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Pelvic floor muscle activity during jumps in continent and incontinent women: an exploratory study

  • General Gynecology
  • Published:
Archives of Gynecology and Obstetrics Aims and scope Submit manuscript

Abstract

Purpose

Stress urinary incontinence (SUI) symptoms can be provoked during impact loads such as vertical jumps. To investigate and compare pelvic floor muscle (PFM) activity in women with SUI and continent women (CON) during drop jumps (DJ) and counter movement jumps (CMJ) could clarify the activity of the PFMs during impact loads.

Methods

A tripolar vaginal probe was used to record surface electromyographic (EMG) activity of the PFMs during DJ and CMJ. Time intervals of 30 ms were used to parameterize data from 30 ms before (pre-activity) to 150 ms after (reflex activity) ground contact on a force plate during the landing and take-off phase. EMG signals were normalized to the mean of the peak values of two maximal voluntary contractions (MVC) and expressed in percentage (% MVC).

Results

For all time intervals during the landing and take-off phase, no statistically significant differences could be found between women with SUI and CON. EMG values exceeded 100% MVC for all time intervals during all landing and take-off phases. Maximal PFM activation was measured during the first landing of DJ and was 404.1% MVC for SUI and 370.2% MVC for CON.

Conclusions

Vertical jumps seem to stimulate pre-activity before and reflex activity after ground contact during the landing phase and activate PFMs up to 400% MVC. Jumping stimuli inducing involuntary PFM contraction could show a beneficial factor to be integrated in a PFM rehabilitation program.

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Acknowledgements

Swiss National Science Fondation, Wildhainweg 3, Postfach 8232, 3001 Bern, Switzerland.

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Authors and Affiliations

  1. Division of Physiotherapy, Department of Health Professions, Bern University of Applied Sciences, Stadtbachstrasse 64, 3008, Bern, Switzerland

    Helene Moser, Monika Leitner, Patric Eichelberger & Lorenz Radlinger

  2. Faculty of Sport and Rehabilitation Sciences, Vrije Universiteit Brussel, Brussels, Belgium

    Helene Moser & Jean-Pierre Baeyens

  3. Graduate School for Cellular and Biomedical Sciences, University of Bern, Bern, Switzerland

    Patric Eichelberger

  4. Department of Gynaecology, Bern University Hospital, Bern, Switzerland

    Annette Kuhn

Authors
  1. Helene Moser
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  2. Monika Leitner
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  3. Patric Eichelberger
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  4. Annette Kuhn
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  5. Jean-Pierre Baeyens
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  6. Lorenz Radlinger
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Contributions

HM: Project development, Data collection, Data analysis, Manuscript writing. ML: Project development, Data collection. PE: Data analysis, software. AK: Screening procedure for inclusion criteria. J-PB: Adviser, Support of final draft. LR: Project development, adviser, support of final draft.

Corresponding author

Correspondence to Helene Moser.

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Nothing to disclose.

Additional information

Institution at which the work was performed: Bern University of Applied Sciences, Health Division, Murtenstrasse 10, 3008 Bern, Switzerland.

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Moser, H., Leitner, M., Eichelberger, P. et al. Pelvic floor muscle activity during jumps in continent and incontinent women: an exploratory study. Arch Gynecol Obstet 297, 1455–1463 (2018). https://doi.org/10.1007/s00404-018-4734-4

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  • DOI: https://doi.org/10.1007/s00404-018-4734-4

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