Bladder Displacement During Abdominal and Pelvic Floor Exercises

NCT ID: NCT04154527

Last Updated: 2020-03-17

Basic Information

• Recruitment Status: UNKNOWN
• Total Enrollment: 64 participants
• Study Classification: OBSERVATIONAL
• Study Start Date: 2017-05-02
• Study Completion Date: 2020-11-30

Brief Summary

This study evaluates the bladder base displacements during abdominal and pelvic floor exercises in postpartum women comparing to nulliparous women

Detailed Description

Postpartum women are at increased risk of suffering pelvic floor dysfunctions. However, only a few researches are focused on the exercises physiological effect at the postpartum recovery period.

A prospective observational study was designed to evaluate the protective or the prolapsed effect of abdominal and pelvic floor exercises in postpartum women.

Two groups were established: Group A was composed of primiparous women during postpartum period and group B of nulliparous women. Both groups practiced the same set of 6 abdominal and perineum exercises. The bladder descent was registered by ultrasonography, and the correct execution was controlled in both groups by superficial pelvic floor and abdominal electromyography.

A Graphical User Interface on MATLAB software has been developed for aiding in offline measurement process.

Conditions

Postpartum Disorder

Study Design

• Observational Model Type: ECOLOGIC_OR_COMMUNITY
• Study Time Perspective: CROSS_SECTIONAL

Study Groups

postpartum women with no pelvic floor disorders

This group realised a set of 6 abdominal and pelvic floor exercises, with a muscle recruitment of 25% of maximum force.

Exercise A: Pelvic Floor contraction Exercise B: Pelvic Floor and Deep Abdominal muscles contraction Exercise C: Pelvic Floor, Deep Abdominal muscles contraction, and axial Stretching Exercise D: Pelvic Floor, Deep and Superficial Abdominal muscles contraction Exercise E: Abdominal Crunch Exercise Exercise F: Low pressure Abdominal Exercise The correct muscle contraction execution was controlled by superficial pelvic floor and abdominal electromyography.

The bladder base and neck displacement was registered by Transabdominal Ultrasound (TAUS) and Transperineal Ultrasound (TPUS) respectively. To image the bladder base and the bladder neck a 3.5 MHz (megahertz) curved linear array ultrasound transducer was used (LOGIQe Ultrasound,General Electric Healthcare, USA) with the ultrasound unit set in B mode.

Pelvic Floor and Abdominal Exercises

Intervention Type: OTHER

two repetitions of each exercise, during exhalation phase

nulliparous women with no pelvic floor disorders

This group realised a set of 6 abdominal and pelvic floor exercises, with a muscle recruitment of 25% of maximum force.

Exercise A: Pelvic Floor contraction Exercise B: Pelvic Floor and Deep Abdominal muscles contraction Exercise C: Pelvic Floor, Deep Abdominal muscles contraction, and axial Stretching Exercise D: Pelvic Floor, Deep and Superficial Abdominal muscles contraction Exercise E: Abdominal Crunch Exercise Exercise F: Low pressure Abdominal Exercise The correct muscle contraction execution was controlled by superficial pelvic floor and abdominal electromyography.

The bladder base and neck displacement was registered by Transabdominal Ultrasound (TAUS) and Transperineal Ultrasound (TPUS) respectively. To image the bladder base and the bladder neck a 3.5 MHz (megahertz)curved linear array ultrasound transducer was used (LOGIQe Ultrasound,GE eneral Electric Healthcare, USA) with the ultrasound unit set in B mode.

Pelvic Floor and Abdominal Exercises

Intervention Type: OTHER

two repetitions of each exercise, during exhalation phase

Interventions

Pelvic Floor and Abdominal Exercises

two repetitions of each exercise, during exhalation phase

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• women at postpartum period (more than 6 and less than 12 weeks after vaginal birth)
• willingness to participate in the study
• ability to contract Pelvic Floor Muscles correctly
• written consent to participate.

Exclusion Criteria

• pregnancy
• caesarean birth
• pelvic Floor disorders
• neurological diseases

• Eligible Sex: FEMALE
• Accepts Healthy Volunteers: No

Sponsors

University of Castilla-La Mancha

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Sandra M Martinez, PHD student

Role: PRINCIPAL_INVESTIGATOR

University of A Coruña. Faculty of Physiotherapy, Spain

Locations

University of Castilla-La Mancha

Toledo, Castille-La Mancha, Spain

Countries

Spain

References

Thompson JA, O'Sullivan PB, Briffa NK, Neumann P. Comparison of transperineal and transabdominal ultrasound in the assessment of voluntary pelvic floor muscle contractions and functional manoeuvres in continent and incontinent women. Int Urogynecol J Pelvic Floor Dysfunct. 2007 Jul;18(7):779-86. doi: 10.1007/s00192-006-0225-4. Epub 2006 Oct 17.

Reference Type: BACKGROUND

PMID: 17043739 (View on PubMed)

Barton A, Serrao C, Thompson J, Briffa K. Transabdominal ultrasound to assess pelvic floor muscle performance during abdominal curl in exercising women. Int Urogynecol J. 2015 Dec;26(12):1789-95. doi: 10.1007/s00192-015-2791-9. Epub 2015 Jul 28.

Reference Type: BACKGROUND

PMID: 26215905 (View on PubMed)

Other Identifiers

2014/610

Identifier Type: -

Identifier Source: org_study_id