Pelvic-floor muscle strength in pilates practitioners/ Fuerza muscular del piso pélvico en los practicantes de pilates/ Força muscular do assoalho pélvico em praticantes de pilates

Authors

  • Gustavo Fernando Sutter Latorre
  • Patrícia Helen Pigatto
  • Caroline Costa Oliveira da Silva
  • Margarete Pinto Miranda
  • Erica Feio Carneiro Nunes

DOI:

https://doi.org/10.30681/25261010

Keywords:

Physical Therapy Modalities, Pelvic Floor, Exercise Movement Techniques, Muscle Strength.

Abstract

Objective: to investigate the correlation between practicing Pilates and pelvic floor muscle strength. Method: cross-sectional study conducted with women that practiced the Pilates method for more than six months and sedentary women. Pelvic floor muscle strength was evaluated through the functional scale of the International Continence Society, betwen August and September 2017, in a clinic specialized in Pilates practice in the municipality of Poá, São Paulo, Brazil. Results: among the 41 women who participated in the study, 12 were Pilates practitioners. The Pilates group was, on average, ten years younger. The degrees of muscle strength of the pelvic floor in the Pilates group were higher than those in the control group (p = 0.0001). Conclusion: despite the small sample size and the age bias of the samples, it is possible that Pilates is in favor of a better pelvic floor function in women. One out of ten women is unable to contract the pelvic floor under verbal command, being part of a risk group for local dysfunctions in physical activities in general, which requires specific pelvic exercise.

References

Coleman TJ, Nygaard IE, Holder DN, Egger MJ, Hitchcock R. Intra-abdominal pressure during Pilates: unlikely to cause pelvic floor harm. Int Urogynecol J. 2015; 26(8):1123-30.

Cerejo AC. Disfunção sexual feminina: prevalência e fatores relacionados. Rev Port Clin Geral. 2006: 701-720.

Chiarioni G, Asteria C, Whitehead WE. Chronic proctalgia and chronic pelvic pain syndromes: new etiologic insights and treatment options. World J Gastroenterol. 2011;17(40):4447-55.

Robinson D, Cardozowan L. Urinary incontinence in the Young woman: treatment plans and options available. Womens Health (Lond). 2014; 10(2):201-17.

Giarenis I, Robinson D. Prevention and management of pelvic organ prolapse. F1000Prime Rep. 2014; 6:77.

Culligan P, Heit M. Urinary Incontinence in Women: Evaluation and Management. Am Fam Physician. 2000; 62(11):2433-44.

Jung HB, Kim HJ, Cho ST. A current perspective on geriatric lower urinary tract dysfunction. Korean J Urol. 2015; 56(4):266-75.

Petros PP, Ulmsten U. An anatomical classification--a new paradigm for management of female lower urinary tract dysfunction. Eur J Obstet Gynecol Reprod Biol. 1998; 80:87–94.

Fitz FF, Costa TF, Yamamoto DM, Resende APM, Stupp L, Sartori MGF, et al. Impact of pelvic floor muscle training on the quality of life in women with urinary incontinence. Rev Assoc Med Bras. 2012; 58(2):155-9.

Junjinger 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(1):69-77.

Leong BS, Mok NW. Effectiveness of a new standardised Urinary Continence Physiotherapy Programme for community-dwelling older women in Hong Kong. Hong Kong Med J. 2015; 21(1):30-7.

Bernards AT, Berghmans BC, Slieker-Ten Hove MC, Staal JB, de Bie RA, Hendriks EJ. Dutch guidelines for physiotherapy in patients with stress urinary incontinence: an update. Int Urogynecol J. 2014; 25(2):171-9.

Ashrafinia F, Mirmohammadali M, Rajabi H, Kazemnejad A, Sadeghniiat Haghighi K, Amelvalizadeh M. Effect of Pilates exercises on postpartum maternal fatigue. Singapore Med J. 2015; 56(3):169-73.

Oliveira LC, Oliveira GR, Pires-Oliveira DA. Effects of Pilates on muscle strength, postural balance and quality of life of older adults: a randomized, controlled, clinical trial. J Phys Ther Sci. 2015; 27(3):871-6.

Delancey JO. The hidden epidemic of pelvic floor dysfunction: Achievable goals for improved prevention and treatment. Am J Obstet Gynecol. 2005; 192(5):1488-95.

Sapsford RR, Hodges PW. Contraction os the Pelvic Floor Muscles During Abdominal Maneuvers. Arch Phys Med Rehabil. 2001; 82(8):1081-8.

Bo K, Frawley HC, Haylen BT, Abramov Y, Almeida FG, Berghmans B, et al. An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for the conservative and nonpharmacological management of female pelvic floor dysfunction. Neurourol Urodyn. 2017 Feb;36(2):221-244.

Marés G, de Oliveira KB, Piazza Carla M, Preis C, Neto Bertassoni L. The importance of central stabilization in Pilates method: a systematic review [Portuguese]. Fisioter em Mov. 2012;25(2):445–51

Queiroz BC, Cagliari MF, Amorim CF, Sacco IC. Muscle activation during four pilates core stability exercises in quadruped position. Arch Phys Med Rehabil 2010;91(1):86- 92. doi: 10.1016/j.apmr.2009.09.016

Bertoldi JT, Medeiros AM, Goulart SO. A influência do método Pilates na musculatura do assoalho pélvico em mulheres no climatério: estudo de caso. Cinergis. 2015;16(4):255-260.

Correa JN, Moreira B de P, Garcez VF. Ganho de força muscular do diafragma pélvico após utilização dos métodos Pilates ou kegel em pacientes com incontinência urinaria de esforço. Uningá Review. 2015; 23(2):11-17.

Diniz MFD, Vasconcelos B, Pires JLVR, Nogueira MM, Arcanjo GN. Avaliação da força muscular do assoalho pélvico em mulheres praticantes de Mat Pilates. MTP Rehab J. 2014; 12:406-420.

Andrezza EI, Serra E. A influência do método Pilates no fortalecimento do assoalho pélvico. Disponível em: http://activepilates.com.br/producoes/a-influe%cc%82ncia-do-me%cc%81todo-pilates-no-fortalecimento-do-assoalho.pdf. Acesso em 12/08/2016.

Nóbrega MFB. Processo de Trabalho em Enfermagem na Dimensão do Gerenciamento do Cuidado em um Hospital Público de Ensino [dissertação]. Fortaleza: Universidade Estadual do Ceará; 2006. 161 p.

Bø K, Herbert RD. There is not yet strong evidence that exercise regimens other than pelvic floor muscle training can reduce stress urinary incontinence in women: a systematic review. J Physiother. 2013; 59(3):159-68.

Henderson JW, Wang S, Egger MJ, Masters M, Nygaard I. Can women correctly contract their pelvic floor muscles without formal instruction? Female Pelvic Med Reconstr Surg. 2013; 19(1):8–12.

Ashton-Miller JA, DeLancey JO. Functional Anatomy of the Female Pelvic Floor. Ann N Y Acad Sci. 2007; 1101:266-96.

Slieker-ten Hove MC, Pool-Goudzwaard AL, Eijkemans MJ, Steegers-Theunissen RP, Burger CW, Vierhout ME. The prevalence of pelvic organ prolapse symptoms and signs and their relation with bladder and bowel disorders in a general female population. Int Urogynecol J Pelvic Floor Dysfunct. 2009; 20(9):1037–45.

Downloads

Published

2020-06-01

Issue

Section

Artigo Original/ Original Article/ Artículo Originale

How to Cite

Pelvic-floor muscle strength in pilates practitioners/ Fuerza muscular del piso pélvico en los practicantes de pilates/ Força muscular do assoalho pélvico em praticantes de pilates. (2020). Journal Health NPEPS, 5(1), 147-159. https://doi.org/10.30681/25261010

Similar Articles

1-10 of 28

You may also start an advanced similarity search for this article.