Bladder Displacement During Abdominal and Pelvic Floor Exercises
Study Details
Study Description
Brief Summary
This study evaluates the bladder base displacements during abdominal and pelvic floor exercises in postpartum women comparing to nulliparous women
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
Detailed Description
Postpartum women are at increased risk of suffering pelvic floor dysfunctions. However, only a few researches are focused on the exercises physiological effect at the postpartum recovery period.
A prospective observational study was designed to evaluate the protective or the prolapsed effect of abdominal and pelvic floor exercises in postpartum women.
Two groups were established: Group A was composed of primiparous women during postpartum period and group B of nulliparous women. Both groups practiced the same set of 6 abdominal and perineum exercises. The bladder descent was registered by ultrasonography, and the correct execution was controlled in both groups by superficial pelvic floor and abdominal electromyography.
A Graphical User Interface on MATLAB software has been developed for aiding in offline measurement process.
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| postpartum women with no pelvic floor disorders This group realised a set of 6 abdominal and pelvic floor exercises, with a muscle recruitment of 25% of maximum force. Exercise A: Pelvic Floor contraction Exercise B: Pelvic Floor and Deep Abdominal muscles contraction Exercise C: Pelvic Floor, Deep Abdominal muscles contraction, and axial Stretching Exercise D: Pelvic Floor, Deep and Superficial Abdominal muscles contraction Exercise E: Abdominal Crunch Exercise Exercise F: Low pressure Abdominal Exercise The correct muscle contraction execution was controlled by superficial pelvic floor and abdominal electromyography. The bladder base and neck displacement was registered by Transabdominal Ultrasound (TAUS) and Transperineal Ultrasound (TPUS) respectively. To image the bladder base and the bladder neck a 3.5 MHz (megahertz) curved linear array ultrasound transducer was used (LOGIQe Ultrasound,General Electric Healthcare, USA) with the ultrasound unit set in B mode. |
Other: Pelvic Floor and Abdominal Exercises
two repetitions of each exercise, during exhalation phase
|
| nulliparous women with no pelvic floor disorders This group realised a set of 6 abdominal and pelvic floor exercises, with a muscle recruitment of 25% of maximum force. Exercise A: Pelvic Floor contraction Exercise B: Pelvic Floor and Deep Abdominal muscles contraction Exercise C: Pelvic Floor, Deep Abdominal muscles contraction, and axial Stretching Exercise D: Pelvic Floor, Deep and Superficial Abdominal muscles contraction Exercise E: Abdominal Crunch Exercise Exercise F: Low pressure Abdominal Exercise The correct muscle contraction execution was controlled by superficial pelvic floor and abdominal electromyography. The bladder base and neck displacement was registered by Transabdominal Ultrasound (TAUS) and Transperineal Ultrasound (TPUS) respectively. To image the bladder base and the bladder neck a 3.5 MHz (megahertz)curved linear array ultrasound transducer was used (LOGIQe Ultrasound,GE eneral Electric Healthcare, USA) with the ultrasound unit set in B mode. |
Other: Pelvic Floor and Abdominal Exercises
two repetitions of each exercise, during exhalation phase
|
Outcome Measures
Primary Outcome Measures
- Cranial or Caudal bladder base displacement measured in cm during the set of 6 exercises. [between 6 and 12 weeks after birth]
Cranial or Caudal bladder base displacement during pelvic floor and abdominal exercises, comparing the baseline at rest to the position at 25% of muscle recruitment, in each exercise.
- Vertical and horizontal bladder neck displacement measured in cm during the set of 6 exercises. [between 6 and 12 weeks after birth]
Vertical and horizontal displacement of the bladder neck during pelvic floor and abdominal exercises, comparing the baseline at rest to the position at 25% of muscle recruitment in each exercise.
Eligibility Criteria
Criteria
Inclusion Criteria:
-
women at postpartum period (more than 6 and less than 12 weeks after vaginal birth)
-
willingness to participate in the study
-
ability to contract Pelvic Floor Muscles correctly
-
written consent to participate.
Exclusion Criteria:
-
pregnancy
-
caesarean birth
-
pelvic Floor disorders
-
neurological diseases
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | University of Castilla-La Mancha | Toledo | Castilla La Mancha | Spain | 45071 |
Sponsors and Collaborators
- University of Castilla-La Mancha
Investigators
- Principal Investigator: Sandra M Martinez, PHD student, University of A Coruña. Faculty of Physiotherapy, Spain
Study Documents (Full-Text)
None provided.More Information
Publications
- Barton A, Serrao C, Thompson J, Briffa K. Transabdominal ultrasound to assess pelvic floor muscle performance during abdominal curl in exercising women. Int Urogynecol J. 2015 Dec;26(12):1789-95. doi: 10.1007/s00192-015-2791-9. Epub 2015 Jul 28.
- Thompson JA, O'Sullivan PB, Briffa NK, Neumann P. Comparison of transperineal and transabdominal ultrasound in the assessment of voluntary pelvic floor muscle contractions and functional manoeuvres in continent and incontinent women. Int Urogynecol J Pelvic Floor Dysfunct. 2007 Jul;18(7):779-86. Epub 2006 Oct 17.
- 2014/610