Dynamic changes of the pelvic floor in elite athletes of different sports

Introduction: One of the functions of the pelvic floor muscles (PFM) is to support the pelvic organs and continence. This continence mechanism tends to change when PFM are exposed to high-impact exercises. Objetives: To describe the dynamic changes in the pelvic floor (PF) in elite nulliparous a...

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Autores principales:	Telma Pires, Patrícia Pires, Helena Moreira, Ronaldo Gabriel, Yida Fan, Osvaldo Moutinho, Sara Viana, Rui Viana
Formato:	article
Lenguaje:	EN PT
Publicado:	Instituto Politécnico de Viseu 2020
Materias:	Levator ani Maximal voluntary contraction Pelvic floor function Translabial ultrasound Special aspects of education LC8-6691 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/acb3346ba5d34a8190950df4471cdd69
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spelling	oai:doaj.org-article:acb3346ba5d34a8190950df4471cdd692021-12-02T15:44:48ZDynamic changes of the pelvic floor in elite athletes of different sports 10.29352/mill0213.09.003340873-30151647-662Xhttps://doaj.org/article/acb3346ba5d34a8190950df4471cdd692020-07-01T00:00:00Zhttps://revistas.rcaap.pt/millenium/article/view/19968https://doaj.org/toc/0873-3015https://doaj.org/toc/1647-662X Introduction: One of the functions of the pelvic floor muscles (PFM) is to support the pelvic organs and continence. This continence mechanism tends to change when PFM are exposed to high-impact exercises. Objetives: To describe the dynamic changes in the pelvic floor (PF) in elite nulliparous athletes. Methods: Translabial two and three-dimensional ultrasound was used to assess PF anatomy and function in athletes (n=8). This ultrasonography was performed after voiding and in the supine position, using a vaginal probe. The descent of the pelvic organs was assessed on a maximum Valsalva maneuver, whilst the volume datasets were acquired at rest, during maximum voluntary contraction (MVC) and during a Valsalva maneuver. The athletes performed each maneuver at least 3 times, with the most effective being used for evaluation. Results: The bladder neck descent was 14 mm for the javelin thrower, being the highest value when compared to the remaining participants. Three athletes featured the rectocele (swimming, gymnastics and javelin throw) and 4 participants presented a paravaginal defect (volleyball, horsemanship, javelin throw and printer). The volleyball athlete had the highest value of the levator hiatal area in MVC value. Conclusions: The athletes present minimal differences in the evaluated parameters. The sample is small to generalize the results, but there is a tendency for athletes of high-impact exercises to have a lower CMV value. Further studies are needed to corroborate these results. Telma PiresPatrícia PiresHelena Moreira Ronaldo GabrielYida FanOsvaldo MoutinhoSara VianaRui VianaInstituto Politécnico de ViseuarticleLevator aniMaximal voluntary contractionPelvic floor functionTranslabial ultrasoundSpecial aspects of educationLC8-6691Public aspects of medicineRA1-1270ENPTMillenium, Vol 2, Iss 13 (2020)
institution	DOAJ
collection	DOAJ
language	EN PT
topic	Levator ani Maximal voluntary contraction Pelvic floor function Translabial ultrasound Special aspects of education LC8-6691 Public aspects of medicine RA1-1270
spellingShingle	Levator ani Maximal voluntary contraction Pelvic floor function Translabial ultrasound Special aspects of education LC8-6691 Public aspects of medicine RA1-1270 Telma Pires Patrícia Pires Helena Moreira Ronaldo Gabriel Yida Fan Osvaldo Moutinho Sara Viana Rui Viana Dynamic changes of the pelvic floor in elite athletes of different sports
description	Introduction: One of the functions of the pelvic floor muscles (PFM) is to support the pelvic organs and continence. This continence mechanism tends to change when PFM are exposed to high-impact exercises. Objetives: To describe the dynamic changes in the pelvic floor (PF) in elite nulliparous athletes. Methods: Translabial two and three-dimensional ultrasound was used to assess PF anatomy and function in athletes (n=8). This ultrasonography was performed after voiding and in the supine position, using a vaginal probe. The descent of the pelvic organs was assessed on a maximum Valsalva maneuver, whilst the volume datasets were acquired at rest, during maximum voluntary contraction (MVC) and during a Valsalva maneuver. The athletes performed each maneuver at least 3 times, with the most effective being used for evaluation. Results: The bladder neck descent was 14 mm for the javelin thrower, being the highest value when compared to the remaining participants. Three athletes featured the rectocele (swimming, gymnastics and javelin throw) and 4 participants presented a paravaginal defect (volleyball, horsemanship, javelin throw and printer). The volleyball athlete had the highest value of the levator hiatal area in MVC value. Conclusions: The athletes present minimal differences in the evaluated parameters. The sample is small to generalize the results, but there is a tendency for athletes of high-impact exercises to have a lower CMV value. Further studies are needed to corroborate these results.
format	article
author	Telma Pires Patrícia Pires Helena Moreira Ronaldo Gabriel Yida Fan Osvaldo Moutinho Sara Viana Rui Viana
author_facet	Telma Pires Patrícia Pires Helena Moreira Ronaldo Gabriel Yida Fan Osvaldo Moutinho Sara Viana Rui Viana
author_sort	Telma Pires
title	Dynamic changes of the pelvic floor in elite athletes of different sports
title_short	Dynamic changes of the pelvic floor in elite athletes of different sports
title_full	Dynamic changes of the pelvic floor in elite athletes of different sports
title_fullStr	Dynamic changes of the pelvic floor in elite athletes of different sports
title_full_unstemmed	Dynamic changes of the pelvic floor in elite athletes of different sports
title_sort	dynamic changes of the pelvic floor in elite athletes of different sports
publisher	Instituto Politécnico de Viseu
publishDate	2020
url	https://doaj.org/article/acb3346ba5d34a8190950df4471cdd69
work_keys_str_mv	AT telmapires dynamicchangesofthepelvicfloorineliteathletesofdifferentsports AT patriciapires dynamicchangesofthepelvicfloorineliteathletesofdifferentsports AT helenamoreira dynamicchangesofthepelvicfloorineliteathletesofdifferentsports AT ronaldogabriel dynamicchangesofthepelvicfloorineliteathletesofdifferentsports AT yidafan dynamicchangesofthepelvicfloorineliteathletesofdifferentsports AT osvaldomoutinho dynamicchangesofthepelvicfloorineliteathletesofdifferentsports AT saraviana dynamicchangesofthepelvicfloorineliteathletesofdifferentsports AT ruiviana dynamicchangesofthepelvicfloorineliteathletesofdifferentsports
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Dynamic changes of the pelvic floor in elite athletes of different sports

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