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Publication type: Article in scientific journal
Type of review: Open peer review
Title: Pelvic floor muscles after birth : do unstable shoes have an effect on pelvic floor activity and can this be measured reliably? – a feasibility study
Authors : Graf, Eveline
Borner, Barbara
Pehlke-Milde, Jessica
et. al : No
DOI : 10.21256/zhaw-18681
Published in : International Journal of Health Professions
Volume(Issue) : 6
Issue : 1
Pages : 116
Pages to: 123
Issue Date: 2019
Publisher / Ed. Institution : De Gruyter
ISSN: 2296-990X
Language : English
Subject (DDC) : 615.82: Physical therapy
618: Gynecology, obstetrics and midwifery
Abstract: Background: Women often suffer from urinary incontinence after childbirth. Pelvic floor muscle training is an evidenced-based intervention to prevent urinary incontinence and improve its symptoms Aim: The primary purpose of this study was to determine if there is a change in the activation of the pelvic floor muscles with different extrinsic parameters (barefoot versus unstable shoe). Second, we wanted to define variables that can be measured reliably and correlated with pelvic floor activity. Methods: Data of 15 women who were 8 weeks to 6 months postpartum were analyzed. Two conditions (“barefoot” and “kyBoot”) were tested, with each participant performing three different tasks: walking, standing with an active pelvic floor, and standing with a passive pelvic floor. Three-dimensional kinematics of the body were recorded. Activity of the abdominal, back, and gluteal muscles was measured using surface electromyography (EMG). The activity of the pelvic floor was recorded using a vaginal electrode. Maximum pelvic floor activity was compared for each condition, and correlations among pelvic floor activity, kinematic variables, and skeletal muscle activity were determined. Results: The maximum activity of the pelvic floor while walking was significantly higher when participants were barefoot than when they were wearing kyBoot shoes. For the standing trials, no significant differences between the conditions were detected. No surrogate marker was found to measure the pelvic floor activity. Conclusion: With regard to the pelvic floor musculature, no recommendation is possible in favor of or against wearing unstable shoes. Technical developments are necessary to provide solutions to reliably measure the pelvic floor activity.
Fulltext version : Published version
License (according to publishing contract) : CC BY-NC-ND 4.0: Attribution - Non commercial - No derivatives 4.0 International
Departement: Health Professions
Organisational Unit: Institute of Midwifery (IHB)
Institute of Physiotherapy (IPT)
Published as part of the ZHAW project : Machbarkeitsstudie für die Entwicklung einer Einlegesohle für den kyBoot mit sensomotorischen Elementen zur Aktivierung des Beckenbodens nach der Geburt
Appears in Collections:Publikationen Gesundheit

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