Can you train the pelvic floor muscles by contracting other related muscles?

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dc.contributor.author Budgett, David en
dc.contributor.author Kruger, Jennifer en
dc.contributor.author Goodman, J en
dc.contributor.author Bo, K en
dc.date.accessioned 2019-03-29T03:20:47Z en
dc.date.issued 2019-02 en
dc.identifier.issn 0733-2467 en
dc.identifier.uri http://hdl.handle.net/2292/46333 en
dc.description.abstract AIMS:The aim of this study is to assess whether contraction of muscles other than the pelvic floor muscles (PFM) would be of sufficient magnitude to provide a "training" effect for the pelvic floor. METHODS:Women were recruited via advertisement from a convenience sample of pelvic floor physiotherapists. A thin flexible array of pressure sensors (FemFit) was self-inserted into the vagina. Participants performed three maximum pelvic floor contractions and completed a randomized exercise protocol. Maximum pressures were determined for each sensor, for each exercise. Wilcoxon paired tests were used to ascertain the difference in pelvic floor muscle pressure between exercises, and between the pressures from the pelvic floor muscles sensors and those measuring abdominal pressure. Bonferroni correction α 0.005. RESULTS:Data was obtained from nineteen participants. Mean age 43 ± 11 years, BMI 22.4 ± 3.2 kg m-2 . Mean PFM pressure for pelvic floor muscle contractions was 16.3 ± 12.2 mmHg. Pressure in the region of the pelvic floor was significantly higher during a targeted contraction compared to that for all other exercises, except for cough and curl-ups (P = 0.009, P = 0.013 respectively). PFM pressure was significantly higher than abdominal for PFMC, internal rotators and gluteals (P < 0.001). CONCLUSION:Targeted PFM contractions develop higher pressures compared to abdominal pressure than any exercise tested in this study. The Femfit device was able to distinguish between abdominal and pelvic floor muscle pressures simultaneously. Exercising accessory muscles in an attempt to activate the pelvic floor sufficiently to illicit a training effect is not recommended. en
dc.publisher Wiley en
dc.relation.ispartofseries Neurourology and Urodynamics en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. en
dc.rights.uri https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm en
dc.title Can you train the pelvic floor muscles by contracting other related muscles? en
dc.type Journal Article en
dc.identifier.doi 10.1002/nau.23890 en
pubs.issue 2 en
pubs.begin-page 677 en
pubs.volume 38 en
dc.rights.holder Copyright: The author en
pubs.end-page 683 en
dc.rights.accessrights http://purl.org/eprint/accessRights/RestrictedAccess en
pubs.subtype Article en
pubs.elements-id 758947 en
pubs.org-id Bioengineering Institute en
pubs.org-id ABI Associates en
pubs.record-created-at-source-date 2019-01-03 en
pubs.dimensions-id 30592502 en


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