Pelvic Floor Muscle Activity in Different Sitting Postures in Continent and Incontinent Women

Archives of Physical Medicine and Rehabilitation

Volumn 89, Issue 9, 2008, Pages 1741-1747

  Sapsford, Ruth R ^a,b   Richardson, Carolyn A ^b   Maher, Christopher F ^a   Hodges, Paul W ^b  

^a MATER HOSPITAL   (Australia)

^b UNIVERSITY OF QUEENSLAND   (Australia)

Author keywords

Abdominal muscles; Pelvic floor; Rehabilitation; Urinary incontinence

Indexed keywords

ABDOMINAL WALL MUSCULATURE; ADULT; AGED; ARTICLE; CLINICAL ARTICLE; ELECTROMYOGRAPHY; FEMALE; HUMAN; LORDOSIS; PELVIS FLOOR; SITTING; STRESS INCONTINENCE; VAGINAL DELIVERY;

ABDOMINAL MUSCLES; ADULT; AGED; ANALYSIS OF VARIANCE; ELECTROMYOGRAPHY; FEMALE; HUMANS; MIDDLE AGED; PELVIC FLOOR; POSTURE; URINARY INCONTINENCE, STRESS;

EID: 49949106065     PISSN: 00039993     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.apmr.2008.01.029     Document Type: Article

References (40)

1. Hemborg B., Moritz U., and Lowing H. Intra-abdominal pressure and trunk muscle activity during lifting. Scand J Rehabil Med 17 (1985) 25-38
2. Hodges P.W., Sapsford R., and Pengel L.H. Postural and respiratory functions of the pelvic floor muscles. Neurourol Urodyn 26 (2007) 362-371
3. Shafik A., Doss S., and Asaad S. Etiology of the resting myoelectric activity of the levator ani muscle: physioanatomic study with a new theory. World J Surg 27 (2003) 309-314
4. Wei J.T., and DeLancey J.O. Functional anatomy of the pelvic floor and lower urinary tract. Clin Obstet Gynecol 47 (2004) 3-17
5. Thompson J., O'Sullivan P., Briffa K., and Neumann P. Differences in muscle activation patterns during pelvic floor contraction and Valsalva manoeuvre. Neurourol Urodyn 25 (2006) 148-155
6. Neumann P., and Gill V. Pelvic floor and abdominal muscle interaction: EMG activity and intra-abdominal pressure. Int Urogynecol J 13 (2002) 125-132
7. Deindl F.M., Vodusek D.B., Hesse U., and Schussler B. Pelvic floor activity patterns: comparison of nulliparous continent and parous urinary stress incontinent women: a kinesiological EMG study. Br J Urol 73 (1994) 413-417
8. Vereecken R.L., Derluyn J., and Verduyn H. Electromyography of the perineal striated muscles during cystometry. Urol Int 30 (1975) 92-98
9. Sapsford R.R., Hodges P.W., Richardson C.A., Cooper D.H., Markwell S.J., and Jull G.A. Co-activation of the abdominal and pelvic floor muscles during voluntary exercises. Neurourol Urodyn 20 (2001) 31-42
10. Zacharin R.F. Pelvic floor anatomy and the surgery of pulsion enterocoele (1985), Springer Verlag, New York
11. Sapsford R.R., Richardson C.A., and Stanton W.R. Sitting posture affects pelvic floor muscle activity in parous women: an observational study. Aust J Physiother 52 (2006) 219-222
12. O'Sullivan P.B., Grahamslaw K.M., Kendell M., Lapenskie S.C., Moller N.E., and Richards K.V. The effect of different sitting and standing postures on trunk muscle activity in a pain free population. Spine 27 (2002) 1238-1244
13. Sapsford R.R., and Hodges P.W. Contraction of the pelvic floor muscles during abdominal maneuvers. Arch Phys Med Rehabil 82 (2001) 1081-1088
14. Madill S.J., and McLean L. Relationship between abdominal and pelvic floor muscle activation and intravaginal pressure during pelvic floor muscle contractions in healthy continent women. Neurourol Urodyn 25 (2006) 722-730
15. Ng J.K., Kippers V., and Richardson C.A. Muscle fibre orientation of abdominal muscles and suggested surface EMG electrode positions. Electromyogr Clin Neurophysiol 38 (1998) 51-58
16. Turker K.S. Electromyography: some methodological problems and issues. Phys Ther 73 (1993) 698-710
17. Mantle J. Urinary function and dysfunction. In: Mantle J., Haslam J., and Barton S. (Eds). Physiotherapy in obstetrics and gynaecology. 2nd ed. (2004), Butterworth Heinemann, Edinburgh 357
18. Takahashi E., and Atsumi H. Age differences in thoracic form as indicated by thoracic index. Hum Biol 27 (1955) 65-74
19. Milne J.S., and Lauder I.J. Age effects in kyphosis and lordosis. Ann Hum Biol 1 (1974) 327-337
20. Hart D.L., and Rose S.J. Reliability of a non-invasive method for measuring the lumbar curve. J Orthop Sports Phys Ther 8 (1986) 180-184
21. Cholewicki J., Panjabi M.M., and Khachatryan A. Stabilizing function of trunk flexor-extensor muscles around a neutral spine posture. Spine 22 (1997) 2207-2212
22. Smith M.D., Coppieters M.W., and Hodges P.W. Postural response of the pelvic floor and abdominal muscles in women with and without incontinence. Neurourol Urodyn 26 (2007) 377-385
23. Mattox T.F., Lucente V., McIntyre P., Miklos J.R., and Tomezsko J. Abnormal spinal curvature and its relationship to pelvic organ prolapse. Am J Obstet Gynecol 183 (2000) 1381-1384
24. Sandvik H., Hunskaar S., Seim A., Hermstad R., Vanvik A., and Bratt H. Validation of a severity index in female urinary incontinence and its implementation in an epidemiological survey. J Epidemiol Community Health 47 (1993) 497-499
25. Cresswell A.G., Grundstrom H., and Thorstensson A. Observations on intra-abdominal pressure and patterns of abdominal intramuscular activity in man. Acta Physiol Scand 144 (1992) 409-418
26. Vanderhorst V.G., and Holstege G. Nucleus retroambiguous projections to lumbosacral motoneuronal cell groups in the male cat. J Comp Neurol 382 (1997) 77-88
27. Vanderhorst V.G., Terasawa E., Ralston H.J., and Holstege G. Monosynaptic projections from nucleus retroambiguous to motoneurons supplying the abdominal wall, axial, hind limb and pelvic floor muscles in the female rhesus monkey. J Comp Neurol 424 (2000) 233-250
28. Blok B., Groen J., Veltman D., Bosch R., and Lammertsma A. Brain plasticity and urge incontinence: PET studies during the first hours of sacral neuromodulation. Neurourol Urodyn 22 (2003) 490-491
29. Berglas H., and Rubin I.C. Study of the supportive structures of the uterus by levator myography. Surg Gynecol Obstet 97 (1953) 677-692
30. Gunnarsson M., and Mattiasson A. Female stress, urge, and mixed urinary incontinence are associated with a chronic and progressive pelvic floor/vaginal neuromuscular disorder. Neurourol Urodyn 18 (1999) 613-621
31. Samuelsson E., Victor A., Tibbin G., and Svardsudd K. Signs of genital prolapse in a Swedish population of women 20-59 years of age and possible related factors. Am J Obstet Gynecol 180 (1999) 299-305
32. Samuelsson E., Victor A., and Svardsudd K. Determinants of urinary incontinence in a population of young and middle aged women. Acta Obstet Gynecol Scand 79 (2000) 208-215
33. Lord M.J., Small J.M., Dinsay J.M., and Watkins R.G. Lumbar lordosis: effects of sitting and standing. Spine 22 (1997) 2571-2574
34. Lind L.R., Lucente L., and Kohn N. Thoracic kyphosis and the prevalence of advanced uterine prolapse. Obstet Gynecol 87 (1996) 605-609
35. DeLancey J.O., Kearney R., Chou Q., Speights S., and Binno S. The appearance of levator ani muscle abnormalities in magnetic resonance images after vaginal delivery. Obstet Gynecol 101 (2003) 46-53
36. Strohbehn K., Ellis J.H., Strohbehn J.A., and DeLancey J.O. Magnetic resonance imaging of the levator ani with anatomic correlation. Obstet Gynecol 87 (1996) 277-285
37. Hodges P.W., and Richardson C.A. Inefficient muscular stabilization of the lumbar spine associated with low back pain. Spine 21 (1996) 2640-2650
38. Mahony D.T., Laferte R.O., and Blais D.J. Integral storage and voiding reflexes. Urology 9 (1977) 95-106
39. Zacharin R.F. A Chinese anatomy: the pelvic supporting tissues of the Chinese and Occidental compared and contrasted. Aust N Z J Obstet Gynaecol 17 (1977) 1-11
40. Brieger G.M., Yip S.K., Fung Y.M., and Chung T. Genital prolapse: a legacy of the west. Aust N Z J Obstet Gynaecol 36 (1996) 52-54