The impact of acute and chronic strenuous exercise on pelvic floor muscle strength and support in nulliparous healthy women.

  title={The impact of acute and chronic strenuous exercise on pelvic floor muscle strength and support in nulliparous healthy women.},
  author={Monique L Middlekauff and Marlene J Egger and Ingrid E Nygaard and Janet M. Shaw},
  journal={American journal of obstetrics and gynecology},
  volume={215 3},

The Association Between Pelvic Floor Muscle Force and General Strength and Fitness in Postpartum Women

In primiparous women 1-year postpartum, the results are consistent with existing literature that specific, targeted, and consistent pelvic floor exercises are the best way to improve PFM strength.

Strenuous physical activity, exercise, and pelvic organ prolapse: a narrative scoping review.

Experimental and prospective studies indicate that strenuous exercise increased POP symptoms and reduced pelvic floor support and the effect of exercises in the early postpartum period is reviewed.

Relative and Maximal Intra-abdominal Pressure and Postpartum Pelvic Floor Outcomes in Primiparas Delivered Vaginally

This exploratory analysis suggests that postpartum IAPSTRAIN may increase the prevalence of worse support in primiparas delivered vaginally.

Is Physical Activity Good or Bad for the Female Pelvic Floor? A Narrative Review

Two widely held opposing hypotheses on the effect of general exercise on the pelvic floor are presented and many knowledge gaps need to be understood to understand the full effects of strenuous and non-strenuous activities on pelvic floor health.

Pelvic floor evaluation in CrossFit® athletes and urinary incontinence: a cross-sectional observational study

Comparing the force and the contraction capacity of the pelvic floor musculature and urinary incontinence between female CrossFit® practitioners (AG) and non-practitioners (CG) found no significant differences between the two groups.

Effect of exercise on female pelvic floor morphology and muscle function: a systematic review.

An inverse relationship of PFM maximum voluntary contraction with exercise intensity is demonstrated and the studies found favorable outcomes for the control group in terms of hiatal area during contraction and Valsalva and bladder neck displacement.

Symptoms of pelvic organ prolapse in women who lift heavy weights for exercise: a cross-sectional survey

Physically active women who lift heavy weights for exercise do not have an increased prevalence of POP symptoms, and advice on the contribution of heavy weight lifting as part of a physical activity regime to the pathophysiology of POP requires further investigation.

Prevalence of Pelvic Floor Dysfunction, Bother, and Risk Factors and Knowledge of the Pelvic Floor Muscles in Norwegian Male and Female Powerlifters and Olympic Weightlifters

The prevalence of PFD was high, and the athletes had limited knowledge of the pelvic floor muscles (PFM), according to the International Consensus on Incontinence Questionnaires.

Association Between Physical Activity Level and Pelvic Floor Muscle Variables in Women.

A cross-sectional study was made to analyse the association between PA level and vaginal resting pressure (VRP) and P FM strength and endurance, and no associations were found between PA and PFM strength and Endurance.

Role of chronic exercise on pelvic floor support and function.

No strong conclusions can be drawn about whether chronic exercise exerts a positive or negative influence on pelvic floor support and function, and adopting longitudinal research methodology that prospectively monitors exercise exposure and subsequent changes in pelvic floor Support and function would help to reduce selection bias associated with cross sectional studies on groups of athletes.



Muscular fatigue in the pelvic floor muscles after strenuous physical activity

In young nulliparous women with symptoms of mild stress urinary incontinence, strenuous physical exercise results in lower maximal voluntary vaginal contraction pressure, indicating pelvic floor muscle fatigue.

Impact of Different Body Positions on Bioelectrical Activity of the Pelvic Floor Muscles in Nulliparous Continent Women

Pvic floor muscles activity during voluntary contractions did not differ by position in continent women and Statistically significant differences between the supine lying and sitting positions were only observed during a sustained 60-second contraction of the PFMs.

Pelvic prolapse and urinary incontinence in nulliparous college women in relation to paratrooper training

The objective of this study was to determine whether paratrooper training is associated with pelvic support defects or urinary incontinence. Nulliparous women at The United States Military Academy

Alterations in levator ani morphology in elite nulliparous athletes: A pilot study

The ‘suspected phenomenon’ of a more difficult childbirth for very athletic women might be related to these muscles reducing pelvic floor compliance in response to repetitive high impact training.

Variability of current symptoms in women with pelvic organ prolapse

Current symptoms of vaginal bulging varied on a day-to-day basis with women reporting more severe symptoms in the evenings and on average, women reported less severe ratings of current symptoms at the time of each visit compared to overall recall ratings.

Overuse Injuries in Sports

An appropriate diagnosis followed by adequate treatment can improve or eliminate most of these conditions, but perhaps even more importantly a proper understanding of overuse syndromes should allow physicians to assist athletes, trainers, and coaches in preventing them.

Interobserver variation in the assessment of pelvic organ prolapse

It was concluded that both the proposed ICS staging system and the traditional vaginal profile show significant interobserver agreement both by overall stage, stage-specific analysis and specific location.

Epidemiology of prolapse and incontinence questionnaire: validation of a new epidemiologic survey

EPIQ is a psychometrically validated screening instrument that may identify women at high risk of having pelvic floor disorders in large undiagnosed populations.

Development and reproducibility of the bone loading history questionnaire.

An historical bone loading questionnaire that assesses loads applied to the skeleton using bone loading units and is moderately associated with femoral neck aBMD can be reliably assessed and can help to identify women with low femoral necks prior to menopause.