Archives of Physical Medicine and Rehabilitation
Volume 82, Issue 8 , Pages 1081-1088 , August 2001

Contraction of the pelvic floor muscles during abdominal maneuvers

,Accepted 6 September 2000.

References 

  1. Deindl F, Vodusek D, Hesse U, Schussler B. Activity patterns of pubococcygeal muscles in nulliparous continent women. Br J Urol. 1993;72:46–51
  2. Bø K, Stien R. Needle EMG registration of striated urethral wall and pelvic floor muscle activity patterns during cough, valsalva, abdominal, hip adductor and gluteal muscle contractions in nulliparous healthy females. Neurourol Urodyn. 1994;13:35–41
  3. Hemborg B, Moritz U, Löwing H. Intra-abdominal pressure and trunk muscle activity during lifting. IV. The causal factors of the intra-abdominal pressure rise. Scand J Rehabil Med. 1985;17:25–38
  4. Bø K. Techniques. In:  Schussler B,  Laycock J,  Norton P,  Stanton S editor. Pelvic floor re-education: principles and practice. London: : Springer-Verlag; 1994;p. 134–139
  5. Bump RC, Mattiasson A, Bo K, Brubaker LP, DeLancey JO, Klarskov P, et al.  The standardization of terminology of female pelvic organ prolapse and pelvic floor dysfunction. Am J Obstet Gynecol. 1996;175:10–17
  6. Sapsford R, Hodges P, Richardson CA, Cooper DH, Markwell SJ, Jull GA. Co-activation of the abdominal and pelvic floor muscles during voluntary exercises. Neurourol Urodyn. 2001;20:31–42
  7. Vodusek D. Electrophysiology. In:  Schussler B,  Laycock J,  Norton P,  Stanton S editor. Pelvic floor re-education: principles and practice. London: : Springer-Verlag; 1994;p. 83–97
  8. DeTroyer A, Estenne M, Ninane V, VanGansbeke D, Gorini M. Transversus abdominis muscle function in humans. J Appl Physiol. 1990;68:1010–1016
  9. Cresswell AG, Grundstrom H, Thorstensson A. Observations on intra-abdominal pressure and patterns of abdominal intra-muscular activity in man. Acta Physiol Scand. 1992;144:409–418
  10. Hodges PW, Richardson CA. Feedforward contraction of transversus abdominis is not influenced by the direction of arm movement. Exp Brain Res. 1997;114:362–370
  11. Misuri G, Colagrande S, Gorini M, Iandelli I, Mancini M, Duranti R, et al.  In vivo ultrasound assessment of respiratory function of abdominal muscles in normal subjects. Eur Respir J. 1997;10:2861–2867
  12. Richardson CA, Jull GA, Hodges PW, Hides JA. Therapeutic exercise for spinal segmental stabilisation in low back pain: scientific basis and clinical approach. Edinburgh: : Churchill Livingstone; 1999;
  13. Al-Taher H, Sutherst JR, Richmond DH, Brown MC. Vaginal pressure as an index of intra-abdominal pressure during urodynamic evaluation. Br J Urol. 1987;59:529–532
  14. Constantinou CE, Govan DE. Spatial distribution and timing of transmitted and reflexly generated urethral pressures in healthy women. J Urol. 1982;127:964–969
  15. Thind P, Lose G, Jorgensen L, Colstrup H. Variations in urethral and bladder pressure during stress episodes in healthy women. Br J Urol. 1990;66:389–392
  16. Pieber D, Zivkovic F, Tamussino K. Timing of urethral pressure pulses before and after continence surgery. Neurourol Urodyn. 1998;17:19–23
  17. Gordon H, Logue M. Perineal muscle function after childbirth. Lancet. 1985;2:123–125
  18. Hodges PW. Is there a role for transversus abdominis in lumbo-pelvic stability?. [review] Man Ther. 1999;4:74–86
  19. Vereeken R, Derluyn J, Verduyn H. Electromyography of the perineal striated muscles during cystometry. Urol Int. 1975;30:92–98
  20. Hodges PW, Butler JE, McKenzie D, Gandevia SC. Contraction of the human diaphragm during postural adjustments. J Physiol (Lond). 1997;505:239–248
  21. Hodges P, Gandevia S. Activation of the human diaphragm during a repetitive postural task. J Physiol (Lond). 2000;522:165–175
  22. Hodges P, Gandevia S. Changes in intra-abdominal pressure during postural and respiratory activation of the human diaphragm. J Appl Physiol. 2000;89:967–976
  23. Christensen L, Djurhuus J, Lewis M, Dev P, Chase RA, Constantinou PS, et al.  MRI of voluntary pelvic floor contractions in healthy female volunteers. Int Urogynecol J. 1995;6:138–152
  24. Bø K, Lilleas F, Talseth T. Dynamic MRI of pelvic floor and coccygeal movement during pelvic floor muscle contraction and straining. Neurourol Urodyn. 1997;16:409–410
  25. Wijma J, Tinga DJ, Visser GH. Perineal ultrasonography in women with stress incontinence and controls: the role of the pelvic floor muscles. Gynecol Obstet Invest. 1991;32:176–179

☆1 Supported by the National Health and Medical Research Council of Australia. Equipment provided by Arthur Algate, Advantage Health Care, Pty Ltd.

☆2 The author(s) has/have chosen not to select a disclosure statement.

☆3 Reprint requests to Ruth R. Sapsford, DipPhty, Dept of Physiotherapy, Mater Misericordiae Hospital, Raymond Ter, South Brisbane, QLD 4101 Australia, e-mail: rsapsford@ozemail.com.au.

☆4 Suppliers

☆5 a. NEEN HealthCare, Old Pharmacy Yard, Church St, Dereham, Norfolk, NR19 1DJ, England.

☆6 b. Medtronic, Tonsbakken 16-18, DK-2740 Skovlunde, Denmark.

☆7 c. ConMed Corp, 310 Broad St, Utica, NY 13501.

☆8 d. A-M Systems Inc, 11627-A Airport Rd, Everett, WA 98204.

☆9 e. Incare Medical Products, 2000 Hollister Dr, Libertyville, IL 60048.

☆10 f. Gaeltec Ltd, Dunvegan, Isle of Skye, Scotland IV55 8GU, UK.

☆11 g. 128XP/4; Acuson Corp, 1220 Charleston Rd, PO Box 7393, Mountain View, CA 94039-7393.

☆12 h. Digitimer Ltd, 37 Hydeway, Welwyn Garden City, Hertfordshire, AL7 3BE, England.

☆13 i. Cambridge Electronic Design Ltd, Science Park, Milton Rd, Cambridge CB4 0FE, UK.

☆14 j. StatSoft Inc, 2300 E 14th St, Tulsa, OK 74104.

PII: S0003-9993(01)28312-9

doi: 10.1053/apmr.2001.24297

Archives of Physical Medicine and Rehabilitation
Volume 82, Issue 8 , Pages 1081-1088 , August 2001

Article Tools

* Image Usage & Resolution