Influence of passive or active holding ankle position on pelvic floor muscle strength in women

2.50
Hdl Handle:
http://hdl.handle.net/10755/154175
Type:
Presentation
Title:
Influence of passive or active holding ankle position on pelvic floor muscle strength in women
Abstract:
Influence of passive or active holding ankle position on pelvic floor muscle strength in women
Conference Sponsor:Sigma Theta Tau International
Conference Year:2007
Author:Chen, Hsiao-Lien, MS
P.I. Institution Name:Cathay General Hospital
Title:Director of Nursing Department
Co-Authors:Ping-Ling Chen and Yin-Chou Lin
[Evidence-based Presentation] Background: Stress incontinence is the most common type of urinary incontinence in women. Pelvic floor muscle exercise (PFM) has been shown to be an effective, highly tolerable and cost-effective treatment for stress incontinence.áThe increase of PFM strength and maximal strength, have associated with improvement of stress urinary incontinence. However, the association of PFM strength and postural changes has limited evidence. Objective: To examine the influence of passive or active holding ankle position on PFM strength in women. Method: Twenty healthy women were recruited in this study. They participated in testing of PFM strength changes in different ankle positions. PFM strength was measured by an intravaginal probe with surface electromyographic (EMG) electrodes. Each subject was asked to perform the PFM contractions while assuming a series of nine positions during which EMG recordings of the PFM were made: Horizontal standing, dorsiflexion with 2.5cm toe height, dorsiflexion with 4.5cm toe height, dorsiflexion, dorsiflexion and hands up, plantar flexion with 2.5cm heel height, plantar flexion with 4.5cm heel height, plantar flexion, plantar flexion and hands up. Results: Greater PFM activity occurred in active holding ankle positions than passive holding ankle positions. Plantar flexion hands up position had the strongest PFM strength, significant difference with other positions (p<0.05). Conclusions: An upright standing posture that includes active holding ankle positions effectively facilitates PFM strength through muscles co-activation and synergy. Thus, we can apply active ankle positions in PFM training to enhance the effect of exercise in future.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleInfluence of passive or active holding ankle position on pelvic floor muscle strength in womenen_GB
dc.identifier.urihttp://hdl.handle.net/10755/154175-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Influence of passive or active holding ankle position on pelvic floor muscle strength in women</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2007</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Chen, Hsiao-Lien, MS</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Cathay General Hospital</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Director of Nursing Department</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">siulin@cgh.org.tw</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Ping-Ling Chen and Yin-Chou Lin</td></tr><tr><td colspan="2" class="item-abstract">[Evidence-based Presentation] Background: Stress incontinence is the most common type of urinary incontinence in women. Pelvic floor muscle exercise (PFM) has been shown to be an effective, highly tolerable and cost-effective treatment for stress incontinence.&aacute;The increase of PFM strength and maximal strength, have associated with improvement of stress urinary incontinence. However, the association of PFM strength and postural changes has limited evidence. Objective: To examine the influence of passive or active holding ankle position on PFM strength in women. Method: Twenty healthy women were recruited in this study. They participated in testing of PFM strength changes in different ankle positions. PFM strength was measured by an intravaginal probe with surface electromyographic (EMG) electrodes. Each subject was asked to perform the PFM contractions while assuming a series of nine positions during which EMG recordings of the PFM were made: Horizontal standing, dorsiflexion with 2.5cm toe height, dorsiflexion with 4.5cm toe height, dorsiflexion, dorsiflexion and hands up, plantar flexion with 2.5cm heel height, plantar flexion with 4.5cm heel height, plantar flexion, plantar flexion and hands up. Results: Greater PFM activity occurred in active holding ankle positions than passive holding ankle positions. Plantar flexion hands up position had the strongest PFM strength, significant difference with other positions (p&lt;0.05). Conclusions: An upright standing posture that includes active holding ankle positions effectively facilitates PFM strength through muscles co-activation and synergy. Thus, we can apply active ankle positions in PFM training to enhance the effect of exercise in future.</td></tr></table>en_GB
dc.date.available2011-10-26T12:47:58Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T12:47:58Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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