Comparative effects of selected abdominal and lower limb exercises in the recruitment of the pelvic floor muscles: Determining adjuncts to Kegel's exercises

Autor: Chidiebele Petronilla Ojukwu, Chinyeaka Stephanie Ojukwu, Stephen Sunday Ede, Chidimma Goodness Mbah, Sylvester Emeka Igwe, Adaora Justina Okemuo, Anne U Ezeigwe
Rok vydání: 2020
Předmět:
Zdroj: Journal of bodywork and movement therapies. 29
ISSN: 1532-9283
Popis: This study evaluated the electrical activities of the pelvic floor muscles in response to selected abdominal and hip adductor exercises, using the Kegel's maneuver as a gold standard, to compare the efficacies of these maneuvers in pelvic floor muscles recruitment to guide their informed utilization as adjuncts for Kegel's exercises.Twenty-one postpartum mothers with recent vaginal deliveries performed six trials, including the typical Kegel's exercise; two abdominal exercises (curl-up and abdominal hollowing); two hip adductor exercises (adductor ball squeeze and auto-resisted hip adduction); and a combination of abdominal, hip adductor and pelvic floor muscle contractions (combo). Pelvic floor muscles activities were monitored via surface electromyography during each 5-s trial. Data were analyzed with descriptive statistics and inferential statistics of one way ANOVA at p 0.05.Generally, the pelvic floor muscles were statistically significantly (p 0.001) most active during the combo trial, compared to other trials. Comparing the two abdominals, Kegel's and combo trials, pelvic floor muscles activity was least during the curl-up contraction (p 0.001). On the other hand, Kegel's trial elicited the lowestpelvic floor muscles activity when compared with the combo and two adductor trials (p 0.001).Abdominal and hip adductor exercises are recommended adjuncts of Kegel's exercise but the combo maneuver was the most effective in activating the pelvic floor muscles.
Databáze: OpenAIRE