Transabdominal ultrasound to assess pelvic floor muscle performance during abdominal curl in exercising women

Introduction and hypothesis: The aim of this study was to assess pelvic floor muscle (PFM) function using transabdominal ultrasound (TAUS) in women attending group exercise classes. Specific aims were to: (1) identify the ability to perform a correct elevating PFM contraction and (2) assess bladder-...

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Main Authors: Barton, A., Serrao, C., Thompson, Judith, Briffa, K.
Format: Journal Article
Published: Springer-Verlag London Ltd 2015
Online Access:http://hdl.handle.net/20.500.11937/3716
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author Barton, A.
Serrao, C.
Thompson, Judith
Briffa, K.
author_facet Barton, A.
Serrao, C.
Thompson, Judith
Briffa, K.
author_sort Barton, A.
building Curtin Institutional Repository
collection Online Access
description Introduction and hypothesis: The aim of this study was to assess pelvic floor muscle (PFM) function using transabdominal ultrasound (TAUS) in women attending group exercise classes. Specific aims were to: (1) identify the ability to perform a correct elevating PFM contraction and (2) assess bladder-base movement during an abdominal curl exercise. Methods: Ninety women participating in group exercise were recruited to complete a survey and TAUS assessment performed by two qualified Continence and Women’s Health physiotherapists with clinical experience in ultrasound scanning. The assessment comprised three attempts of a PFM contraction and an abdominal curl exercise in crook lying. Bladder-base displacement was measured to determine correct or incorrect activation patterns. Results: Twenty-five percent (n  = 23) of women were unable to demonstrate an elevating PFM contraction, and all women displayed bladder-base depression on abdominal curl (range 0.33–31.2 mm). Parous women displayed, on average, significantly more bladder-base depression than did nulliparous women [15.5 (7.3) mm vs 11.4 (5.8) mm, p < 0.009). Sixty percent (n  = 54) reported stress urinary incontinence (SUI). There was no association between SUI and the inability to perform an elevating PFM contraction (p = 0.278) or the amount of bladder-base depression with abdominal curl [14.1 (7.6) mm SUI vs 14.2 (6.7) mm non-SUI]. Conclusions: TAUS identified that 25 % of women who participated in group exercise were unable to perform a correctly elevating PFM contraction, and all depressed the bladder-base on abdominal curl. Therefore, exercising women may be at risk of PFM dysfunction when performing abdominal curl activities.
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spelling curtin-20.500.11937-37162017-09-13T14:44:02Z Transabdominal ultrasound to assess pelvic floor muscle performance during abdominal curl in exercising women Barton, A. Serrao, C. Thompson, Judith Briffa, K. Introduction and hypothesis: The aim of this study was to assess pelvic floor muscle (PFM) function using transabdominal ultrasound (TAUS) in women attending group exercise classes. Specific aims were to: (1) identify the ability to perform a correct elevating PFM contraction and (2) assess bladder-base movement during an abdominal curl exercise. Methods: Ninety women participating in group exercise were recruited to complete a survey and TAUS assessment performed by two qualified Continence and Women’s Health physiotherapists with clinical experience in ultrasound scanning. The assessment comprised three attempts of a PFM contraction and an abdominal curl exercise in crook lying. Bladder-base displacement was measured to determine correct or incorrect activation patterns. Results: Twenty-five percent (n  = 23) of women were unable to demonstrate an elevating PFM contraction, and all women displayed bladder-base depression on abdominal curl (range 0.33–31.2 mm). Parous women displayed, on average, significantly more bladder-base depression than did nulliparous women [15.5 (7.3) mm vs 11.4 (5.8) mm, p < 0.009). Sixty percent (n  = 54) reported stress urinary incontinence (SUI). There was no association between SUI and the inability to perform an elevating PFM contraction (p = 0.278) or the amount of bladder-base depression with abdominal curl [14.1 (7.6) mm SUI vs 14.2 (6.7) mm non-SUI]. Conclusions: TAUS identified that 25 % of women who participated in group exercise were unable to perform a correctly elevating PFM contraction, and all depressed the bladder-base on abdominal curl. Therefore, exercising women may be at risk of PFM dysfunction when performing abdominal curl activities. 2015 Journal Article http://hdl.handle.net/20.500.11937/3716 10.1007/s00192-015-2791-9 Springer-Verlag London Ltd restricted
spellingShingle Barton, A.
Serrao, C.
Thompson, Judith
Briffa, K.
Transabdominal ultrasound to assess pelvic floor muscle performance during abdominal curl in exercising women
title Transabdominal ultrasound to assess pelvic floor muscle performance during abdominal curl in exercising women
title_full Transabdominal ultrasound to assess pelvic floor muscle performance during abdominal curl in exercising women
title_fullStr Transabdominal ultrasound to assess pelvic floor muscle performance during abdominal curl in exercising women
title_full_unstemmed Transabdominal ultrasound to assess pelvic floor muscle performance during abdominal curl in exercising women
title_short Transabdominal ultrasound to assess pelvic floor muscle performance during abdominal curl in exercising women
title_sort transabdominal ultrasound to assess pelvic floor muscle performance during abdominal curl in exercising women
url http://hdl.handle.net/20.500.11937/3716