Pelvic floor muscle displacement during jumps in continent and incontinent women : An exploratory study.

Moser, Helene; Leitner, Monika; Eichelberger, Patric; Kuhn, Annette; Baeyens, Jean-Pierre; Radlinger, Lorenz (2019). Pelvic floor muscle displacement during jumps in continent and incontinent women : An exploratory study. Neurourology and urodynamics, 38(8), pp. 2374-2382. Wiley-Blackwell - STM 10.1002/nau.24161

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INTRODUCTION The prevalence of stress urinary incontinence during high-impact activities is high. Enhanced comprehension of pelvic floor muscle (PFM) displacement and activity is clinically relevant for the development of specific approaches in rehabilitation. The aim of the study is to investigate and to compare PFM displacement between the continent and incontinent women during jumps. METHODS A cross-sectional, exploratory design was applied to investigate PFM displacement during drop jumps (DJ) and countermovement jumps (CMJ). PFM displacement was assessed in craniocaudal translation and forward-backward rotation with an electromagnetic tracking system. RESULTS Twenty-eight continent and 22 incontinent women were included. During the first landing of DJ, a primary caudal, during the second landing of DJ/CMJ a primary cranial translation and during all jump a primary backward rotation was observed. No significant difference between the groups was found. DISCUSSION PFM displacement during running demonstrated caudal translation/forward rotation before and cranial translation/backward rotation after heel strike. During the second landing of DJ/CMJ a cranial translation/backward rotation and during the first landing of DJ a caudal translation/backward rotation has been observed after ground contact. This may be due to the longer lasting bodyweight force in the first landing of DJ. No eccentric-concentric stretch-shortening cycle could be seen. CONCLUSION This study indicates that during jumps two opposite reactions of involuntary PFM displacement happen, but no stretch-shortening cycle with an eccentric-concentric contraction could be found. Jumping stimuli inducing involuntary PFM displacement should be used for future investigations to consider a beneficial effect concerning continence.

Item Type:	Journal Article (Original Article)
Division/Institute:	School of Health Professions School of Health Professions > Physiotherapy
Name:	Moser, Helene; Leitner, Monika0000-0003-2685-4605; Eichelberger, Patric0000-0003-2223-6113; Kuhn, Annette; Baeyens, Jean-Pierre and Radlinger, Lorenz0000-0002-0326-6264
ISSN:	1520-6777
Publisher:	Wiley-Blackwell - STM
Language:	English
Submitter:	Lorenz Radlinger
Date Deposited:	04 Nov 2019 09:23
Last Modified:	18 Dec 2020 13:29
Publisher DOI:	10.1002/nau.24161
PubMed ID:	31493349
Uncontrolled Keywords:	biomechanical phenomena impact activity reflexive stress urinary incontinence
ARBOR DOI:	10.24451/arbor.8749
URI:	https://arbor.bfh.ch/id/eprint/8749