Is abdominal hypopressive technique effective in the prevention and treatment of pelvic floor dysfunction? Marketing or evidence from high-quality clinical trials?

@article{MartnRodrguez2017IsAH,
  title={Is abdominal hypopressive technique effective in the prevention and treatment of pelvic floor dysfunction? Marketing or evidence from high-quality clinical trials?},
  author={Sa{\'u}l Mart{\'i}n-Rodr{\'i}guez and Kari B{\o}},
  journal={British Journal of Sports Medicine},
  year={2017},
  volume={53},
  pages={135 - 136}
}
In the late 1940s, Arnold Kegel first described pelvic floor muscle training (PFMT) to prevent and treat pelvic floor dysfunctions such as urinary incontinence (UI) and pelvic organ prolapse (POP). Several systematic reviews and Cochrane reviews conclude that there is level 1A evidence for prevention and treatment of PFMT for UI1 and POP.2 Despite the strong evidence for PFMT for these conditions, several other exercise regimens have been proposed and advocated to manage UI and POP… 
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Background Citations
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15 Citations

RE: Pelvic Floor Dysfunction in Female Athletes

Pelvic floor muscle training during pregnancy may also decrease the risk of urinary incontinence in late pregnancy and 3–6 months postpartum (29% less) (9).

Effect of an abdominal hypopressive technique programme on pelvic floor muscle tone and urinary incontinence in women: a randomised crossover trial.

HYPOPRESSIVE AND KEGEL EXERCISES IN WOMEN WITH ABDOMINAL AND PELVIC FLOOR DISFUNCTION

The aim of the present study was to investigate the effect of the use of hypopressive and Kegel exercises in women who have given birth at a mean age of 50 ± 3.7 and find their effect is undoubtedly positive in all reported functional aspects.

Modern possibilities for the prevention of pelvic organ prolapse

The causes and methods of prevention of pelvic organ prolapse at the present stage, including in the biofeedback mode using vaginal simulators, electrical impulse stimulation, high-intensity focused electromagnetic stimulation, and non-ablative Er:YAG laser therapy are considered.

Improving the Technique of Pelvic Floor Muscle Contraction in Active Nulliparous Women Attending a Structured High–Low Impact Aerobics Program—A Randomized Control Trial

Learning the correct technique of performing pelvic floor muscle (PFM) exercises is a very important factor influencing the effectiveness of this muscle group training. Correctly performed PFM…

Breathing, (S)Training and the Pelvic Floor—A Basic Concept

A basic concept of the influence of different breathing patterns on the PF during strenuous physical efforts is proposed and the pelvic floor muscles physiologically act as expiratory muscles in synergy with the anterolateral abdominal muscles, contracting during expiration and relaxing during inspiration.

Hypopressive technique versus pelvic floor muscle training for postpartum pelvic floor rehabilitation: A prospective cohort study

Aims: Abdominal hypopressive technique (AHT) is gaining popularity as an alternative to pelvic floor muscle training (PFMT) during postpartum. Although, there is no solid evidence for its…

Can abdominal hypropressive technique improve stress urinary incontinence? an assessor‐blinded randomized controlled trial

To verify which one improves better stress urinary incontinence (SUI) symptoms: abdominal hypopressive technique (AHT) or pelvic floor muscle training (PFMT).

Efectos de un programa de entrenamiento de Hypopressive RSF Reprogramación Sistémica Funcional en mujeres sanas (Effects of a Hypopressive Exercise training program on healthy women)

  • Ignacio Matías Barresi LeloutreOscar Hernández Vian
  • Medicine
  • 2020
Sustained hypopressive exercise over 8 weeks (significantly) reduces abdominal perimeter and improves muscle tone and Peak Flow, therefore increasing trainees’ breathing/respiratory capacity.

Perceptions of the technical staff of professional teams regarding injury prevention in Spanish national futsal leagues: a cross-sectional study

The perceptions of technical staff on injury risk factors, risk testing and preventive measures, and the strategies used by them within professional male and female futsal teams were described to describe the main risk factors and preventive strategies applied by technical staff.

References

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The efficacy of pelvic floor muscle training for pelvic organ prolapse: a systematic review and meta-analysis

A meta-analysis demonstrated women who received PFMT showed a greater subjective improvement in prolapse symptoms and an objective improvement in POP severity.

Efficacy of pelvic floor muscle training and hypopressive exercises for treating pelvic organ prolapse in women: randomized controlled trial.

Pelvic floor muscle training and hypopressive exercises produced similar improvements in the CSA of the levator ani muscle, which increased significantly with physiotherapy among the women with pelvic organ prolapse.

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.

Pelvic floor muscle and transversus abdominis activation in abdominal hypopressive technique through surface electromyography

The abdominal hypopressive technique (AHT) is performed mainly via transversus abdominis (TrA) activation and has been indicated for pelvic floor muscle disorders and PFM through surface electromyography was investigated.

Transabdominal ultrasound measurement of pelvic floor muscle activity when activated directly or via a transversus abdominis muscle contraction

The purpose of the present study was to compare the effectiveness of instruction to contract the pelvic floor muscles (PFM), the transversus abdominis (TrA), and the TrA + PFM visualized as…

When and how should new therapies become routine clinical practice?

Can hypopressive exercises provide additional benefits to pelvic floor muscle training in women with pelvic organ prolapse?

The aim of the study was to compare the effect of hypopressive exercises including pelvic floor muscle contraction, pelvic floor muscle training (PFMT) alone and control on pelvic floor muscle…

Choosing Wisely: how the UK intends to reduce harmful medical overuse

  • J. Wise
  • Medicine
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The Choosing Wisely campaign has laudable aims to reduce harmful and costly medical overuse, writes Jacqui Wise, but will it make a difference in the UK?

Pelvic floor muscle training versus no treatment, or inactive control treatments, for urinary incontinence in women.

The treatment effect seems greater in women with stress urinary incontinence alone, who participate in a supervised PFMT programme for at least three months, but these and other uncertainties require testing in further trials.

Hypopressive techniques: Cardeñoso

  • 2015