Cited by 63Pelvic floor disorders treatmentsSexual function and dysfunction studiesUrinary Bladder and Prostate Research

Can hypopressive exercises provide additional benefits to pelvic floor muscle training in women with pelvic organ prolapse?

Resende, Ana Paula Magalhães, Stüpp, Liliana, Bernardes, Bruno Teixeira, Oliveira, Emerson, Castro, Rodrigo Aquino, Girão, Manoel João Batista Castello, Sartori, Marair Gracio Ferreira·2012·Neurourology and Urodynamics

Abstract

Aims: The aim of the study was to compare the effect of hypopressive exercises including pelvic floor muscle contraction, pelvic floor muscle training (PFMT) alone and control on pelvic floor muscle function in women with pelvic organ prolapse (POP). Methods: Fifty‐eight women with a mean age of 55.4 (±9.8) years old with stage II POP were randomly assigned to participate in the PFMT group, the hypopressive exercises associated with PFMT (HE + PFMT) group or the control group. Each treatment group underwent a 3‐month course of treatment. The three groups received lifestyle advice regarding weight loss, constipation, coughing, and the avoidance of heavy lifting. Participants were evaluated before and after the treatment. Maximal voluntary contraction (MVC) and endurance were assessed using the Modified Oxford grading system. To evaluate muscle activation, surface electromyography (SEMG) was used. Results: The two treatment group significantly increase pelvic floor muscle function as measured by MVC (P < 0.001) using the Modified Oxford grading system, as well as muscle activation (P < 0.001), measured by SEMG. The PFMT group was superior regarding endurance (P = 0.007). Both groups were superior to the control group regarding MVC, endurance and muscle activation. Conclusion: Adding hypopressive exercises to PFMT does not improve PFM function. Both treatment groups performed better than the control group. Neurourol. Urodynam. 31:121–125, 2012. © 2011 Wiley Periodicals, Inc.

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Crossref · 10.1002/nau.21149

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Authors
Resende, A. P. M., Stüpp, L., Bernardes, B. T., Oliveira, E., Castro, R. A., Girão, M. J. B. C., & Sartori, M. G. F.
Affiliations
  • Universidade Federal de São Paulo (BR)
  • Universidade Federal de Uberlândia (BR)
Corresponding author
Resende, Ana Paula Magalhães
Venue
Neurourology and Urodynamics
Publisher
Wiley
Published
2011-10-28
Volume
31
Issue
1
Pages
121-125
ISSN
  • 0733-2467 (ISSN-L)
  • 1520-6777
OpenAlex
W2086915902
Cited by
63
References
21
Citations by year
2026: 2 · 2025: 5 · 2024: 4 · 2023: 4 · 2022: 6 · 2021: 4 · 2020: 8 · 2019: 3 · 2018: 6 · 2017: 6 · 2016: 4 · 2015: 5 · 2014: 5
FWCI
1.16
Type
journal article
Language
en
Open access
closed
Locations
  • Neurourology and Urodynamics (publishedVersion)
  • PubMed (publishedVersion)
  • UNIFESP Institutional Repository (Universidade Federal de São Paulo) (submittedVersion)
Funders
State of São Paulo Research Foundation
Topics
  • Health Sciences › Medicine › Rheumatology › Pelvic floor disorders treatments
  • Health Sciences › Medicine › Psychiatry and Mental health › Sexual function and dysfunction studies
  • Health Sciences › Medicine › Urology › Urinary Bladder and Prostate Research
Keywords
hypopressive exercises, pelvic floor muscle training, pelvic organ prolapse, pelvic floor muscle function, muscle contraction strength, muscular endurance, muscle activation, women
MeSH terms
Adult, Aged, Electromyography, Female, Humans, Middle Aged, Muscle Contraction, Physical Endurance, Exercise, Treatment Outcome, Outcome Assessment, Health Care, Pelvic Floor, Muscle, Skeletal, Resistance Training, Pelvic Organ Prolapse

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