Artículos de revistas
Training Through Gametherapy Promotes Coactivation Of The Pelvic Floor And Abdominal Muscles In Young Women, Nulliparous And Continents
Registro en:
International Braz J Urol. Brazilian Soc Urol, v. 42, p. 779 - 786, 2016.
1677-5538
1677-6119
WOS:000391024000021
10.1590/S1677-5538.IBJU.2014.0580
Autor
Silva
Valeria Regina; Riccetto
Cassio; Martinho
Natalia Miguel; Marques
Joseane; Carvalho
Leonardo Cesar; Botelho
Simone
Institución
Resumen
Several studies have been investigated co-activation can enhance the effectveness of PFM training protocols allowing preventive and therapeutic goals in pelvic floor dysfunctions. The objective of the present study was to investigate if an abdominal-pelvic protocol of training (APT) using gametherapy would allow co-activation of PFM and transversus abdominis/oblique internal (TrA/OI) muscles. Patients and methods: Twenty-five nulliparous, continent, young females, with median age 24.76 (+/- 3.76) years were evaluated using digital palpation (DP) of PFM and surface electromyography of PFM and TrA/OI simultaneously, during maximal voluntary contraction (MVC), alternating PFM and TrA/OI contraction requests. All women participated on a supervised program of APT using gametherapy, that included exercises of pelvic mobilization associated to contraction of TrA/OI muscles oriented by virtual games, for 30 minutes, three times a week, in a total of 10 sessions. Electromyographic data were processed and analyzed by ANOVA - analysis of variance. Results: When MVC of TrA/OI was solicited, it was observed simultaneous increase of electromyographic activity of PFM (p=0.001) following ATP. However, EMG activity did not change significantly during MVC of PFM. Conclusion: Training using gametherapy allowed better co-activation of pelvic floor muscles in response to contraction of TrA, in young nulliparous and continent women. 42 4 779 786