraction and quality assessment were done by two reviewers independently. Modified Downs and Black tool and grading of recommendations assessment, development, and evaluation tool were used to assess risk of bias and quality of evidence, respectively. A meta-analysis was performed using a random-effects model with mean difference (MD) or standardized mean difference (SMD). Results: Fifteen RCTs were included. The results revealed that there were no differences in the size (thickness) of the transversus abdominis (TrA), internal and external oblique, and lumbar multifidus muscles in studies which did and did not include MCT interventions. However, the contraction ratio for the TrA muscle was greater in response to MCT, with a high effect size (SMD= 0.93 CI: - 0.0 to 1.85). Pain (visual analogue scale, MD=1.00, 95%CI -1.77 to -0.24) and disability (SMD=-0.55, 95% CI: -0.94 to -0.16) scores were lower in the groups who underwent MCT compared with other interventions, with moderate and low effect sizes.Conclusions: MCT interventions were superior to other interventions for measures of TrA muscle function. Despite changes in pain and disability following MCT interventions, corresponding changes in trunk muscle morphometry (evaluated using thickness measures) were not evident. This could be due to the effect of other factors such as psychosocial factors that impact the clinical outcomes for those with CLBP.Systematic review registration: PROSPERO: CRD42019144768

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Concurrent multi-session anodal trans-cranial direct current stimulation enhances pelvic floor muscle training effectiveness for female patients with multiple sclerosis suffering from urinary incontinence and pelvic floor dysfunction: a randomized clinical trial study

et al. 2023

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Introduction and hypothesis Urinary incontinence following a pelvic floor muscle (PFM) dysfunction is a common disorder in women with multiple sclerosis (MS). Concurrent anodal transcranial direct current stimulation (a-tDCS) of the primary motor cortex (M1) may prime the effects of PFM training (PFMT) in MS patients. This study was aimed at investigating the effects of M1 a-tDCS on the effectiveness of PFMT in the treatment of female MS patients with urinary incontinence and PFM dysfunctions. Methods In a randomized double-blinded, control trial study, 30 women with MS were divided into two groups (experimental group: concurrent active M1 a-tDCS and PFMT; control group: concurrent sham M1 a-tDCS and PFMT). Over the course of 8 weeks, these patients received 20-min interventions three times a week. As an indication of PFM function, the bladder base displacement was measured by ultrasonography before, during the 4th week, immediately, and 1 month after the intervention ended. Urinary incontinence was also measured by Incontinence Questionnaire-Urinary Incontinence Short Form (ICIQ-UISF) before, immediately, and 1 month after the intervention ended. Results A significant improvement in PFM function occurred in the 4th week of intervention and remained 1 month after the intervention in the experimental group when compared with the control group ( p <0.05). Compared with baseline, both groups reported significant improvements in PFM function at 8 weeks ( p <0.05). Also, both groups were found to have decreased ICIQ-UIS scores after the intervention and at 1-month follow-up ( p <0.05). Conclusions In MS patients, M1 a-tDCS can significantly enhance the effects of PFMT on the PFM function and urinary incontinence. Supplementary information The online version contains supplementary material available at 10.1007/s00192-022-05429-6

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Stabilization exercise affects function of transverse abdominis and pelvic floor muscles in women with postpartum lumbo-pelvic pain: a double-blinded randomized clinical trial study

Cited by 29 publications

References 29 publications

The Effects of Abdominal Hypopressive Training on Postural Control and Deep Trunk Muscle Activation: A Randomized Controlled Trial

The Effects of Abdominal Hypopressive Training on Postural Control and Deep Trunk Muscle Activation: A Randomized Controlled Trial

Changes in Morphometry of Trunk Muscles, Pain, and Disability Associated With Motor Control Training in People With Chronic Low Back Pain: a Systematic Review and Meta-analysis

Concurrent multi-session anodal trans-cranial direct current stimulation enhances pelvic floor muscle training effectiveness for female patients with multiple sclerosis suffering from urinary incontinence and pelvic floor dysfunction: a randomized clinical trial study

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