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Effects of a Pelvic Floor Muscle Training in Nulliparous Athletes with Urinary Incontinence: Biomechanical Models Protocol

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Computational and Experimental Biomedical Sciences: Methods and Applications

Abstract

Urinary Incontinence (UI) is a prevalent condition among active women, especially in young nulliparous athletes. However, up to now, only a few studies conducted pelvic floor muscles training (PFMT) in athletes with UI. So, the present study evaluated the effect of a comprehensive PFMT protocol on UI symptoms in young nulliparous athletes using biomechanical models. This was a experimental and longitudinal pre and post-test evaluations study with 9 young nulliparous athletes divided in 2 intervention groups: one group had supervision of a physiotherapist and another does not. The participants answered the questionnaires: CONTILIFE to investigate the quality of life, the Self-efficacy Scale of Broome to evaluate the capacity of pelvic floor muscles (PFM) contraction, the IPAQ-SF to quantify the physical activity level and socio-demographic characteristics, to characterize the sample. Additionally, they were clinically assessed by Pad-test to quantify urine loss and by the Oxford Grading Scale and Perineometry to evaluate the strength of PFM contraction. It was used the T-test for two independent samples and the Manny-Whitney test to compare the groups, as well as the Spearman Correlation to correlational analysis. The level of significance was p ≤ 0.05. Seven athletes concluded the 8 weeks-protocol. The protocol shown to be effective in reduce the loss of urine. Further research is necessary to determine the specific PFMT protocol in women that perform exercise.

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References

  1. Abrams P, et al, Fourth International Consultation on Incontinence Recommendations of the International Scientific Committee: Evaluation and treatment of urinary incontinence, pelvic organ prolapse, and fecal incontinence. Neurourol Urodyn, 2010. 29(1); p. 213–240.

    Google Scholar 

  2. Bo K, Berghmans B, Morkved S, & Van Kampen M, Evidence-Based PhysicalTherapy for the Pelvic Floor: Bridging Science and Clinical Practice. Elsevier Health Sciences, 2007.

    Google Scholar 

  3. Da Roza T, Araujo M, Viana R, Viana S, Jorge R, Bo K, & Mascarenhas T, Pelvic floor muscle training to improve urinary incontinence in young, nulliparous sport students: a pilot study. Int Urogynecol J, 2012. 23(8); p. 1069–1073.

    Google Scholar 

  4. Eliasson K, Larsson T, & Mattsson E, Prevalence of stress incontinence in nulliparous elite trampolinists. Scand J Med Sci Sports, 2002. 12(2); p. 106–110.

    Google Scholar 

  5. Fozzatti C, et al, Prevalence study of stress urinary incontinence in women who perform high-impact exercises. Int Urogynecol J, 2012.

    Google Scholar 

  6. Ree M, Nygaard I, & Bo K, Muscular fatigue in the pelvic floor muscles after strenuous physical activity. Acta Obstet Gynecol Scand, 2007. 86(7); p. 870–876.

    Google Scholar 

  7. Hay-Smith J, Herderschee R, Dumoulin C, & Herbison G, Comparisons of approaches to pelvic floor muscle training for urinary incontinence in women.[Meta-Analysis Review]. Cochrane Database Syst Rev (12), 2011.

    Google Scholar 

  8. Da Roza T, Araújo M, Mascarenhas T, Loureiro J, Parente M, & Natal Jorge R, Analysis of the contraction if the pubovisceral muscle based on a computational model. Portuguese Journal of Sport Sciences, 2011. 11 (2); p. 797–800.

    Google Scholar 

  9. Saleme C. et al, An approach on determining the displacements of the pelvic floor during voluntary contraction using numerical simulation and MRI. [Research Support, Non-U.S. Gov’t]. Comput Methods Biomech Biomed Engin, 2011. 14(4); p. 365–370.

    Google Scholar 

  10. Parente M, Natal Jorge R, Mascarenhas T, Silva-Filho A, The influence of pelvic muscle activation during vaginal delivery: computational model. Obstetrics and Gynecology, 2010.115; p. 804–808.

    Google Scholar 

  11. D’Aulignac D, Martins J, Pires E, Mascarenhas T, Natal Jorge R, A Shell Finite Element Model of the Pelvic Floor Muscles. Computer Methods in Biomechanics and Biomedical Engineering, 2005. 8; p. 339–347.

    Google Scholar 

  12. Martins J, Pato M, Pires E, Natal Jorge R, Parente M, Mascarenhas T, Finite element studies of the deformation of the pelvic floor. Annals of the New York Academy of Sciences, 2007. 1101; p. 316–334.

    Google Scholar 

  13. Parente M, Natal Jorge R, Mascarenhas T, Fernandes A, Martins J, Deformation of the pelvic floor muscles during a vaginal delivery. International Urogynecology Journal, 2008. 19; p. 65–71.

    Google Scholar 

  14. Parente M, Natal Jorge R, Mascarenhas T, Fernandes A, Martins J, The influence of an occipito-posterior malposition on the biomechanical behavior of the pelvic floor. European Journal of Obstetrics, Gynecology & Reproductive Biology, 2009. 144S; p. S166-S169.

    Google Scholar 

  15. Parente M, Natal Jorge R, Mascarenhas T, Fernandes A, Martins J, The influence of the material properties on the biomechanical behavior of the pelvic floor during a vaginal delivery. Journal of Biomechanics, 2009. 42; p. 1301–1306.

    Google Scholar 

  16. Ma Z, Tavares J, Natal Jorge R, Mascarenhas T, A review of algorithms for medical image segmentation and their applications to the pelvic cavity., Computer Methods in Biomechanics and Biomedical Engineering, 2010. 13; p. 235–246.

    Google Scholar 

  17. Ma Z, Natal Jorge R, Tavares J, A shape guided C-V model to segment the levator ani muscle in axial magnetic resonance images. Medical Engineering Physics, 2010. 32; p. 766–774.

    Google Scholar 

  18. Parente M, Natal Jorge R, Mascarenhas T, Silva-Filho A, Computational modeling approach to study the effects of fetal head flexion during vaginal delivery. American Journal of Obstetrics and Gynecology, 2010. 203(217).

    Google Scholar 

  19. Ma Z, Natal Jorge R, Mascarenhas T, Tavares J, Novel approach to segment the inner and outer boundaries of the bladder wall in T2-weighted magnetic resonance images. Annals of Biomedical Engineering, 2011. 39; p. 2287–2297.

    Google Scholar 

  20. Martins P, Peña E, Natal Jorge R, Santos A, Santos L, Mascarenhas T, Calvo B, Mechanical characterization and constitutive modeling of the damage process in rectus sheath. Journal of the Mechanical Behavior of Biomedical Materials, 2012. 8; p. 111–122.

    Google Scholar 

  21. Ma Z, Natal Jorge R, Mascarenhas T, Tavares J, Segmentation of Female Pelvic Cavity in Axial T2-weighted MR Images towards the 3D Reconstruction. International Journal for Numerical Methods in Biomedical Engineering, 2012. 28; p. 714–726.

    Google Scholar 

  22. Ma Z, Natal Jorge R, Mascarenhas T, Tavares J, Segmentation of Female Pelvic Organs in Axial Magnetic Resonance Images using Coupled Geometric Deformable Models. Computers in Biology and Medicine, 2013. 43; p. 248–258.

    Google Scholar 

  23. Ma Z, Natal Jorge R, Mascarenhas T, Tavares J, A Level Set Based Algorithm to Reconstruct the Urinary Bladder from Multiple Views. Medical Engineering Physics, 2013. 35; p.1819–1824.

    Google Scholar 

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Acknowledgments

The authors 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 M. Sousa or R. M. Natal Jorge .

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Sousa, M. et al. (2015). Effects of a Pelvic Floor Muscle Training in Nulliparous Athletes with Urinary Incontinence: Biomechanical Models Protocol. 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_6

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  • DOI: https://doi.org/10.1007/978-3-319-15799-3_6

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