Skip to main content
Top
Published in: International Urogynecology Journal 4/2010

01-04-2010 | Original Article

Breathing with the pelvic floor? Correlation of pelvic floor muscle function and expiratory flows in healthy young nulliparous women

Authors: Helena Talasz, Markus Kofler, Elisabeth Kalchschmid, Michael Pretterklieber, Monika Lechleitner

Published in: International Urogynecology Journal | Issue 4/2010

Login to get access

Abstract

Introduction and hypothesis

The aim of this cross-sectional study was to determine correlations between pelvic floor muscle (PFM) function and expiratory function in healthy young nulliparous women.

Methods

In 40 volunteers, PFM function was assessed by vaginal palpation. Forced expiration patterns were evaluated visually and by palpation of the suprapubic insertion region of the anterolateral abdominal muscles. Forced vital capacity (FVC) and forced expiratory flows (FEF) were determined by spirometry.

Results

Incremental positive correlation was found between voluntary PFM contraction strength and forced expiratory flow at 25%, 50% and 75% (FEF25%, FEF50%, FEF75%) of the FVC, respectively. Positive correlation was also found between PFM contraction strength and forced expired volume in 1 s (FEV1). No correlation was found between PFM contraction strength and FVC or peak expiratory flow (PEF).

Conclusions

Despite some limitations of this study, the observed correlation between PFM contraction strength and forced expiratory flows may serve as theoretical background for a potential role of coordinated abdominal and PFM training in diseases with expiratory flow limitations.
Literature
1.
go back to reference Messelink B, Benson T, Berghmans B, Bo K, Corcos J, Fowler C, Laycock J et al (2005) Standardisation of terminology of pelvic floor muscle function and dysfunction: report from the pelvic floor clinical assessment group of the international continence society. Neurourol Urodyn 24:374–380CrossRefPubMed Messelink B, Benson T, Berghmans B, Bo K, Corcos J, Fowler C, Laycock J et al (2005) Standardisation of terminology of pelvic floor muscle function and dysfunction: report from the pelvic floor clinical assessment group of the international continence society. Neurourol Urodyn 24:374–380CrossRefPubMed
2.
go back to reference DeLancey DOL, Ashton-Miller JA (2004) Pathophysiology of adult urinary incontinence. Gastroenterol 126:23–32CrossRef DeLancey DOL, Ashton-Miller JA (2004) Pathophysiology of adult urinary incontinence. Gastroenterol 126:23–32CrossRef
3.
go back to reference Bo K (2004) Pelvic floor muscle training is effective in treatment of female stress urinary incontinence, but how does it work? Int Urogynecol J Pelvic Floor Dysfunct 2:76–84CrossRef Bo K (2004) Pelvic floor muscle training is effective in treatment of female stress urinary incontinence, but how does it work? Int Urogynecol J Pelvic Floor Dysfunct 2:76–84CrossRef
4.
go back to reference Bo K, Sherburn M (2005) Evaluation of female pelvic-floor muscle function and strength. Phys Ther 85(3):269–282PubMed Bo K, Sherburn M (2005) Evaluation of female pelvic-floor muscle function and strength. Phys Ther 85(3):269–282PubMed
5.
go back to reference Hodges P (2008) Transversus abdominis: a different view of an elephant. Br J Sports Med 42:941–944CrossRefPubMed Hodges P (2008) Transversus abdominis: a different view of an elephant. Br J Sports Med 42:941–944CrossRefPubMed
6.
go back to reference Laycock J (2008) Concept of neuromuscular rehabilitation and pelvic floor muscle training. In: Baesler K, Schüssler B, Burgio KL, Moore KH, Norton PA, Stanton SL (eds) Pelvic floor re-education. Springer, London, pp 179–180 Laycock J (2008) Concept of neuromuscular rehabilitation and pelvic floor muscle training. In: Baesler K, Schüssler B, Burgio KL, Moore KH, Norton PA, Stanton SL (eds) Pelvic floor re-education. Springer, London, pp 179–180
7.
go back to reference Neumann P, Gill V (2002) Pelvic floor and abdominal muscles interaction: EMG activity and intra-abdominal pressure. Int Urogynecol J 13:125–132CrossRef Neumann P, Gill V (2002) Pelvic floor and abdominal muscles interaction: EMG activity and intra-abdominal pressure. Int Urogynecol J 13:125–132CrossRef
8.
go back to reference Sapsford RR, Hodges PW (2001) Contraction of the pelvic floor muscles during abdominal maneuvers. Arch Phys Med Rehabil 82:1081–1088CrossRefPubMed Sapsford RR, Hodges PW (2001) Contraction of the pelvic floor muscles during abdominal maneuvers. Arch Phys Med Rehabil 82:1081–1088CrossRefPubMed
9.
go back to reference Sapsford RR, Hodges PW, Richardson CA, Cooper DH, Markwell SJ, Jull GA (2001) Co-activation of the abdominal and pelvic floor muscles during voluntary exercises. Neurourol Urodyn 20(1):31–42CrossRefPubMed Sapsford RR, Hodges PW, Richardson CA, Cooper DH, Markwell SJ, Jull GA (2001) Co-activation of the abdominal and pelvic floor muscles during voluntary exercises. Neurourol Urodyn 20(1):31–42CrossRefPubMed
10.
go back to reference Sapsford R (2004) Rehabilitation of pelvic floor muscles utilizing trunk stabilization. Man Ther 9:3–12CrossRefPubMed Sapsford R (2004) Rehabilitation of pelvic floor muscles utilizing trunk stabilization. Man Ther 9:3–12CrossRefPubMed
11.
go back to reference Hodges PW, Sapsford RR, Pegel LHM (2007) Postural and respiratory functions of the pelvic floor muscles. Neurourol Urodyn 26(3):362–371CrossRefPubMed Hodges PW, Sapsford RR, Pegel LHM (2007) Postural and respiratory functions of the pelvic floor muscles. Neurourol Urodyn 26(3):362–371CrossRefPubMed
12.
go back to reference Hodges PW (2006) Low back pain and the pelvic floor. In: Carriere B, Feldt CM (eds) The pelvic floor, 2nd edn. Thieme, New York, pp 81–96 Hodges PW (2006) Low back pain and the pelvic floor. In: Carriere B, Feldt CM (eds) The pelvic floor, 2nd edn. Thieme, New York, pp 81–96
13.
go back to reference Cresswell AG, Grundström H, Thorstensson A (1992) Observations on intra-abdominal pressure and patterns of abdominal intra-muscular activity in man. Acta Physiol Scand 144(4):409–418CrossRefPubMed Cresswell AG, Grundström H, Thorstensson A (1992) Observations on intra-abdominal pressure and patterns of abdominal intra-muscular activity in man. Acta Physiol Scand 144(4):409–418CrossRefPubMed
14.
go back to reference Carriere B (2006) Interdependence of posture and the pelvic floor. In: Carriere B, Feldt CM (eds) The pelvic floor, 2nd edn. Thieme, New York, pp 68–81 Carriere B (2006) Interdependence of posture and the pelvic floor. In: Carriere B, Feldt CM (eds) The pelvic floor, 2nd edn. Thieme, New York, pp 68–81
15.
go back to reference McArdle WD, Katch FI, Katch VL (2007) Pulmonary structure and function. In: McArdle WD, Katch FI, Katch VL (eds) Exercise physiology, 6th edn. Williams & Wilkins, Philadelphia, pp 260–270 McArdle WD, Katch FI, Katch VL (2007) Pulmonary structure and function. In: McArdle WD, Katch FI, Katch VL (eds) Exercise physiology, 6th edn. Williams & Wilkins, Philadelphia, pp 260–270
16.
go back to reference Rock CM (2006) Action of the Transversus abdominis muscle when posture is physiological. In: Carriere B, Feldt CM (eds) The pelvic floor, 2nd edn. Thieme, New York, pp 101–107 Rock CM (2006) Action of the Transversus abdominis muscle when posture is physiological. In: Carriere B, Feldt CM (eds) The pelvic floor, 2nd edn. Thieme, New York, pp 101–107
17.
go back to reference Weinberger SE, Lipson D (2006) Cough and hemoptysis. In: Fauci A, Braunwald E, Kaspar D, Hauser S, Longo D, Jameson JL, Loscalzo J (eds) Harrison's internal medicine, 17th edn. McGraw-Hill, New York, p 225 Weinberger SE, Lipson D (2006) Cough and hemoptysis. In: Fauci A, Braunwald E, Kaspar D, Hauser S, Longo D, Jameson JL, Loscalzo J (eds) Harrison's internal medicine, 17th edn. McGraw-Hill, New York, p 225
18.
go back to reference Constantinou CE, Govan DE (1982) Spatial distribution and timing of transmitted and reflex generated urethral pressure in healthy women. J Urol 127:964–969PubMed Constantinou CE, Govan DE (1982) Spatial distribution and timing of transmitted and reflex generated urethral pressure in healthy women. J Urol 127:964–969PubMed
19.
go back to reference Bolser DC, Reier PJ, Davenport PW (2000) Responses of the anterolateral abdominal muscles during cough and expiratory threshold loading in the cat. J Appl Physiol 88:1207–1214PubMed Bolser DC, Reier PJ, Davenport PW (2000) Responses of the anterolateral abdominal muscles during cough and expiratory threshold loading in the cat. J Appl Physiol 88:1207–1214PubMed
20.
go back to reference Laycock J, Whelan MM, Dumoulin C (2008) Patient assessment. In: Haslam J, Laycock J (eds) Therapeutic management of incontinence and pelvic pain, 2nd edn. Springer, London, pp 57–66 Laycock J, Whelan MM, Dumoulin C (2008) Patient assessment. In: Haslam J, Laycock J (eds) Therapeutic management of incontinence and pelvic pain, 2nd edn. Springer, London, pp 57–66
21.
go back to reference Miller MR, Hankinson J, Brusasco V, Burgos F, Casaburi R, Coates A et al (2005) Standardisation of spirometry. Eur Respir J 26:319–338CrossRefPubMed Miller MR, Hankinson J, Brusasco V, Burgos F, Casaburi R, Coates A et al (2005) Standardisation of spirometry. Eur Respir J 26:319–338CrossRefPubMed
22.
go back to reference American Thoracic Society, European Respiratory Society (2002) ATS/ERS statement on respiratory muscle testing. Am J Respir Crit Care Med 166:518–624CrossRef American Thoracic Society, European Respiratory Society (2002) ATS/ERS statement on respiratory muscle testing. Am J Respir Crit Care Med 166:518–624CrossRef
23.
go back to reference Pellegrino R, Viegi G, Brusasco V, Crapo RO, Burgos F, Casaburi R et al (2005) Interpretative strategies for lung function tests. Eur Respir J 26:948–968CrossRefPubMed Pellegrino R, Viegi G, Brusasco V, Crapo RO, Burgos F, Casaburi R et al (2005) Interpretative strategies for lung function tests. Eur Respir J 26:948–968CrossRefPubMed
24.
go back to reference Healy JC, Borley NR (2005) Anterior abdominal wall. In: Standring S (ed) Gray's anatomy, 39th edn. Edinburgh, London, pp 1101–1111 Healy JC, Borley NR (2005) Anterior abdominal wall. In: Standring S (ed) Gray's anatomy, 39th edn. Edinburgh, London, pp 1101–1111
25.
go back to reference Bunch M (1995) Dynamics of the singing voice, 3rd edn. Springer, Vienna, pp 22–55 Bunch M (1995) Dynamics of the singing voice, 3rd edn. Springer, Vienna, pp 22–55
26.
go back to reference Frawley HC, Galea MP, Phillips BA, Sherburn M, Bo K (2006) Effect of test position on pelvic floor muscle assessment. Int Urogynecol J 17(4):365–371CrossRef Frawley HC, Galea MP, Phillips BA, Sherburn M, Bo K (2006) Effect of test position on pelvic floor muscle assessment. Int Urogynecol J 17(4):365–371CrossRef
Metadata
Title
Breathing with the pelvic floor? Correlation of pelvic floor muscle function and expiratory flows in healthy young nulliparous women
Authors
Helena Talasz
Markus Kofler
Elisabeth Kalchschmid
Michael Pretterklieber
Monika Lechleitner
Publication date
01-04-2010
Publisher
Springer-Verlag
Published in
International Urogynecology Journal / Issue 4/2010
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-009-1060-1

Other articles of this Issue 4/2010

International Urogynecology Journal 4/2010 Go to the issue