Lateral abdominal muscle thickness and contractile function in women with and without stress urinary incontinence.

Abdominal muscles Ultrasonography Urinary incontinence Women

Journal

International urogynecology journal
ISSN: 1433-3023
Titre abrégé: Int Urogynecol J
Pays: England
ID NLM: 101567041

Informations de publication

Date de publication:
21 Aug 2023
Historique:
received: 11 05 2023
accepted: 16 07 2023
medline: 21 8 2023
pubmed: 21 8 2023
entrez: 20 8 2023
Statut: aheadofprint

Résumé

Stress urinary incontinence (SUI) primarily results from the weakness of pelvic floor muscles, working synergistically with the abdominal muscles. The current study aimed to compare thickness and contractile function of lateral abdominal muscles in women with and without SUI. Thirty-nine women with SUI (SUI group; age: 38.87 ± 8.96 years, body mass index (BMI): 24.03 (5.94) kg/m No significant differences in the thickness of TrA and IO muscles at rest and during ADIM between the groups were found (p > 0.05). The percent change in thickness and contractile function of both right and left side TrA muscles and the right side IO muscle were lower in SUI group than control group (p < 0.05). The percentage change in thickness and the contractile function of the left side IO muscle did not change (p > 0.05). Women with SUI had a smaller percentage change in thickness and contractile function of TrA and IO muscle than women without SUI. However, there was no difference in the morphological features of these muscles between the groups. Considering the lateral abdominal muscle, training may be important for management of SUI.

Identifiants

pubmed: 37599308
doi: 10.1007/s00192-023-05636-9
pii: 10.1007/s00192-023-05636-9
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© 2023. The International Urogynecological Association.

Références

Dumoulin C, Cacciari LP, Hay-Smith EJC. Pelvic floor muscle training versus no treatment, or inactive control treatments, for urinary incontinence in women. Cochrane Database Syst Rev. 2018;10:CD005654.
pubmed: 30288727
Buckley BS, Lapitan MCM. Prevalence of urinary incontinence in men, women, and children—current evidence: findings of the Fourth International Consultation on Incontinence. Urology. 2010;76:265–70.
doi: 10.1016/j.urology.2009.11.078 pubmed: 20541241
Chow PM, Chuang YC, Hsu KCP, Shen YC, Liu SP. Impact of female stress urinary ıncontinence on quality of life, mental health, work limitation, and healthcare seeking in China, Taiwan, and South Korea (LUTS Asia): results from a cross-sectional, population-based study. Int J Women's Health. 2022;14:1871–80.
doi: 10.2147/IJWH.S383651
Verghese T, Latthe P. Recent status of the treatment of stress urinary incontinence. Int J Urol. 2014;21(1):25–31.
doi: 10.1111/iju.12238 pubmed: 23944714
Thompson JA, O’Sullivan PB, Briffa NK, Neumann P. Altered muscle activation patterns in symptomatic women during pelvic floor muscle contraction and Valsalva manouevre. Neurourol Urodyn. 2006;25:268–76.
doi: 10.1002/nau.20183 pubmed: 16496395
Messelink B, Benson T, Berghmans B, et al. Standardization of terminology of pelvic floor muscle function and dysfunction: report from the Pelvic Floor Clinical Assessment Group of the International Continence Society. Neurourol Urodyn. 2005;24:374–80.
doi: 10.1002/nau.20144 pubmed: 15977259
Neumann P, Gill V. Pelvic floor and abdominal muscle interaction: EMG activity and intra-abdominal pressure. Int Urogynecol J Pelvic Floor Dysfunct. 2002;13:125–32.
doi: 10.1007/s001920200027 pubmed: 12054180
Vesentini G, El Dib R, Righesso LAR, et al. Pelvic floor and abdominal muscle cocontraction in women with and without pelvic floor dysfunction: a systematic review and meta-analysis. Clinics (Sao Paulo). 2019;74:e1319.
doi: 10.6061/clinics/2019/e1319 pubmed: 31778432
Junginger B, Baessler K, Sapsford R, Hodges PW. Effect of abdominal and pelvic floor tasks on muscle activity, abdominal pressure and bladder neck. Int Urogynecol J. 2010;21:69–77.
doi: 10.1007/s00192-009-0981-z pubmed: 19730763
Panjabi MM. The stabilizing system of the spine. Part I. function, dysfunction, adaptation, and enhancement. J Spinal Disord. 1992;5(4):383–9.
doi: 10.1097/00002517-199212000-00001 pubmed: 1490034
Kim EY, Kim SY, Oh DW. Pelvic floor muscle exercises utilizing trunk stabilization for treating postpartum urinary incontinence: randomized controlled pilot trial of supervised versus unsupervised training. Clin Rehabil. 2012;26:132–41.
doi: 10.1177/0269215511411498 pubmed: 21849373
Jourdan A, Le Troter A, Daude P, Rapacchi S, Masson C, Bège T, Bendahan D. Semiautomatic quantification of abdominal wall muscles deformations based on dynamic MRI image registration. NMR Biomed. 2021;34:e4470.
doi: 10.1002/nbm.4470 pubmed: 33525062
Teyhen DS. Rehabilitative ultrasound imaging: the roadmap ahead. J Orthop Sports Phys Ther. 2007;37(8):431–3.
doi: 10.2519/jospt.2007.0107 pubmed: 17877279
Whittaker JL, Stokes M. Ultrasound imaging and muscle function. J Orthop Sports Phys Ther. 2011;41(8):572–80.
doi: 10.2519/jospt.2011.3682 pubmed: 21654098
Hodges PW, Pengel LMH, Herbert RD, Gandevia SC. Measurement of muscle contraction with ultrasound imaging. Muscle Nerve. 2003;27:682–92.
doi: 10.1002/mus.10375 pubmed: 12766979
Arab AM, Chehrehrazi M. Ultrasound measurement of abdominal muscles activity during abdominal hollowing and bracing in women with and without stress urinary incontinence. Man Ther. 2011;16(6):596–601.
doi: 10.1016/j.math.2011.06.002 pubmed: 21802342
Madokoro S, Miaki H. Relationship between transversus abdominis muscle thickness and urinary incontinence in females at 2 months postpartum. J Phys Ther Sci. 2019;31(1):108–11.
doi: 10.1589/jpts.31.108 pubmed: 30774216 pmcid: 6348182
Tajiri K, Huo M, Yin K, Fujisawa S, Maruyama H. An approach to assessment of female urinary incontinence risk using the thickness of the transverse abdominal muscle. J Phys Ther Sci. 2012;24:43–6.
doi: 10.1589/jpts.24.43
Burzynski B, Jurys T, Knapik M, Burzynski K, Rzymski P, Rajwa P, Bryniarski P. Abdominal complex muscle in women with stress urinary incontinence—prospective case–control study. Arch Med Sci. 2023;19(4):1–6.
Cetinel B, Özkan B, Günay C. ICIQ-SF Türkçe versiyonu validasyon çalışması. Turk J Urol. 2004;30(3):332–8.
Karakus A, Balaban M, Ozer Kaya D, Toprak Celenay S. Lumbopelvic muscle endurance, morphology, alignment, and mobility in women with primary dysmenorrhea: a case–control study. Clin Biomech (Bristol, Avon). 2022;92:105582.
doi: 10.1016/j.clinbiomech.2022.105582 pubmed: 35093799
Teyhen DS, Bluemle LN, Dolbeer JA, Baker SE, Molloy JM, Whittaker J, Childs JD. Changes in lateral abdominal muscle thickness during the abdominal drawing-in maneuver in those with lumbopelvic pain. J Orthop Sports Phys Ther. 2009;39(11):791–8.
doi: 10.2519/jospt.2009.3128 pubmed: 19881003
Henry SM, Westervelt KC. The use of real-time ultrasound feedback in teaching abdominal hollowing exercises to healthy subjects. J Orthop Sports Phys Ther. 2005;35:338–45.
doi: 10.2519/jospt.2005.35.6.338 pubmed: 16001905
Teyhen DS, Miltenberger CE, Deiters HM, Del Toro YM, Pulliam JN, Childs JD, Boyles RE, Flynn TW. The use of ultrasound imaging of the abdominal drawing-in maneuver in subjects with low back pain. J Orthop Sports Phys Ther. 2005;35:346–55.
doi: 10.2519/jospt.2005.35.6.346 pubmed: 16001906
Willson JD, Dougherty CP, Ireland ML, Davis IMC. Core stability and its relationship to lower extremity function and injury. J Am Acad Orthop Surg. 2005;13(5):316–25.
doi: 10.5435/00124635-200509000-00005 pubmed: 16148357
Cresswell AG, Thorstensson A. Changes in intraabdominal pressure, trunk muscle activation and force during isokinetic lifting and lowering. Eur J Appl Physiol. 1994;68(4):315–21.
doi: 10.1007/BF00571450
Eliasson K, Elfving B, Nordgren B, Mattsson E. Urinary incontinence in women with low back pain. Man Ther. 2008;13:206–12.
doi: 10.1016/j.math.2006.12.006 pubmed: 17363318
Linek P. The importance of body mass normalisation for ultrasound measurement of the transversus abdominis muscle: the effect of age, gender and sport practice. Musculoskelet Sci Pract. 2017;28:65–70.
doi: 10.1016/j.msksp.2017.01.014 pubmed: 28189038
Toprak Celenay S, Ozer Kaya D. Relationship of spinal curvature, mobility, and low back pain in women with and without urinary incontinence. Turk J Med Sci. 2017;47:1257–62.
doi: 10.3906/sag-1609-67 pubmed: 29156871
Khorasani F, Ghaderi F, Bastani P, Sarbakhsh P, Berghmans B. The effects of home-based stabilization exercises focusing on the pelvic floor on postnatal stress urinary incontinence and low back pain: a randomized controlled trial. Int Urogynecol J. 2020;31(11):2301–7.
doi: 10.1007/s00192-020-04284-7 pubmed: 32274521

Auteurs

Seyda Toprak Celenay (ST)

Health Sciences Faculty, Department of Physiotherapy and Rehabilitation, Ankara Yildirim Beyazit University, Ankara, Turkey. sydtoprak@hotmail.com.

Mehtap Balaban (M)

Faculty of Medicine, Department of Radiology, Ankara Yildirim Beyazit University, Ankara, Turkey.

Derya Ozer Kaya (DO)

Health Sciences Faculty, Department of Physiotherapy Rehabilitation, Izmir Katip Celebi University, Izmir, Turkey.

Classifications MeSH