Exercise Position to Improve Synergy Between the Diaphragm and Pelvic Floor Muscles in Women With Pelvic Floor Dysfunction: A Cross Sectional Study

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dc.contributor.authorKorkmaz Dayican D.
dc.contributor.authorKeser I.
dc.contributor.authorCeliker Tosun O.
dc.contributor.authorYavuz O.
dc.contributor.authorTosun G.
dc.contributor.authorKurt S.
dc.contributor.authorBaser Secer M.
dc.date.accessioned2024-07-22T08:02:51Z
dc.date.available2024-07-22T08:02:51Z
dc.date.issued2023
dc.description.abstractObjective: This study aimed to investigate the synergy between the diaphragm and pelvic floor muscles (PFM) according to different exercise positions in women with pelvic floor dysfunction. Our secondary aim was to determine the short-term effects of single-week pelvic floor muscle training (PFMT) program on diaphragmatic function. Methods: The cross-sectional study included 64 women with pelvic floor dysfunction. The participants' diaphragm and abdominal muscle functions during voluntary PFM contraction and relaxation were assessed by surface electromyography and ultrasonography. The surface electromyography assessments were performed in supine (P1), crawling (P2) and sitting (P3) positions. A single week-PFMT was conducted on women who agreed to determine the short-term responses of the diaphragm function. The muscle functions according to exercise positions were compared with Friedman Analysis of Variance, and the short-term effects of single-week PFMT on diaphragm function was analyzed with Wilcoxon Signed-Ranks Test. Results: The diaphragm activity during voluntary PFM contraction was highest in P2 before and after single-week PFMT (P < .001). Positive significant correlations were found between the activities diaphragm and abdominal muscles in different exercise positions (P < .05). After single-week PFMT, diaphragm thickness increased (P = .030) in P1, but diaphragm activity did not change in all 3 exercise positions (P > .05). Conclusion: The synergy between the diaphragm and PFM was greater in the crawling position in women with pelvic floor dysfunction. The abdominal muscles seemed to contribute to maintaining this synergy. Therefore, PFMT combined with diaphragmatic breathing exercises in the crawling position should be considered. In addition, single-week PFMT may positively affect diaphragm function in the short-term. © 2024
dc.identifier.DOI-ID10.1016/j.jmpt.2024.02.005
dc.identifier.issn01614754
dc.identifier.urihttp://akademikarsiv.cbu.edu.tr:4000/handle/123456789/12020
dc.language.isoEnglish
dc.publisherElsevier Inc.
dc.subjectabdominal wall musculature
dc.subjectadult
dc.subjectArticle
dc.subjectbreathing exercise
dc.subjectclinical evaluation
dc.subjectcrawling
dc.subjectcross-sectional study
dc.subjectdemographics
dc.subjectdiaphragm
dc.subjectechography
dc.subjectelectromyogram
dc.subjectelectromyography
dc.subjectexercise
dc.subjectfemale
dc.subjecthuman
dc.subjectmajor clinical study
dc.subjectmuscle contraction
dc.subjectmuscle function
dc.subjectmuscle synergy
dc.subjectpelvic floor
dc.subjectpelvic floor disorder
dc.subjectpelvic floor muscle training
dc.subjectpelvis floor muscle
dc.subjectposition
dc.subjectsitting
dc.subjectsupine position
dc.subjectsurface electromyography
dc.subjectthickness
dc.subjectWilcoxon signed ranks test
dc.titleExercise Position to Improve Synergy Between the Diaphragm and Pelvic Floor Muscles in Women With Pelvic Floor Dysfunction: A Cross Sectional Study
dc.typeArticle

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