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Abdominopelvic kinesiotherapy for pelvic floor muscle training: a tested proposal in different groups

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Abstract

Introduction and hypothesis

This video’s proposal was to present one of the pelvic floor muscle (PFM) training programs used in our research, and to study the effects of abdominopelvic kinesiotherapy on female PFM function.

Methods

A total of 82 women participated in this study, 11 nulliparous, 13 primiparous pregnant, 20 primiparous postpartum and 38 postmenopausal women, who were evaluated first by digital palpation, then by either electromyography or vaginal dynamometry to investigate their PFM strength, followed by ICIQ UI-SF and ICIQ-OAB to evaluate urinary symptoms. This intervention protocol lasted for 60 min, three times a week, with a total of 10 sessions, and was supervised by a physiotherapist, using a gym ball, according to Marques and collaborators.

Results

A significant increase in PFM strength was observed by digital palpation in all groups. This finding was confirmed by electromyography in both pregnant (p = 0.0001) and postpartum (p = 0.0001) groups, as well as in 20 of the 38 women from the postmenopausal group (p = 0.003) then by vaginal dynamometry (p = 0.02) in the rest of the women (18) from the same group, with a concomitant decrease in urinary symptoms (p < 0.05).

Conclusion

The abdominopelvic kinesiotherapy program promotes an increase in pelvic floor muscle strength and a decrease in urinary symptoms.

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Acknowledgements

To CAPES (Coordenação de Aperfeiçoamento de Pessoal de Nível Superior); FAPEMIG (Fundação de Amparo à Pesquisa do Estado de Minas Gerais)—(APQ- 02794–11); UNIFAL/MG (Universidade Federal de Alfenas) for granting both the PIB Pós scholarship and CEAD (Centro de Educaçao a Distancia).

Conflicts of interest

None.

Author information

Correspondence to Simone Botelho.

Additional information

Consent

Written informed consent was obtained from the patient for publication of this video article and any accompanying images

Study was conducted by the UroFisioterapia Laboratory of the Course of Physiotherapy (Nursing School) of the Federal University of Alfenas (UNIFAL/MG), Alfenas, Minas Gerais, Brazil

Electronic supplementary material

Below is the link to the electronic supplementary material.

The proposal of this video was to present one of the pelvic floor muscle (PFM) training programs used in our research, study the effects of abdominopelvic kinesiotherapy on female PFM function. (MP4 25207 kb)

ESM 1

The proposal of this video was to present one of the pelvic floor muscle (PFM) training programs used in our research, study the effects of abdominopelvic kinesiotherapy on female PFM function. (MP4 25207 kb)

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Botelho, S., Martinho, N.M., Silva, V.R. et al. Abdominopelvic kinesiotherapy for pelvic floor muscle training: a tested proposal in different groups. Int Urogynecol J 26, 1867–1869 (2015). https://doi.org/10.1007/s00192-015-2699-4

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Keywords

  • Pelvic floor
  • Electromyography
  • Muscle strength dynamometer
  • Digital palpation
  • ICIQ UI-SF
  • ICIQ-OAB