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Pelvic Floor Muscles Behavior in Practitioners of High and Low Impact Sports

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Computational and Experimental Biomedical Sciences: Methods and Applications

Abstract

Physical activity has been promoted to all ages due to the benefits to health and as a tool to compensate for a sedentary lifestyle. Since the pelvic floor muscles have the function of keeping the sphincter functions and it were localized as a “floor” for the abdominal viscera. Maintain this muscles “healthy” is the great importance. It is known that some exercises can promote damage on the pelvic floor muscles. The impact of exercise on urinary incontinence has been previously considered, but not in a biomechanical perspective. Strengthening exercises performed through pelvic floor muscles contractions are the basis of physiotherapy treatment. The aim of this study was to verify whether practitioners of high-impact sports have differences in morphology and behavior of pelvic floor muscles when compared with low-impact activities practitioners. The results showed thickness differences at the level of midvagina between the swimmer and the trampolinist women. Additionally, differences in pubovisceral muscle behavior during maneuvers that increase intra-abdominal pressure were found. Further studies are required in this field to understand the impact of female training, and in what way its biomechanics related to urinary incontinence symptoms.

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References

  1. Raizada, V. and R.K. Mittal, Pelvic floor anatomy and applied physiology. Gastroenterol Clin North Am, 2008. 37(3): p. 493-509, vii.

    Google Scholar 

  2. DeLancey, J.O., The anatomy of the pelvic floor. Curr Opin Obstet Gynecol, 1994. 6(4): p. 313-6.

    Google Scholar 

  3. DeLancey, J.O., et al., Comparison of levator ani muscle defects and function in women with and without pelvic organ prolapse. Obstet Gynecol, 2007. 109(2 Pt 1): p. 295-302.

    Google Scholar 

  4. Shafik, A., Straining and its role in micturition. Urology, 2003. 62(1): p. 199-200; author reply 200-1.

    Google Scholar 

  5. Ashton-Miller, J.A. and J.O. DeLancey, Functional anatomy of the female pelvic floor. Ann N Y Acad Sci, 2007. 1101: p. 266-96.

    Google Scholar 

  6. Abrams, P., et al., The standardisation of terminology in lower urinary tract function: report from the standardisation sub-committee of the International Continence Society. Urology, 2003. 61(1): p. 37-49.

    Google Scholar 

  7. Minassian, V.A., H.P. Drutz, and A. Al-Badr, Urinary incontinence as a worldwide problem. Int J Gynaecol Obstet, 2003. 82(3): p. 327-38.

    Google Scholar 

  8. Hannestad, Y.S., et al., A community-based epidemiological survey of female urinary incontinence: the Norwegian EPINCONT study. Epidemiology of Incontinence in the County of Nord-Trondelag. J Clin Epidemiol, 2000. 53(11): p. 1150-7.

    Google Scholar 

  9. Eliasson, K., T. Larsson, and E. Mattsson, Prevalence of stress incontinence in nulliparous elite trampolinists. Scand J Med Sci Sports, 2002. 12(2): p. 106-10.

    Google Scholar 

  10. DeLancey, J.O., Structural support of the urethra as it relates to stress urinary incontinence: the hammock hypothesis. Am J Obstet Gynecol, 1994. 170(6): p. 1713-20; discussion 1720-3.

    Google Scholar 

  11. Haylen, B.T., et al., An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female pelvic floor dysfunction. Int Urogynecol J, 2010. 21(1): p. 5-26.

    Google Scholar 

  12. Brostrom, S. and G. Lose, Pelvic floor muscle training in the prevention and treatment of urinary incontinence in women - what is the evidence? Acta Obstet Gynecol Scand, 2008. 87(4): p. 384-402.

    Google Scholar 

  13. Saleme, C.S., et al., An approach on determining the displacements of the pelvic floor during voluntary contraction using numerical simulation and MRI. Comput Methods Biomech Biomed Engin, 2011. 14(4): p. 365-70.

    Google Scholar 

  14. Jing, D., J.A. Ashton-Miller, and J.O. DeLancey, A subject-specific anisotropic visco-hyperelastic finite element model of female pelvic floor stress and strain during the second stage of labor. J Biomech, 2012. 45(3): p. 455-60.

    Google Scholar 

  15. Bø, K., et al., Pelvic floor muscle exercise for the treatment of female stress urinary incontinence: II. Validity of vaginal pressure measurements of pelvic floor muscle strength and the necessity of supplementary methods for control of correct contraction. Neurourology and Urodynamics, 1990: p. 479 - 487.

    Google Scholar 

  16. Bø, K., Urinary incontinence, pelvic floor dysfunction, exercise and sport. Sports Med, 2004. 34(7): p. 451-64.

    Google Scholar 

  17. Kruger, J.A., B.A. Murphy, and S.W. Heap, Alterations in levator ani morphology in elite nulliparous athletes: a pilot study. Aust N Z J Obstet Gynaecol, 2005. 45(1): p. 42-7.

    Google Scholar 

  18. Jiang, K., et al., Exercise and urinary incontinence in women. Obstet Gynecol Surv, 2004. 59(10): p. 717–21; quiz 745-6.

    Google Scholar 

  19. Ree, M.L., I. Nygaard, and K. Bo, Muscular fatigue in the pelvic floor muscles after strenuous physical activity. Acta Obstet Gynecol Scand, 2007. 86(7): p. 870-6.

    Google Scholar 

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Acknowledgments

The fist author gratefully acknowledge to the funding by CNPq-from Brazil government and the project Pest-OE/EME/LA0022/2013 and also to the project “Biomechanics: contributions to the healthcare”, reference NORTE-07-0124-FEDER-000035 co-financed by Programa Operacional Regional do Norte (ON.2—O Novo Norte), through the Fundo Europeu de Desenvolvimento Regional (FEDER).

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Correspondence to Thuane Da Roza .

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Roza, T.D., Brandão, S., Mascarenhas, T., Duarte, J.A., Natal Jorge, R.M. (2015). Pelvic Floor Muscles Behavior in Practitioners of High and Low Impact Sports. In: Tavares, J., Natal Jorge, R. (eds) Computational and Experimental Biomedical Sciences: Methods and Applications. Lecture Notes in Computational Vision and Biomechanics, vol 21. Springer, Cham. https://doi.org/10.1007/978-3-319-15799-3_5

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  • DOI: https://doi.org/10.1007/978-3-319-15799-3_5

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-15798-6

  • Online ISBN: 978-3-319-15799-3

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