Relationship between lower limb position and pelvic floor muscle surface electromyography activity in menopausal women: a prospective observational study

Tomasz Halski,1 Kuba Ptaszkowski,2 Lucyna Słupska,1 Robert Dymarek,3 Małgorzata Paprocka-Borowicz2 1Department of Physiotherapy, Opole Medical School, Opole, 2Department of Clinical Biomechanics and Physiotherapy in Motor System Disorders, 3Department of Nervous System Diseases, Faculty of Health S...

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Main Authors: Halski T, Ptaszkowski K, Słupska L, Dymarek R, Paprocka-Borowicz M
Format: Article
Language:English
Published: Dove Medical Press 2017-01-01
Series:Clinical Interventions in Aging
Subjects:
Online Access:https://www.dovepress.com/relationship-between-lower-limb-position-and-pelvic-floor-muscle-surfa-peer-reviewed-article-CIA
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author Halski T
Ptaszkowski K
Słupska L
Dymarek R
Paprocka-Borowicz M
author_facet Halski T
Ptaszkowski K
Słupska L
Dymarek R
Paprocka-Borowicz M
author_sort Halski T
collection DOAJ
description Tomasz Halski,1 Kuba Ptaszkowski,2 Lucyna Słupska,1 Robert Dymarek,3 Małgorzata Paprocka-Borowicz2 1Department of Physiotherapy, Opole Medical School, Opole, 2Department of Clinical Biomechanics and Physiotherapy in Motor System Disorders, 3Department of Nervous System Diseases, Faculty of Health Science, Wroclaw Medical University, Wroclaw, Poland Objectives: In physiotherapeutic practice, special attention is being given to the reciprocal anatomical, physiological, and biomechanical relationship of the pelvis and the structures connected to it. However, the scientific literature shows mainly the theoretical information about their mutual connections. The lack of information about these relations from a practical aspect coupled with the paucity of scientific papers on the impact of posture changes on the pelvic floor led the authors to conduct this study. The primary aim of this study was to compare the resting and functional bioelectrical activities of pelvic floor muscles (PFMs) depending on three different positions of the lower limbs (positions A, B, and C) in the supine position.Materials and methods: This was a prospective observational study evaluating resting and functional activities of the PFM depending on the position of the lower limbs. The study was carried out at the Department and Clinic of Urology, University Hospital in Wroclaw, Poland and the target group were women in the menopausal period. Bioelectrical activity of PFM was recorded using a surface electromyographic instrument in the supine position. Results of the values obtained in A, B, and C positions were compared using a one-way analysis of variance.Results: In position A, the average resting surface electromyography (sEMG) activity of PFM was 6.9±2.6 µV; in position B, the result was 6.9±2.5 µV and in position C, the resting sEMG activity was 5.7±1.8 µV (P=0.0102). The results of the functional bioelectrical activity of PFM were as follows: position A – 20.3±11.8 µV, position B – 19.9±10.6 µV, and position C – 25.3±10.9 µV (P=0.0104).Conclusion: The results showed that in the supine position, the PFM achieved the lowest resting activity and the highest functional activity. Therefore, the supine position can be recommended for the diagnosis and therapy of weakened PFM. Keywords: pelvic floor muscles, menopause, surface electromyography, synergistic muscle
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spelling doaj.art-7d3117764a494f17baf15ecdcb84798e2022-12-21T18:00:39ZengDove Medical PressClinical Interventions in Aging1178-19982017-01-01Volume 12758330735Relationship between lower limb position and pelvic floor muscle surface electromyography activity in menopausal women: a prospective observational studyHalski TPtaszkowski KSłupska LDymarek RPaprocka-Borowicz MTomasz Halski,1 Kuba Ptaszkowski,2 Lucyna Słupska,1 Robert Dymarek,3 Małgorzata Paprocka-Borowicz2 1Department of Physiotherapy, Opole Medical School, Opole, 2Department of Clinical Biomechanics and Physiotherapy in Motor System Disorders, 3Department of Nervous System Diseases, Faculty of Health Science, Wroclaw Medical University, Wroclaw, Poland Objectives: In physiotherapeutic practice, special attention is being given to the reciprocal anatomical, physiological, and biomechanical relationship of the pelvis and the structures connected to it. However, the scientific literature shows mainly the theoretical information about their mutual connections. The lack of information about these relations from a practical aspect coupled with the paucity of scientific papers on the impact of posture changes on the pelvic floor led the authors to conduct this study. The primary aim of this study was to compare the resting and functional bioelectrical activities of pelvic floor muscles (PFMs) depending on three different positions of the lower limbs (positions A, B, and C) in the supine position.Materials and methods: This was a prospective observational study evaluating resting and functional activities of the PFM depending on the position of the lower limbs. The study was carried out at the Department and Clinic of Urology, University Hospital in Wroclaw, Poland and the target group were women in the menopausal period. Bioelectrical activity of PFM was recorded using a surface electromyographic instrument in the supine position. Results of the values obtained in A, B, and C positions were compared using a one-way analysis of variance.Results: In position A, the average resting surface electromyography (sEMG) activity of PFM was 6.9±2.6 µV; in position B, the result was 6.9±2.5 µV and in position C, the resting sEMG activity was 5.7±1.8 µV (P=0.0102). The results of the functional bioelectrical activity of PFM were as follows: position A – 20.3±11.8 µV, position B – 19.9±10.6 µV, and position C – 25.3±10.9 µV (P=0.0104).Conclusion: The results showed that in the supine position, the PFM achieved the lowest resting activity and the highest functional activity. Therefore, the supine position can be recommended for the diagnosis and therapy of weakened PFM. Keywords: pelvic floor muscles, menopause, surface electromyography, synergistic musclehttps://www.dovepress.com/relationship-between-lower-limb-position-and-pelvic-floor-muscle-surfa-peer-reviewed-article-CIApelvic floor musclesmenopausesurface electromyographysynergistic muscle.
spellingShingle Halski T
Ptaszkowski K
Słupska L
Dymarek R
Paprocka-Borowicz M
Relationship between lower limb position and pelvic floor muscle surface electromyography activity in menopausal women: a prospective observational study
Clinical Interventions in Aging
pelvic floor muscles
menopause
surface electromyography
synergistic muscle.
title Relationship between lower limb position and pelvic floor muscle surface electromyography activity in menopausal women: a prospective observational study
title_full Relationship between lower limb position and pelvic floor muscle surface electromyography activity in menopausal women: a prospective observational study
title_fullStr Relationship between lower limb position and pelvic floor muscle surface electromyography activity in menopausal women: a prospective observational study
title_full_unstemmed Relationship between lower limb position and pelvic floor muscle surface electromyography activity in menopausal women: a prospective observational study
title_short Relationship between lower limb position and pelvic floor muscle surface electromyography activity in menopausal women: a prospective observational study
title_sort relationship between lower limb position and pelvic floor muscle surface electromyography activity in menopausal women a prospective observational study
topic pelvic floor muscles
menopause
surface electromyography
synergistic muscle.
url https://www.dovepress.com/relationship-between-lower-limb-position-and-pelvic-floor-muscle-surfa-peer-reviewed-article-CIA
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AT słupskal relationshipbetweenlowerlimbpositionandpelvicfloormusclesurfaceelectromyographyactivityinmenopausalwomenaprospectiveobservationalstudy
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