Reflex activity of pelvic floor muscles during drop landings and mini-trampolining-exploratory study

Wassmer Säuberli, Patricia; Schraknepper, Anja; Eichelberger, Patric; Luginbühl, Helena; Radlinger, Lorenz (2018). Reflex activity of pelvic floor muscles during drop landings and mini-trampolining-exploratory study International Urogynecology Journal, 29(12), pp. 1833-1840. Springer 10.1007/s00192-018-3664-9

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Introduction Complex functional movements such as jumping typically provoke stress urinary incontinence (SUI) in women. The aim of this study was to investigate pelvic floor muscle (PFM) activity in young, healthy women during jumps to explore their activity characteristics. Methods Surface electromyography (EMG) from PFMs was measured in 16 healthy women with a tripolar vaginal probe during drop landings from heights of 15, 30 and 45 cm (DL 15, 30, 45) as well as during mini-trampolining with a pace of 90 and 75 jumps per minute (MT 90, 75). Time of foot strike and body weight force (BWF) in % (= ground reaction force, normalised to body weight) was determined by force plates. Root mean square values of the EMG signals were analyzed from 30 ms before to 150 ms after foot strike. Peak activity during maximum voluntary contraction (MVC) was set as 100% for EMG normalization. The PFM onset threshold was determined as the mean of rest activity plus 2 standard deviations. Data were analysed with non-parametric statistical methods. Results EMG activity during all jumps was above the PFM onset threshold. Mean pre- and reflex activity increased significantly with jumping height (p < 0.05) as well as with increasing BWF. The PFM activation pattern of DL was with peak activity of 115–182 %MVC between 34 and 44 ms after foot strike, which was different from MT with peak PFM activity of 85–115 %MVC reached at 133 ms. Conclusions Jumping and mini-trampolining provoked significant PFM activity in healthy volunteers. The next research step will be to examine the PFM activity of women suffering from SUI during jumps. Keywords Electromyography Ground reaction force High impact Jump Stress urinary incontinence

Item Type:

Journal Article (Original Article)

Division/Institute:

Department of Health Professions
Department of Health Professions > Abteilung Physiotherapie

Name:

Wassmer Säuberli, Patricia; Schraknepper, Anja; Eichelberger, Patric; Luginbühl, Helena and Radlinger, Lorenz

ISSN:

0937-3462

Publisher:

Springer

Language:

English

Submitter:

Admin import user

Date Deposited:

13 Nov 2019 11:37

Last Modified:

13 Nov 2019 11:37

Publisher DOI:

10.1007/s00192-018-3664-9

ARBOR DOI:

10.24451/arbor.6779

URI:

https://arbor.bfh.ch/id/eprint/6779

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