4.6 Review

Most of the pelvic floor muscle functions in women differ in different body positions, yet others remain similar: systematic review with meta-analysis

Related references

Note: Only part of the references are listed.
Article Orthopedics

Effects of axial extension on pelvic floor displacement and abdominal muscle activity during a pelvic floor muscle task

Ryota Hisashiki et al.

Summary: Sitting axial extension has significant effects on pelvic floor displacement and abdominal muscle activity during pelvic floor exercises. It can facilitate subjective kinesthesia of pelvic floor muscles and increase oblique abdominal muscle activity.

JOURNAL OF BACK AND MUSCULOSKELETAL REHABILITATION (2023)

Article Obstetrics & Gynecology

Pelvic floor muscle function in the standing position in women with pelvic floor dysfunction

Sally Mastwyk et al.

Summary: Clinical assessment of pelvic floor muscle (PFM) function in standing position showed differences compared to lying position, indicating a potential impact on daily life activities for women with pelvic floor dysfunction. Further research with larger cohorts and accurate measurement tools is needed to confirm and understand the clinical significance of these differences.

INTERNATIONAL UROGYNECOLOGY JOURNAL (2022)

Article Orthopedics

Pelvic floor muscle function differs between supine and standing positions in women with stress urinary incontinence: an experimental crossover study

Marcia Maria Gimenez et al.

Summary: For women with stress urinary incontinence, there are differences in pelvic floor muscle (PFM) function between supine and standing positions. In standing, the maximum voluntary contraction (MVC) pressure of the PFM is lower, while the resting pressure and EMG activity are higher.

JOURNAL OF PHYSIOTHERAPY (2022)

Article Rehabilitation

Rehabilitation programme including EMG-biofeedback-assisted pelvic floor muscle training for rectus diastasis after childbirth: a randomised controlled trial

Peiqin Liang et al.

Summary: This study evaluated the effect of a comprehensive rehabilitation programme on closure of rectus diastasis and quality of life in women after delivery. The results showed that the programme significantly decreased the inter-recti distance and improved the physical domain of quality of life.

PHYSIOTHERAPY (2022)

Article Medicine, General & Internal

Validity and Reliability of an Offline Ultrasound Measurement of Bladder Base Displacement in Women

Sandra Martinez-Bustelo et al.

Summary: This study analyzed the validity and reliability of a new ultrasound algorithm to measure the displacement of the bladder base during abdominal exercises in women, and found it to be a valid and reliable tool for assessing the effect of abdominal contractions on the female pelvic floor.

JOURNAL OF CLINICAL MEDICINE (2022)

Article Obstetrics & Gynecology

Relationship between inter-recti distance, abdominal muscle endurance, pelvic floor functions, respiratory muscle strength, and postural control in women with diastasis recti abdominis

Hilal Denizoglu Kulli et al.

Summary: The objective of this study was to assess the relationship between inter-recti distance (IRD) and various factors in women with Diastasis Recti Abdominis (DRA). The study found that increased IRD was associated with worse postural control, but did not have a clear association with abdominal muscle endurance, pelvic floor functions, and respiratory muscle strength.

EUROPEAN JOURNAL OF OBSTETRICS & GYNECOLOGY AND REPRODUCTIVE BIOLOGY (2022)

Article Medicine, General & Internal

Ultrasonography Comparison of Pelvic Floor and Abdominal Wall Muscles in Women with and without Dyspareunia: A Cross-Sectional Study

Elena Castellanos-Lopez et al.

Summary: This study aimed to investigate the differences in pelvic floor muscles and abdominal muscles between women with dyspareunia and women without dyspareunia. Ultrasound imaging was used to measure various indicators, and no significant differences were found between the two groups. Therefore, the relationship between pelvic floor muscles, abdominal muscles, and dyspareunia remains uncertain.

DIAGNOSTICS (2022)

Article Urology & Nephrology

The Effects of Pelvic Floor Muscle Exercise Combined with Core Stability Exercise on Women with Stress Urinary Incontinence following the Treatment of Nonspecific Chronic Low Back Pain

Shamima Islam Nipa et al.

Summary: This study aimed to compare the combined effects of core stability exercise and pelvic floor muscle exercise (PFME) with PFME alone on women with stress urinary incontinence (SUI) who experience nonspecific chronic low back pain (NSCLBP). The results showed that the group who received PFME with core stability exercise had significant reduction in the amount and frequency of urine leakage compared to the group who received PFME alone, leading to improved quality of life.

ADVANCES IN UROLOGY (2022)

Review Obstetrics & Gynecology

The pathophysiology of stress urinary incontinence: a systematic review and meta-analysis

Kobra Falah-Hassani et al.

Summary: The study found that SUI is associated with deficits in the urethral and bladder neck structure and support, neuromuscular and mechanical function of the SUS and levator ani muscles. Meta-analyses revealed that observed bladder neck dilation and lower functional urethral length, bladder neck support, and maximum urethral closure pressures are strong characteristic signs of SUI.

INTERNATIONAL UROGYNECOLOGY JOURNAL (2021)

Article Biology

The Most Common Functional Disorders and Factors Affecting Female Pelvic Floor

Sabina Tim et al.

Summary: The pelvic floor is comprised of muscles, ligaments, and fascia, serving important functions in the body's stability and movements. Its myofascial connections with other body parts mean that dysfunctions in distant areas can also affect pelvic floor health.

LIFE-BASEL (2021)

Article Urology & Nephrology

An International Continence Society (ICS) report on the terminology for pelvic floor muscle assessment

Helena Frawley et al.

Summary: An extensive update of terminology for female and male pelvic floor muscle assessment has been conducted, including 185 separate definitions/descriptors to aid clinical practice and research. The report was developed through a thorough process of 12 rounds of review and includes input from experts in the field and external referees to ensure accuracy and comprehensiveness. The main aim of this report is to provide a standardized and clinically based terminology for assessing PFM function and dysfunction, making it user-friendly and interpretable by clinicians and researchers of different disciplines.

NEUROUROLOGY AND URODYNAMICS (2021)

Article Engineering, Biomedical

Leg stiffness and muscle power vs manometer in sportswomen with symptoms of stress urinary incontinence

Telma Pires et al.

Summary: As age, weight, height, and body mass index increase, both maximal and submaximal leg stiffness values also increase, showing positive and significant correlations. There are strong positive correlations between maximal and submaximal leg stiffness, as well as between maximal and submaximal muscle power. Maximum voluntary contractions values decrease with increasing leg stiffness, with a significant correlation with maximal leg stiffness.

CLINICAL BIOMECHANICS (2021)

Article Urology & Nephrology

Inter- and intrarater reliability of unidigital and bidigital vaginal palpation to evaluation of maximal voluntary contraction of pelvic floor muscles considering risk factors and dysfunctions

Jordana B. da Silva et al.

Summary: The study evaluated the inter- and intrarater reliability of unidigital and bidigital vaginal palpation of PFM MVC, finding variation in reliability depending on different PFM risk factors and dysfunctions among different examiners.

NEUROUROLOGY AND URODYNAMICS (2021)

Article Urology & Nephrology

Guideline of guidelines: urinary incontinence in women

Rachael D. Sussman et al.

BJU INTERNATIONAL (2020)

Editorial Material Medicine, General & Internal

Urinary Incontinence in Women

Camille P. Vaughan et al.

ANNALS OF INTERNAL MEDICINE (2020)

Article Obstetrics & Gynecology

Intra-abdominal Pressure and Pelvic Floor Health: Should We Be Thinking About This Relationship Differently?

Martin Dietze-Hermosa et al.

FEMALE PELVIC MEDICINE AND RECONSTRUCTIVE SURGERY (2020)

Article Urology & Nephrology

Reliability and validity of a mobile home pelvic floor muscle trainer: The Elvie Trainer

Catriona S. Czyrnyj et al.

NEUROUROLOGY AND URODYNAMICS (2020)

Review Medicine, General & Internal

Pelvic floor muscle training for preventing and treating urinary and faecal incontinence in antenatal and postnatal women

Stephanie J. Woodley et al.

COCHRANE DATABASE OF SYSTEMATIC REVIEWS (2020)

Article Obstetrics & Gynecology

Reliability and validity of pelvic floor muscle displacement measurements during voluntary contractions

Helene Moser et al.

INTERNATIONAL UROGYNECOLOGY JOURNAL (2019)

Article Rehabilitation

Healthy adults can more easily elevate the pelvic floor in standing than in crook-lying: an experimental study

Malina Kelly et al.

AUSTRALIAN JOURNAL OF PHYSIOTHERAPY (2007)

Article Obstetrics & Gynecology

Effect of test position on pelvic floor muscle assessment

Helena C. Frawley et al.

INTERNATIONAL UROGYNECOLOGY JOURNAL (2006)

Article Urology & Nephrology

Reliability of pelvic floor muscle strength assessment using different test positions and tools

HC Frawley et al.

NEUROUROLOGY AND URODYNAMICS (2006)

Article Obstetrics & Gynecology

Does vaginal closure force differ in the supine and standing positions?

DM Morgan et al.

AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY (2005)

Article Obstetrics & Gynecology

Is there any difference in measurement of pelvic floor muscle strength in supine and standing position?

K Bo et al.

ACTA OBSTETRICIA ET GYNECOLOGICA SCANDINAVICA (2003)

Article Medicine, General & Internal

Measuring inconsistency in meta-analyses

JPT Higgins et al.

BMJ-BRITISH MEDICAL JOURNAL (2003)