Is there a synergistic relationship between diaphragm and pelvic floor muscles in pregnant women?

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dc.contributor.authorÇiçek S.
dc.contributor.authorÇeliker Tosun Ö.
dc.contributor.authorParlas M.
dc.contributor.authorBilgiç D.
dc.contributor.authorYavuz O.
dc.contributor.authorKurt S.
dc.contributor.authorBaşer Seçer M.
dc.contributor.authorTosun G.
dc.contributor.authorÖzer M.
dc.contributor.authorİleri A.
dc.date.accessioned2024-07-22T08:01:35Z
dc.date.available2024-07-22T08:01:35Z
dc.date.issued2024
dc.description.abstractObjective: The aim of this study is to examine whether there is a synergistic relationship between the diaphragm and pelvic floor muscles (PFM) in pregnant women. Material and Methods: Our study was carried out as a cross-sectional study in primigravid pregnants in the second and third trimesters. Superficial electromyography (EMG), 2D/3D ultrasonography (USG), pulmonary function test (PFT), PERFECT, maximum expiratory pressure (MEP) and inspiratory pressure (MIP) measurements were used to evaluate pelvic floor and diaphragm muscle functions during pregnancy. Mann-Whitney U test was used to show the change in the second and third trimesters, and Spearman correlation was used to determine the relationship. Results: No correlation was found between the EMG data of the PFM and diaphragm, or between the USG data of the PFM and diaphragm in all participants, in the second and third trimesters. In the third trimester of the study, diaphragmatic thickness and levator hiatal area (LHA) decreased and both diaphragm and PFM % MVC EMG parameters increased. In the third trimester, FVC, MIP, MEP decreased, and nonsignificant increase in FEV1, FEV1/FVC and peak ekspiratuar flow(PEF) were detected. A significant correlation was found between pelvic floor levator hiatal area USG and FEV1/FVC in both trimesters (r: 0,577p: 0,004). Conclusion: There may be a synergistic relationship between the diaphragm and PFM in pregnant women, the relationship may weaken as pregnancy progresses, and there may be no coactivation relationship between the two muscles. In order to prevent the occurrence of pelvic floor dysfunction during pregnancy and to increase the effect of rehabilitation programs, the relationship between the diaphragm and the PFM should be determined and more studies should be conducted. © 2023 Elsevier B.V.
dc.identifier.DOI-ID10.1016/j.ejogrb.2023.12.023
dc.identifier.issn03012115
dc.identifier.urihttp://akademikarsiv.cbu.edu.tr:4000/handle/123456789/11506
dc.language.isoEnglish
dc.publisherElsevier Ireland Ltd
dc.subjectadult
dc.subjectArticle
dc.subjectbioenergy
dc.subjectclinical evaluation
dc.subjectcontrolled study
dc.subjectcorrelation analysis
dc.subjectcross-sectional study
dc.subjectdiaphragm
dc.subjectdiaphragmatic thickness
dc.subjectelectromyogram
dc.subjectelectromyography
dc.subjectevaluation study
dc.subjectfemale
dc.subjectforced expiratory volume
dc.subjectforced vital capacity
dc.subjectgynecological examination
dc.subjecthuman
dc.subjectlevator hiatal area
dc.subjectlung function test
dc.subjectmaximal expiratory pressure
dc.subjectmaximal inspiratory pressure
dc.subjectpeak ekspiratuar flow
dc.subjectpelvic floor
dc.subjectpelvis floor muscle
dc.subjectpregnant woman
dc.subjectprimigravida
dc.subjectreference electrode
dc.subjectrespiratory function
dc.subjectsecond trimester pregnancy
dc.subjectsynergistic effect
dc.subjectthird trimester pregnancy
dc.subjectthree dimensional echography
dc.subjecttwo-dimensional imaging
dc.subjectarticle
dc.subjectclinical article
dc.subjectelectromyogram
dc.subjectelectromyography
dc.subjectmaximal respiratory pressure
dc.subjectmuscle function
dc.subjectpelvic floor
dc.subjectpelvic floor disorder
dc.subjectpregnancy
dc.subjectpregnant woman
dc.subjectthickness
dc.titleIs there a synergistic relationship between diaphragm and pelvic floor muscles in pregnant women?
dc.typeArticle

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