Assessment of bioelectrical activity of synergistic muscles during pelvic floor muscles activation in postmenopausal women with and without stress urinary incontinence: a preliminary observational study

Kuba Ptaszkowski,1 Małgorzata Paprocka-Borowicz,2 Lucyna Słupska,2 Janusz Bartnicki,1,3 Robert Dymarek,4 Joanna Rosińczuk,4 Jerzy Heimrath,5 Janusz Dembowski,6 Romuald Zdrojowy6 1Department of Obstetrics, 2Department of Clinical Biomechanics and Physiotherapy in Motor System Disorders, Wroclaw Medi...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Ptaszkowski K, Paprocka-Borowicz M, Słupska L, Bartnicki J, Dymarek R, Rosińczuk J, Heimrath J, Dembowski J, Zdrojowy R
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2015
Materias:	pelvic floor muscles postmenopausal period stress urinary incontinence surface electromyography synergistic muscle Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/7566cec2b25e4372a5b31c696d3c7e12
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:7566cec2b25e4372a5b31c696d3c7e12
record_format	dspace
spelling	oai:doaj.org-article:7566cec2b25e4372a5b31c696d3c7e122021-12-02T02:51:20ZAssessment of bioelectrical activity of synergistic muscles during pelvic floor muscles activation in postmenopausal women with and without stress urinary incontinence: a preliminary observational study1178-1998https://doaj.org/article/7566cec2b25e4372a5b31c696d3c7e122015-09-01T00:00:00Zhttps://www.dovepress.com/assessment-of-bioelectrical-activity-of-synergistic-muscles-during-pel-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Kuba Ptaszkowski,1 Małgorzata Paprocka-Borowicz,2 Lucyna Słupska,2 Janusz Bartnicki,1,3 Robert Dymarek,4 Joanna Rosińczuk,4 Jerzy Heimrath,5 Janusz Dembowski,6 Romuald Zdrojowy6 1Department of Obstetrics, 2Department of Clinical Biomechanics and Physiotherapy in Motor System Disorders, Wroclaw Medical University, Wroclaw, Poland; 3Department of Obstetrics and Gynecology, Health Center Bitterfeld/Wolfen gGmbH, Bitterfeld-Wolfen, Germany; 4Department of Nervous System Diseases, 5Department of Gynaecology and Obstetrics, Faculty of Health Science, 6Department and Clinic of Urology, Faculty of Postgraduate Medical Training, Wroclaw Medical University, Wroclaw, Poland Objective: Muscles such as adductor magnus (AM), gluteus maximus (GM), rectus abdominis (RA), and abdominal external and internal oblique muscles are considered to play an important role in the treatment of stress urinary incontinence (SUI), and the relationship between contraction of these muscles and pelvic floor muscles (PFM) has been established in previous studies. Synergistic muscle activation intensifies a woman’s ability to contract the PFM. In some cases, even for continent women, it is not possible to fully contract their PFM without involving the synergistic muscles. The primary aim of this study was to assess the surface electromyographic activity of synergistic muscles to PFM (SPFM) during resting and functional PFM activation in postmenopausal women with and without SUI.Materials and methods: This study was a preliminary, prospective, cross-sectional observational study and included volunteers and patients who visited the Department and Clinic of Urology, University Hospital in Wroclaw, Poland. Forty-two patients participated in the study and were screened for eligibility criteria. Thirty participants satisfied the criteria and were categorized into two groups: women with SUI (n=16) and continent women (n=14). The bioelectrical activity of PFM and SPFM (AM, RA, GM) was recorded with a surface electromyographic instrument in a standing position during resting and functional PFM activity.Results: Bioelectrical activity of RA was significantly higher in the incontinent group than in the continent group. These results concern the RA activity during resting and functional PFM activity. The results for other muscles showed no significant difference in bioelectrical activity between groups.Conclusion: In women with SUI, during the isolated activation of PFM, an increased synergistic activity of RA muscle was observed; however, this activity was not observed in asymptomatic women. This may indicate the important accessory contribution of these muscles in the mechanism of continence. Keywords: pelvic floor muscles, postmenopausal period, stress urinary incontinence, surface electromyography, synergistic musclePtaszkowski KPaprocka-Borowicz MSłupska LBartnicki JDymarek RRosińczuk JHeimrath JDembowski JZdrojowy RDove Medical Pressarticlepelvic floor musclespostmenopausal periodstress urinary incontinencesurface electromyographysynergistic muscleGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 10, Pp 1521-1528 (2015)
institution	DOAJ
collection	DOAJ
language	EN
topic	pelvic floor muscles postmenopausal period stress urinary incontinence surface electromyography synergistic muscle Geriatrics RC952-954.6
spellingShingle	pelvic floor muscles postmenopausal period stress urinary incontinence surface electromyography synergistic muscle Geriatrics RC952-954.6 Ptaszkowski K Paprocka-Borowicz M Słupska L Bartnicki J Dymarek R Rosińczuk J Heimrath J Dembowski J Zdrojowy R Assessment of bioelectrical activity of synergistic muscles during pelvic floor muscles activation in postmenopausal women with and without stress urinary incontinence: a preliminary observational study
description	Kuba Ptaszkowski,1 Małgorzata Paprocka-Borowicz,2 Lucyna Słupska,2 Janusz Bartnicki,1,3 Robert Dymarek,4 Joanna Rosińczuk,4 Jerzy Heimrath,5 Janusz Dembowski,6 Romuald Zdrojowy6 1Department of Obstetrics, 2Department of Clinical Biomechanics and Physiotherapy in Motor System Disorders, Wroclaw Medical University, Wroclaw, Poland; 3Department of Obstetrics and Gynecology, Health Center Bitterfeld/Wolfen gGmbH, Bitterfeld-Wolfen, Germany; 4Department of Nervous System Diseases, 5Department of Gynaecology and Obstetrics, Faculty of Health Science, 6Department and Clinic of Urology, Faculty of Postgraduate Medical Training, Wroclaw Medical University, Wroclaw, Poland Objective: Muscles such as adductor magnus (AM), gluteus maximus (GM), rectus abdominis (RA), and abdominal external and internal oblique muscles are considered to play an important role in the treatment of stress urinary incontinence (SUI), and the relationship between contraction of these muscles and pelvic floor muscles (PFM) has been established in previous studies. Synergistic muscle activation intensifies a woman’s ability to contract the PFM. In some cases, even for continent women, it is not possible to fully contract their PFM without involving the synergistic muscles. The primary aim of this study was to assess the surface electromyographic activity of synergistic muscles to PFM (SPFM) during resting and functional PFM activation in postmenopausal women with and without SUI.Materials and methods: This study was a preliminary, prospective, cross-sectional observational study and included volunteers and patients who visited the Department and Clinic of Urology, University Hospital in Wroclaw, Poland. Forty-two patients participated in the study and were screened for eligibility criteria. Thirty participants satisfied the criteria and were categorized into two groups: women with SUI (n=16) and continent women (n=14). The bioelectrical activity of PFM and SPFM (AM, RA, GM) was recorded with a surface electromyographic instrument in a standing position during resting and functional PFM activity.Results: Bioelectrical activity of RA was significantly higher in the incontinent group than in the continent group. These results concern the RA activity during resting and functional PFM activity. The results for other muscles showed no significant difference in bioelectrical activity between groups.Conclusion: In women with SUI, during the isolated activation of PFM, an increased synergistic activity of RA muscle was observed; however, this activity was not observed in asymptomatic women. This may indicate the important accessory contribution of these muscles in the mechanism of continence. Keywords: pelvic floor muscles, postmenopausal period, stress urinary incontinence, surface electromyography, synergistic muscle
format	article
author	Ptaszkowski K Paprocka-Borowicz M Słupska L Bartnicki J Dymarek R Rosińczuk J Heimrath J Dembowski J Zdrojowy R
author_facet	Ptaszkowski K Paprocka-Borowicz M Słupska L Bartnicki J Dymarek R Rosińczuk J Heimrath J Dembowski J Zdrojowy R
author_sort	Ptaszkowski K
title	Assessment of bioelectrical activity of synergistic muscles during pelvic floor muscles activation in postmenopausal women with and without stress urinary incontinence: a preliminary observational study
title_short	Assessment of bioelectrical activity of synergistic muscles during pelvic floor muscles activation in postmenopausal women with and without stress urinary incontinence: a preliminary observational study
title_full	Assessment of bioelectrical activity of synergistic muscles during pelvic floor muscles activation in postmenopausal women with and without stress urinary incontinence: a preliminary observational study
title_fullStr	Assessment of bioelectrical activity of synergistic muscles during pelvic floor muscles activation in postmenopausal women with and without stress urinary incontinence: a preliminary observational study
title_full_unstemmed	Assessment of bioelectrical activity of synergistic muscles during pelvic floor muscles activation in postmenopausal women with and without stress urinary incontinence: a preliminary observational study
title_sort	assessment of bioelectrical activity of synergistic muscles during pelvic floor muscles activation in postmenopausal women with and without stress urinary incontinence: a preliminary observational study
publisher	Dove Medical Press
publishDate	2015
url	https://doaj.org/article/7566cec2b25e4372a5b31c696d3c7e12
work_keys_str_mv	AT ptaszkowskik assessmentofbioelectricalactivityofsynergisticmusclesduringpelvicfloormusclesactivationinpostmenopausalwomenwithandwithoutstressurinaryincontinenceapreliminaryobservationalstudy AT paprockaborowiczm assessmentofbioelectricalactivityofsynergisticmusclesduringpelvicfloormusclesactivationinpostmenopausalwomenwithandwithoutstressurinaryincontinenceapreliminaryobservationalstudy AT słupskal assessmentofbioelectricalactivityofsynergisticmusclesduringpelvicfloormusclesactivationinpostmenopausalwomenwithandwithoutstressurinaryincontinenceapreliminaryobservationalstudy AT bartnickij assessmentofbioelectricalactivityofsynergisticmusclesduringpelvicfloormusclesactivationinpostmenopausalwomenwithandwithoutstressurinaryincontinenceapreliminaryobservationalstudy AT dymarekr assessmentofbioelectricalactivityofsynergisticmusclesduringpelvicfloormusclesactivationinpostmenopausalwomenwithandwithoutstressurinaryincontinenceapreliminaryobservationalstudy AT rosinczukj assessmentofbioelectricalactivityofsynergisticmusclesduringpelvicfloormusclesactivationinpostmenopausalwomenwithandwithoutstressurinaryincontinenceapreliminaryobservationalstudy AT heimrathj assessmentofbioelectricalactivityofsynergisticmusclesduringpelvicfloormusclesactivationinpostmenopausalwomenwithandwithoutstressurinaryincontinenceapreliminaryobservationalstudy AT dembowskij assessmentofbioelectricalactivityofsynergisticmusclesduringpelvicfloormusclesactivationinpostmenopausalwomenwithandwithoutstressurinaryincontinenceapreliminaryobservationalstudy AT zdrojowyr assessmentofbioelectricalactivityofsynergisticmusclesduringpelvicfloormusclesactivationinpostmenopausalwomenwithandwithoutstressurinaryincontinenceapreliminaryobservationalstudy
_version_	1718402106843463680

Assessment of bioelectrical activity of synergistic muscles during pelvic floor muscles activation in postmenopausal women with and without stress urinary incontinence: a preliminary observational study

Ejemplares similares