Can you train the pelvic floor muscles by contracting other related muscles?. Issue 2 (28th December 2018)

• Record Type: Journal Article
• Authors: Kruger, Jennifer; Budgett, David; Goodman, Jonathan; Bø, Kari
• Is Part Of: Neurourology and urodynamics. Volume 38:Issue 2(2019:Feb.)
• Page Start: 677
• Page End: 683
• Publication Date: 2018-12-28
• Subjects: abdominals -- exercise -- intra‐abdominal pressure -- pelvic floor -- physiotherapy; Urinary organs -- Periodicals; Urodynamics -- Periodicals; Urology -- Periodicals; 616.6
• DOI: 10.1002/nau.23890
• Languages: English
• ISSNs: 0733-2467

Abstract

Abstract : Aims: The aim of this study is to assess whether contraction of muscles other than the pelvic floor muscles (PFM) would be of sufficient magnitude to provide a "training" effect for the pelvic floor. Methods: Women were recruited via advertisement from a convenience sample of pelvic floor physiotherapists. A thin flexible array of pressure sensors (FemFit) was self‐inserted into the vagina. Participants performed three maximum pelvic floor contractions and completed a randomized exercise protocol. Maximum pressures were determined for each sensor, for each exercise. Wilcoxon paired tests were used to ascertain the difference in pelvic floor muscle pressure between exercises, and between the pressures from the pelvic floor muscles sensors and those measuring abdominal pressure. Bonferroni correction α 0.005. Results: Data was obtained from nineteen participants. Mean age 43 ± 11 years, BMI 22.4 ± 3.2 kg m −2 . Mean PFM pressure for pelvic floor muscle contractions was 16.3 ± 12.2 mmHg. Pressure in the region of the pelvic floor was significantly higher during a targeted contraction compared to that for all other exercises, except for cough and curl‐ups ( P = 0.009, P = 0.013 respectively). PFM pressure was significantly higher than abdominal for PFMC, internal rotators and gluteals ( P < 0.001). Conclusion: Targeted PFM contractions develop higher pressures compared to abdominal pressure than any exercise tested in this study. The Femfit device was able to distinguish between abdominal and pelvic floor muscle pressures simultaneously. Exercising accessory muscles in an attempt to activate the pelvic floor sufficiently to illicit a training effect is not recommended.