Abdominal and pelvic floor electromyographic analysis during abdominal hypopressive gymnastics

被引:31
作者
Ithamar, Lucas [1 ]
de Moura Filho, Alberto Galvao [1 ]
Benedetti Rodrigues, Marco Aurelio [2 ]
Duque Cortez, Kelly Cristina [1 ]
Machado, Vinicius Gomes [1 ]
Oliveira de Paiva Lima, Claudia Regina [3 ]
Moretti, Eduarda [1 ]
Lemos, Andrea [1 ]
机构
[1] Univ Fed Pernambuco, Hlth Sci Ctr, Dept Phys Therapy, Recife, PE, Brazil
[2] Univ Fed Pernambuco, Ctr Technol, Dept Elect & Syst, Recife, PE, Brazil
[3] Univ Fed Pernambuco, Exact & Nat Sci Ctr, Dept Stat, Recife, PE, Brazil
关键词
Abdominal muscles; Electromyography; Exercise; Posture; Pelvic floor;
D O I
10.1016/j.jbmt.2017.06.011
中图分类号
R49 [康复医学];
学科分类号
100215 ;
摘要
Introduction: Abdominal hypopressive gymnastics appeared as an alternative to traditional abdominal exercises to promote abdominal muscles strength without overloading the pelvic floor muscles (PFM). To determine the activation level of abdominal muscles and PFM and the posture influence in the level of activation in these muscles during abdominal hypopressive gymnastics, we used surface electromyography in young and healthy multipara women. Methods: This is an observational study with eutrophic nulliparous women aged between 18 and 35 years, with abdominal skinfold less than or equal to 3 cm and active or irregularly active physical activity. Surface electromyography was used for rectus abdominis, external oblique, transversus abdominal/internal oblique (TrA/IO) and PFM assessment in the supine, quadruped and orthostatic (upright standing) positions during abdominal hypopressive gymnastics using normalized electromyographic (%EMG) data. We also analyzed the difference in activation between each muscle and between muscles and positions. Results: Thirty women were evaluated and the mean age was 25.77 years (SD 3.29). The group formed by the TrA/IO muscles and the PFM showed higher %EMG in all the positions assessed, followed by the external oblique and rectus abdominis muscles. A comparison of %EMG of each muscle between the different positions showed differences only in rectus abdominis between the supine and quadruped (p = 0.001) and supine and orthostatic positions (p = 0.004), and in TrA/IO between the supine and orthostatic (p = 0.023) and orthostatic and quadruped positions (p = 0.019). Conclusions: The results suggest that abdominal hypopressive gymnastics can activate the abdominal muscles and PFM and the position do not have influence on electromyographic activation level of the PFM and external oblique. (C) 2017 Elsevier Ltd. All rights reserved.
引用
收藏
页码:159 / 165
页数:7
相关论文
共 26 条
[1]   Does the presence of a vaginal probe alter pelvic floor muscle activation in young, continent women? [J].
Auchincloss, Cindy ;
McLean, Linda .
JOURNAL OF ELECTROMYOGRAPHY AND KINESIOLOGY, 2012, 22 (06) :1003-1009
[2]   Efficacy of pelvic floor muscle training and hypopressive exercises for treating pelvic organ prolapse in women: randomized controlled trial [J].
Bernardes, Bruno Teixeira ;
Magalhaes Resende, Ana Paula ;
Stuepp, Liliana ;
Oliveira, Emerson ;
Castro, Rodrigo Aquino ;
Katalin Jarmy di Bella, Zsuzsanna Ilona ;
Batista Castello Girao, Manoel Joao ;
Ferreira Sartori, Marair Gracio .
SAO PAULO MEDICAL JOURNAL, 2012, 130 (01) :5-9
[3]  
Caufriez M., 1989, BRUS MAITE, V2
[4]  
Caufriez M., 2006, FISIOTERAPIA, V28, P205, DOI [DOI 10.1016/S0211-5638(06)74048-2, 10.1016/S0211-5638(06)74048-2]
[5]  
Caufriez M., 1988, BRUS MAITE, V1
[6]  
Caufriez M., 1995, KINESITHERAPIE SCI, V1, P53
[7]  
Caufriez M, 2007, REV IBEROAMERICANA F, V10, P12, DOI DOI 10.1016/S1138-6045(07)73661-4
[8]   Preliminary study on the action of hypopressive gymnastics in the treatment of idiopathic scoliosis [J].
Caufriez, Marcel ;
Carlos Fernandez-Dominguez, Juan ;
Brynhildsvoll, Nils .
ENFERMERIA CLINICA, 2011, 21 (06) :354-358
[9]   Abdominal muscle activity during abdominal hollowing in four starting positions [J].
Chanthapetch, Pakkanaporn ;
Kanlayanaphotporn, Rotsalai ;
Gaogasigam, Chitanongk ;
Chiradejnant, Adit .
MANUAL THERAPY, 2009, 14 (06) :642-646
[10]   Preparatory trunk motion accompanies rapid upper limb movement [J].
Hodges, P ;
Cresswell, A ;
Thorstensson, A .
EXPERIMENTAL BRAIN RESEARCH, 1999, 124 (01) :69-79