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The principle of system Corefit in rehabilitation of pelvic floor disorders for women in menopause period

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Żak I., Saulicz E., Linek P., Saulicz M.

Physiotherapy and Health Activity

2015

vol. 23

issue 1

11-16

Background: Pelvic floor dysfunctions, among which urinary incontinence is the most onerous symptom, pose a serious social problem whose significance is probable to grow together with the process of an ageing society and more frequent incontinence episodes in menopausal women. The growing absence of professionally active people suffering from incontinence is prone to result both from plans to raise the retirement age and the process of an ageing society. The concept of Corefit system has been created to meet the incontinent women’s expectations. The above mentioned system is based on an individualized sensomotoric training programme as well as the re-education of incorrect motor patterns resulting in pelvic floor muscle overload. What is also essential for Corefit system effectiveness is monitoring the process of facilitation, which enables constant training plan correction.

Muscle contraction of the pelvic floor and quality of life of women with stress urinary incontinence who underwent kinesitherapy

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Beuttenmüller L., Cader S., Macena R., Araujo N., Nunes É., Dantas E.

2010

vol. 18

issue 1

35-41

Introduction: the World Health Organization recommends physical therapy in patients with mild to moderate Urinary Incontinence (UI) as the first line of treatment. Aim: Evaluate the effect of electrical stimulation on muscle contraction of the pelvic floor and quality of life of women with stress UI (SUI). Methods: experimental study with 75 female patients randomly divided into: G1: electrical stimulation therapy with kinesitherapy; G2: kinesitherapy; G3: control group. Parameters evaluated: anthropometric measurements, physical examination of the pelvic floor (AP), pelvic floor muscles (AFA) and the degree of contraction of the AP (CAP) by the activity of the muscles [Type I (TI) and Type II (TII)] and Quality of life (QOL). Intervention consisted of 12 sessions, two sessions per week for six weeks. Descriptive statistics were used and the Student's t test or Wilcoxon paired test for the intra-group analysis. For the inter-group analyses, we used the Kruskal Wallis followed by the Mann-Whitney (AFA and QOL) and two-way ANOVA followed by Scheffe post hoc test (CAP). The p< 0.05 was adopted for statistical significance. Results: there was a significant difference in: AFA TI and AFA TII (G1 x G3 and G2 x G3); CAP TI (G2 x G3). There was a significant reduction in all domains of QOL in G1 and G2 except for DOM 6 in G2. The G3 group did not display any significant results. Conclusions: both physical therapy treatments (G1 and G2) were effective in the improvement in pelvic floor muscular functioning and in quality of life.

Ability to activate pelvic floor muscles among women during the early postpartum period – initial findings

58%

Łataś-Zagrajek K., Starzec M., Sierdziński J., Szymański J.

Medical Rehabilitation

2019

vol. 23(1)

23-28

Wstęp: Trening mięśniowy to jeden z głównych elementów terapii zachowawczej poporodowych dysfunkcji mięśni dna miednicy (MDM). Celem badania było sprawdzenie, jaka część położnic potrafi wykonać prawidłową aktywację MDM oraz potwierdzenie zasadności wprowadzenia wczesnego instruktażu dotyczącego aktywacji tych struktur, już w trakcie pobytu w szpitalu. Materiał i metody: Analizie poddano 591 kart z fizjoterapeutycznego badania MDM wykonywanego na oddziale położnicznym. Do badania włączono karty pacjentek po porodach siłami natury, w wieku od 18 do 45 lat (średnio 31,03, SD 4,42). Na podstawie badania wykonywanego według schematu PERFECT oceniano umiejętność i jakość samodzielnej aktywacji MDM. Wyniki: Świadome napięcie MDM uzyskano u 68% badanych. Prawidłową, izolowaną aktywację MDM, w koordynacji z oddechem uzyskano u 54%. Wśród 13% badanych, oprócz świadomego napięcia MDM, zanotowano również aktywację innych mięśni. U 32% nie uzyskano początkowo świadomej aktywacji MDM: 25% uruchamiało inne grupy mięśniowe, 6% parło, u 1% nie zanotowano żadnej reakcji. Prawie 20% badanych zgłosiło, że nie wie czym są MDM. Wcześniejszy trening MDM zadeklarowało 55% badanych – 22,5% z nich nie wykonało świadomego napięcia MDM. Wnioski: Kobiety we wczesnym okresie połogu mają zbliżoną zdolność do samodzielnej aktywacji MDM co kobiety nie będące we wczesnym okresie poporodowym. Ze względu na częste błędy podczas samodzielnych prób uruchomienia mięśni dna miednicy potrzebny jest instruktaż dotyczący prawidłowej ich aktywacji.

Introduction: One of the main elements in the conservative treatment of postpartum pelvic floor dysfunctions is muscle training. The aim of the study was to verify the ability to contract pelvic floor muscles (PFM) among Polish puerperae and to confirm the rationale to implement early instructions already during the hospital stay. Material and methods: Analysis included 591 reports from PFM physiotherapeutic examination carried out at maternity wards. The reports of patients aged 18 to 45 (mean 31.03, SD 4.42) after vaginal delivery were included in the study. Based on the examination conducted according to the PERFECT scheme, the ability to perform and the quality of PFM contraction were assessed. Results: Conscious PFM contraction was noted in 68% of the participants. Proper isolated PFM contraction coordinated with breathing was observed in 54% of the subjects. In 13% of the women, apart from conscious contraction of PFM, contraction of additional structures was also noted. In 32% of the participants, initial lack of conscious PFM contraction was noted. Among them, 25% contracted other muscle groups, 6% pushed, while for 1% of the subjects, no reaction was observed. Nearly 20% of the participants reported that they did not know what PFMs are. Previous PFM training was declared by 55% of the study participants, while 22.5% of them did not perform conscious PFM contraction. Conclusions: During early postpartum stage, women are able to activate the PFMs similarly to those not shortly after labour. Implementing instructions on how to contract pelvic floor muscles appropriately at the early postpartum phase is needed due to the existing large number of errors related to this action.

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1 Sierdziński J.

1 Starzec M.

1 Szymański J.

1 Łataś-Zagrajek K.

1 Żak I.

Search results

The principle of system Corefit in rehabilitation of pelvic floor disorders for women in menopause period

Muscle contraction of the pelvic floor and quality of life of women with stress urinary incontinence who underwent kinesitherapy

Ability to activate pelvic floor muscles among women during the early postpartum period – initial findings