Please use this identifier to cite or link to this item:
https://doi.org/10.21256/zhaw-18681
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 10.2478/ijhp-2019-0013 |
Published in: | International Journal of Health Professions |
Volume(Issue): | 6 |
Issue: | 1 |
Page(s): | 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. |
URI: | https://digitalcollection.zhaw.ch/handle/11475/18681 |
Fulltext version: | Published version |
License (according to publishing contract): | CC BY-NC-ND 4.0: Attribution - Non commercial - No derivatives 4.0 International |
Departement: | School of Health Sciences |
Organisational Unit: | Institute of Midwifery and Reproductive Health (IHG) 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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Graf_IJHP_2019.pdf | 651.99 kB | Adobe PDF | View/Open |
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Graf, E., Borner, B., & Pehlke-Milde, J. (2019). Pelvic floor muscles after birth : do unstable shoes have an effect on pelvic floor activity and can this be measured reliably? – a feasibility study. International Journal of Health Professions, 6(1), 116–123. https://doi.org/10.21256/zhaw-18681
Graf, E., Borner, B. and Pehlke-Milde, J. (2019) ‘Pelvic floor muscles after birth : do unstable shoes have an effect on pelvic floor activity and can this be measured reliably? – a feasibility study’, International Journal of Health Professions, 6(1), pp. 116–123. Available at: https://doi.org/10.21256/zhaw-18681.
E. Graf, B. Borner, and J. Pehlke-Milde, “Pelvic floor muscles after birth : do unstable shoes have an effect on pelvic floor activity and can this be measured reliably? – a feasibility study,” International Journal of Health Professions, vol. 6, no. 1, pp. 116–123, 2019, doi: 10.21256/zhaw-18681.
GRAF, Eveline, Barbara BORNER und Jessica PEHLKE-MILDE, 2019. Pelvic floor muscles after birth : do unstable shoes have an effect on pelvic floor activity and can this be measured reliably? – a feasibility study. International Journal of Health Professions. 2019. Bd. 6, Nr. 1, S. 116–123. DOI 10.21256/zhaw-18681
Graf, Eveline, Barbara Borner, and Jessica Pehlke-Milde. 2019. “Pelvic Floor Muscles after Birth : Do Unstable Shoes Have an Effect on Pelvic Floor Activity and Can This Be Measured Reliably? – a Feasibility Study.” International Journal of Health Professions 6 (1): 116–23. https://doi.org/10.21256/zhaw-18681.
Graf, Eveline, et al. “Pelvic Floor Muscles after Birth : Do Unstable Shoes Have an Effect on Pelvic Floor Activity and Can This Be Measured Reliably? – a Feasibility Study.” International Journal of Health Professions, vol. 6, no. 1, 2019, pp. 116–23, https://doi.org/10.21256/zhaw-18681.
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