Showing papers by "Kari Bø published in 2023"
TL;DR: In this paper , the authors compared the postural sway between pregnant and non-pregnant women during eight different sensory conditions including those in which vision, proprioception, and base of support are compromised.
TL;DR: The evidence for incorporating breathing exercise in clinical practice in addition to or instead of PFMT is scant or non-existing, both based on short-term experimental studies and small RCTs as mentioned in this paper .
Abstract: INTRODUCTION
Some authors suggest that breathing exercises should be recommended instead of or in combination with pelvic floor muscle training (PFMT) to prevent and treat urinary incontinence (UI) and pelvic organ prolapse (POP).
AIMS
The primary aim of the present study was to investigate the evidence for breathing as an intervention alone or in addition to PFM contraction in treatment of UI and POP.
MATERIALS & METHODS
This systematic review included short-term experimental studies and randomize controlled trials (RCTs) indexed on PubMed, EMBASE, and PEDro database. A form was used to extract data that was analyzed qualitatively due to the heterogeneity in interventions and outcome measures of the included studies. The individual methodological quality of RCTs was analyzed using the PEDro scale.
RESULTS
A total of 18 studies were included, 374 participants from short-term experimental studies and 765 from nine RCTs. PEDro score varied from 4 to 8. Activation of the PFM during expiration was significantly less than during a PFM contraction. In general, the RCTs showed that training the PFM is significantly more effective to improve PFM variables and UI and POP than breathing exercises, and that adding breathing exercises to PFMT have no additional effect.
CONCLUSION
This systematic review indicates that the evidence for incorporating breathing exercise in clinical practice in addition to or instead of PFMT is scant or non-existing, both based on short-term experimental studies and small RCTs.
TL;DR: In this article , the authors evaluated test-retest and intrarater reliability of sEMG and compared PFM activation between nulliparous and prim-parous women with perineal tears.
Abstract: Vaginal birth is a risk factor for weakening of the pelvic floor muscles (PFM) and development of pelvic floor dysfunction (PFD). Perineal tears may decrease PFM function. PFM tone can be assessed with surface EMG (sEMG), but reliability studies of sEMG in women with perineal tears are lacking. The aims of this study were to evaluate test–retest and intrarater reliability of sEMG and compare PFM activation between nulliparous and primiparous.
TL;DR: A 12-week home-based, abdominal exercise program containing head lifts and abdominal curl-ups was shown to improve interrecti distance in women with diastasis recti abdominis (DRA) 6 to 12 months postpartum as mentioned in this paper .
TL;DR: In this article , the authors extend the IOC consensus statement to include 10 domains of female health, which may affect female athletes across the lifespan, from adolescence through young adulthood, to mid-age and older age.
Abstract: The IOC made recommendations for recording and reporting epidemiological data on injuries and illness in sports in 2020, but with little, if any, focus on female athletes. Therefore, the aims of this supplement to the IOC consensus statement are to (i) propose a taxonomy for categorisation of female athlete health problems across the lifespan; (ii) make recommendations for data capture to inform consistent recording and reporting of symptoms, injuries, illnesses and other health outcomes in sports injury epidemiology and (iii) make recommendations for specifications when applying the Strengthening the Reporting of Observational Studies in Epidemiology-Sport Injury and Illness Surveillance (STROBE-SIIS) to female athlete health data. In May 2021, five researchers and clinicians with expertise in sports medicine, epidemiology and female athlete health convened to form a consensus working group, which identified key themes. Twenty additional experts were invited and an iterative process involving all authors was then used to extend the IOC consensus statement, to include issues which affect female athletes. Ten domains of female health for categorising health problems according to biological, life stage or environmental factors that affect females in sport were identified: menstrual and gynaecological health; preconception and assisted reproduction; pregnancy; postpartum; menopause; breast health; pelvic floor health; breast feeding, parenting and caregiving; mental health and sport environments. This paper extends the IOC consensus statement to include 10 domains of female health, which may affect female athletes across the lifespan, from adolescence through young adulthood, to mid-age and older age. Our recommendations for data capture relating to female athlete population characteristics, and injuries, illnesses and other health consequences, will improve the quality of epidemiological studies, to inform better injury and illness prevention strategies.
TL;DR: A literature review on the prevalence and incidence of pelvic organ prolapse in women who engage in regular physical activity was conducted in this article , where the effects of a single exercise or a single session of exercise on pelvic floor support was reviewed.
Abstract: High-intensity physical activity and exercise have been listed as possible risk factors for pelvic organ prolapse (POP). The aim of the present study is to conduct a literature review on the prevalence and incidence of POP in women who engage in regular physical activity. In addition, we review the effects of a single exercise or a single session of exercise on pelvic floor support. Finally, the effect of exercises on POP in the early postpartum period is reviewed.This is a narrative scoping review. We searched PubMed and Ovid Medline, the Physiotherapy Evidence Database (PEDro), and the Cochrane Database of Systematic Reviews up to May 2022 with the following MeSH terms: "physical activity" AND "exercise" AND "pelvic floor" AND "pelvic organ prolapse".Eight prevalence studies were retrieved. Prevalence rates of symptomatic POP varied between 0 (small study within different sports) and 23% (Olympic weightlifters and power lifters). Parity was the only factor associated with POP in most studies. Three studies evaluated the pelvic floor after a single exercise or one session of exercise and found increased vaginal descent or increased POP symptoms. One prospective cohort study reported the development of POP after 6 weeks of military parashot training, and one randomized trial reported increased POP symptoms after transverse abdominal training. There is scant knowledge on exercise and POP in the postpartum period.Prevalence of POP in sports varies widely. Experimental and prospective studies indicate that strenuous exercise increased POP symptoms and reduced pelvic floor support.
TL;DR: Mota et al. as mentioned in this paper investigated the impact of hypopressive abdominal exercise on Linea Alba Morphology in women who are postpartum in a short-term cross-Sectional study.
Abstract: Journal Article Accepted manuscript On “the Impact of Hypopressive Abdominal Exercise on Linea Alba Morphology in Women Who Are Postpartum: A Short-Term Cross-Sectional Study.” Arranz-Martín B, Navarro-Brazález B, Sánchez-Sánchez B, McLean L, Carazo-Díaz C, Torres-Lacomba M. PhysTher. 2022;102:pzac086. https://doi.org/10.1093/ptj/pzac086 Get access Patrícia Mota, PT, PhD, Patrícia Mota, PT, PhD H&TRC- Centro de Investigação em Saúde e Tecnologia, ESTeSL- Escola Superior de Tecnologia da Saúde, Instituto Politécnico de Lisboa, Univ Lisboa, Fac. Motricidade Humana, CIPER, LBMF, P-1499-002 Lisboa, Portugal Address all correspondence to Patrícia Mota at: Patricia.mota@estesl.ipl.pt https://orcid.org/0000-0003-2120-7783 Search for other works by this author on: Oxford Academic Google Scholar Nina-M Theodorsen, PT, PhD, Nina-M Theodorsen, PT, PhD Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway Search for other works by this author on: Oxford Academic Google Scholar Sandra Gluppe, PT, PhD, Sandra Gluppe, PT, PhD Department of Sports Medicine, Norwegian School of Sports Sciences, Oslo, Norway Search for other works by this author on: Oxford Academic Google Scholar Kari Bø, PT, PhD Kari Bø, PT, PhD Department of Sports Medicine, Norwegian School of Sports Sciences, Oslo, NorwayDepartment of Obstetrics and Gynecology, Akershus University Hospital, Lørenskog, Norway Search for other works by this author on: Oxford Academic Google Scholar Physical Therapy, pzad018, https://doi.org/10.1093/ptj/pzad018 Published: 15 February 2023