Assessment of abdominal and pelvic floor muscle function among continent and incontinent athletes
Introduction and hypothesis Studies have shown that there is a co-contraction between the pelvic floor and abdominal muscles. This study aimed to evaluate pelvic floor and abdominal muscle function in continent and incontinent female athletes and to investigate the association between these muscle g...
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Veröffentlicht in: | International Urogynecology Journal 2019-05, Vol.30 (5), p.693-699 |
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description | Introduction and hypothesis
Studies have shown that there is a co-contraction between the pelvic floor and abdominal muscles. This study aimed to evaluate pelvic floor and abdominal muscle function in continent and incontinent female athletes and to investigate the association between these muscle groups.
Methods
This was a cross-sectional study. Forty nulliparous professional female athletes who competed at the municipal level or above participated in this study. All participants underwent a pelvic floor muscle (PFM) and abdominal muscle assessment. PFM function and strength were assessed using the modified Oxford Scale and a perineometer. Abdominal muscle function and strength were assessed using a 4-Pro isokinetic dynamometer. To assess athletes’ urinary continence, the International Consultation on Incontinence Questionnaire Short-Form (ICIQ-UI-SF) was used.
Results
There was a positive association between PFM and abdominal muscle strength among the incontinent athletes (
p
= 0.006;
r
= 0.577). The incontinent athletes had greater PFM strength than the continent athletes (
p
= 0.02). There was no difference in abdominal muscle function between the groups.
Conclusions
We found that incontinent athletes have greater PFM strength than continent athletes. This suggests that urinary incontinence in this population is not due to PFM weakness. The positive association between abdominal and PFM strengths in incontinent athletes may be due to frequent co-contraction between these muscle groups. |
doi_str_mv | 10.1007/s00192-018-3701-8 |
format | Article |
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Studies have shown that there is a co-contraction between the pelvic floor and abdominal muscles. This study aimed to evaluate pelvic floor and abdominal muscle function in continent and incontinent female athletes and to investigate the association between these muscle groups.
Methods
This was a cross-sectional study. Forty nulliparous professional female athletes who competed at the municipal level or above participated in this study. All participants underwent a pelvic floor muscle (PFM) and abdominal muscle assessment. PFM function and strength were assessed using the modified Oxford Scale and a perineometer. Abdominal muscle function and strength were assessed using a 4-Pro isokinetic dynamometer. To assess athletes’ urinary continence, the International Consultation on Incontinence Questionnaire Short-Form (ICIQ-UI-SF) was used.
Results
There was a positive association between PFM and abdominal muscle strength among the incontinent athletes (
p
= 0.006;
r
= 0.577). The incontinent athletes had greater PFM strength than the continent athletes (
p
= 0.02). There was no difference in abdominal muscle function between the groups.
Conclusions
We found that incontinent athletes have greater PFM strength than continent athletes. This suggests that urinary incontinence in this population is not due to PFM weakness. The positive association between abdominal and PFM strengths in incontinent athletes may be due to frequent co-contraction between these muscle groups.</description><identifier>ISSN: 0937-3462</identifier><identifier>EISSN: 1433-3023</identifier><identifier>DOI: 10.1007/s00192-018-3701-8</identifier><identifier>PMID: 29934766</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Abdomen ; Adult ; Athletes ; Case-Control Studies ; Cross-Sectional Studies ; Exercise ; Exercise - physiology ; Female ; Gynecology ; Humans ; Hypotheses ; Medicine ; Medicine & Public Health ; Muscle Contraction - physiology ; Muscle function ; Muscle Strength - physiology ; Original Article ; Pelvic Floor - physiology ; Physical fitness ; Studies ; Surveys and Questionnaires ; Torque ; Urinary incontinence ; Urinary Incontinence - physiopathology ; Urine ; Urology ; Young Adult</subject><ispartof>International Urogynecology Journal, 2019-05, Vol.30 (5), p.693-699</ispartof><rights>The International Urogynecological Association 2018</rights><rights>International Urogynecology Journal is a copyright of Springer, (2018). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-b77e218c0ab33db8c55eb0a9cf2f7c3a6132212b6b61792353cef3aac880cc373</citedby><cites>FETCH-LOGICAL-c372t-b77e218c0ab33db8c55eb0a9cf2f7c3a6132212b6b61792353cef3aac880cc373</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00192-018-3701-8$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00192-018-3701-8$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29934766$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>dos Santos, Keyla Mara</creatorcontrib><creatorcontrib>Da Roza, Thuane</creatorcontrib><creatorcontrib>Mochizuki, Luis</creatorcontrib><creatorcontrib>Arbieto, Eliane Regina Mendoza</creatorcontrib><creatorcontrib>Tonon da Luz, Soraia Cristina</creatorcontrib><title>Assessment of abdominal and pelvic floor muscle function among continent and incontinent athletes</title><title>International Urogynecology Journal</title><addtitle>Int Urogynecol J</addtitle><addtitle>Int Urogynecol J</addtitle><description>Introduction and hypothesis
Studies have shown that there is a co-contraction between the pelvic floor and abdominal muscles. This study aimed to evaluate pelvic floor and abdominal muscle function in continent and incontinent female athletes and to investigate the association between these muscle groups.
Methods
This was a cross-sectional study. Forty nulliparous professional female athletes who competed at the municipal level or above participated in this study. All participants underwent a pelvic floor muscle (PFM) and abdominal muscle assessment. PFM function and strength were assessed using the modified Oxford Scale and a perineometer. Abdominal muscle function and strength were assessed using a 4-Pro isokinetic dynamometer. To assess athletes’ urinary continence, the International Consultation on Incontinence Questionnaire Short-Form (ICIQ-UI-SF) was used.
Results
There was a positive association between PFM and abdominal muscle strength among the incontinent athletes (
p
= 0.006;
r
= 0.577). The incontinent athletes had greater PFM strength than the continent athletes (
p
= 0.02). There was no difference in abdominal muscle function between the groups.
Conclusions
We found that incontinent athletes have greater PFM strength than continent athletes. This suggests that urinary incontinence in this population is not due to PFM weakness. The positive association between abdominal and PFM strengths in incontinent athletes may be due to frequent co-contraction between these muscle groups.</description><subject>Abdomen</subject><subject>Adult</subject><subject>Athletes</subject><subject>Case-Control Studies</subject><subject>Cross-Sectional Studies</subject><subject>Exercise</subject><subject>Exercise - physiology</subject><subject>Female</subject><subject>Gynecology</subject><subject>Humans</subject><subject>Hypotheses</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Muscle Contraction - physiology</subject><subject>Muscle function</subject><subject>Muscle Strength - physiology</subject><subject>Original Article</subject><subject>Pelvic Floor - physiology</subject><subject>Physical fitness</subject><subject>Studies</subject><subject>Surveys and Questionnaires</subject><subject>Torque</subject><subject>Urinary incontinence</subject><subject>Urinary Incontinence - physiopathology</subject><subject>Urine</subject><subject>Urology</subject><subject>Young Adult</subject><issn>0937-3462</issn><issn>1433-3023</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kE1LxDAQhoMo7rr6A7xIwIuX6iTTNulxWfyCBS96Dmmarl3aZG1awX9vS9cPBE9hyPM-w7yEnDO4ZgDiJgCwjEfAZIQCWCQPyJzFiBECx0MyhwxFhHHKZ-QkhC0AxJDAMZnxLMNYpOmc6GUINoTGuo76kuq88E3ldE21K-jO1u-VoWXtfUubPpja0rJ3pqu8o7rxbkONd13lxvQYqNyvuXutbWfDKTkqdR3s2f5dkJe72-fVQ7R-un9cLdeRQcG7KBfCciYN6ByxyKVJEpuDzkzJS2FQpww5ZzxP85SJjGOCxpaotZESzKDABbmavLvWv_U2dKqpgrF1rZ31fVAcEpkMVaXxgF7-Qbe-b4erJ4pBxtgoZBNlWh9Ca0u1a6tGtx-KgRr7V1P_apCqsX8lh8zF3tznjS2-E1-FDwCfgDB8uY1tf1b_b_0E8ueQ4Q</recordid><startdate>20190501</startdate><enddate>20190501</enddate><creator>dos Santos, Keyla Mara</creator><creator>Da Roza, Thuane</creator><creator>Mochizuki, Luis</creator><creator>Arbieto, Eliane Regina Mendoza</creator><creator>Tonon da Luz, Soraia Cristina</creator><general>Springer International Publishing</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20190501</creationdate><title>Assessment of abdominal and pelvic floor muscle function among continent and incontinent athletes</title><author>dos Santos, Keyla Mara ; Da Roza, Thuane ; Mochizuki, Luis ; Arbieto, Eliane Regina Mendoza ; Tonon da Luz, Soraia Cristina</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c372t-b77e218c0ab33db8c55eb0a9cf2f7c3a6132212b6b61792353cef3aac880cc373</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Abdomen</topic><topic>Adult</topic><topic>Athletes</topic><topic>Case-Control Studies</topic><topic>Cross-Sectional Studies</topic><topic>Exercise</topic><topic>Exercise - physiology</topic><topic>Female</topic><topic>Gynecology</topic><topic>Humans</topic><topic>Hypotheses</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Muscle Contraction - physiology</topic><topic>Muscle function</topic><topic>Muscle Strength - physiology</topic><topic>Original Article</topic><topic>Pelvic Floor - physiology</topic><topic>Physical fitness</topic><topic>Studies</topic><topic>Surveys and Questionnaires</topic><topic>Torque</topic><topic>Urinary incontinence</topic><topic>Urinary Incontinence - physiopathology</topic><topic>Urine</topic><topic>Urology</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>dos Santos, Keyla Mara</creatorcontrib><creatorcontrib>Da Roza, Thuane</creatorcontrib><creatorcontrib>Mochizuki, Luis</creatorcontrib><creatorcontrib>Arbieto, Eliane Regina Mendoza</creatorcontrib><creatorcontrib>Tonon da Luz, Soraia Cristina</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest - Health & Medical Complete保健、医学与药学数据库</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>International Urogynecology Journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>dos Santos, Keyla Mara</au><au>Da Roza, Thuane</au><au>Mochizuki, Luis</au><au>Arbieto, Eliane Regina Mendoza</au><au>Tonon da Luz, Soraia Cristina</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Assessment of abdominal and pelvic floor muscle function among continent and incontinent athletes</atitle><jtitle>International Urogynecology Journal</jtitle><stitle>Int Urogynecol J</stitle><addtitle>Int Urogynecol J</addtitle><date>2019-05-01</date><risdate>2019</risdate><volume>30</volume><issue>5</issue><spage>693</spage><epage>699</epage><pages>693-699</pages><issn>0937-3462</issn><eissn>1433-3023</eissn><abstract>Introduction and hypothesis
Studies have shown that there is a co-contraction between the pelvic floor and abdominal muscles. This study aimed to evaluate pelvic floor and abdominal muscle function in continent and incontinent female athletes and to investigate the association between these muscle groups.
Methods
This was a cross-sectional study. Forty nulliparous professional female athletes who competed at the municipal level or above participated in this study. All participants underwent a pelvic floor muscle (PFM) and abdominal muscle assessment. PFM function and strength were assessed using the modified Oxford Scale and a perineometer. Abdominal muscle function and strength were assessed using a 4-Pro isokinetic dynamometer. To assess athletes’ urinary continence, the International Consultation on Incontinence Questionnaire Short-Form (ICIQ-UI-SF) was used.
Results
There was a positive association between PFM and abdominal muscle strength among the incontinent athletes (
p
= 0.006;
r
= 0.577). The incontinent athletes had greater PFM strength than the continent athletes (
p
= 0.02). There was no difference in abdominal muscle function between the groups.
Conclusions
We found that incontinent athletes have greater PFM strength than continent athletes. This suggests that urinary incontinence in this population is not due to PFM weakness. The positive association between abdominal and PFM strengths in incontinent athletes may be due to frequent co-contraction between these muscle groups.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>29934766</pmid><doi>10.1007/s00192-018-3701-8</doi><tpages>7</tpages></addata></record> |
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source | MEDLINE; SpringerLink Journals (MCLS) |
subjects | Abdomen Adult Athletes Case-Control Studies Cross-Sectional Studies Exercise Exercise - physiology Female Gynecology Humans Hypotheses Medicine Medicine & Public Health Muscle Contraction - physiology Muscle function Muscle Strength - physiology Original Article Pelvic Floor - physiology Physical fitness Studies Surveys and Questionnaires Torque Urinary incontinence Urinary Incontinence - physiopathology Urine Urology Young Adult |
title | Assessment of abdominal and pelvic floor muscle function among continent and incontinent athletes |
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