dc.creator | García Mejido, José Antonio | es |
dc.creator | Suárez Serrano, Carmen | es |
dc.creator | Medrano Sánchez, Esther Mª | es |
dc.creator | Bonomi Barby, María José | es |
dc.creator | Armijo Sánchez, A. | es |
dc.creator | Sáinz Bueno, José Antonio | es |
dc.date.accessioned | 2024-05-17T15:41:48Z | |
dc.date.available | 2024-05-17T15:41:48Z | |
dc.date.issued | 2020 | |
dc.identifier.citation | García Mejido, J.A., Suárez Serrano, C., Medrano Sánchez, E.M., Bonomi Barby, M.J., Armijo Sánchez, A. y Sáinz Bueno, J.A. (2020). Pelvic floor rehabilitation in patients with levator ani muscle avulsion. Clinical and Experimental Obstetrics & Gynecology, 47 (3), 341-347. https://doi.org/10.31083/J.CEOG.2020.03.5252. | |
dc.identifier.issn | 0390-6663 | es |
dc.identifier.uri | https://hdl.handle.net/11441/158553 | |
dc.description.abstract | Objective: To determine if physiotherapy treatment applied to patients with levator ani muscle (LAM) avulsion identified after a
vaginal delivery, reduces the LAM hiatus area. Material and Methods: A prospective observational study of 52 nulliparous (26 in the
experimental and 26 in the control group). We included patients with LAM avulsion, diagnosed by 3-4D/transperineal ultrasound performed 3 months after delivery. Patients in the experimental group underwent a program of pelvic floor exercises, assisted by biofeedback
and lumbopelvic stabilization exercises. Assessment of LAM was carried out at 6 and 9 months postpartum, using 3-4D/transperineal
ultrasound, and taking the following measurements: levator hiatus area at rest, during Valsalva and at maximum contraction; LAM area,
and thickness of right and left LAM. Results: Patients in the experimental group presented a reduction in the levator hiatus area at rest
(17.0, 15.7, 15.9 cm2
), during Valsalva (23.0, 20.8, 19.9 cm2
) and at maximum contraction (15.6, 14.4 and 13.5 cm2
), in comparison
with patients in the control group, who presented a levator hiatus area at rest of 17.4, 17.2 and 16.8 cm2
, during Valsalva of 21.0, 20.8 and
20.3 cm2
, and at maximum contraction of 16.6, 16.1 and 15.6 cm2
, at 1, 6 and 9 months postpartum respectively (P < 0.05). However,
no changes were appreciated in the successive examinations regarding LAM area between study groups: experimental 9.5, 8.9, 9.6 cm2
versus 8.9, 9.0, 9.2 cm2
in the control group. Conclusions: Physiotherapy treatment based on pelvic floor exercises with lumbopelvic
stabilization exercises in patients with LAM avulsion reduces the levator hiatus area at rest, during Valsalva and at maximum contraction. | es |
dc.format | application/pdf | es |
dc.format.extent | 7 p. | es |
dc.language.iso | eng | es |
dc.publisher | I R O G CANADA, INC | es |
dc.relation.ispartof | Clinical and Experimental Obstetrics & Gynecology, 47 (3), 341-347. | |
dc.rights | Atribución 4.0 Internacional | * |
dc.rights.uri | http://creativecommons.org/licenses/by/4.0/ | * |
dc.subject | Pelvic floor muscle training | es |
dc.subject | Levator ani muscle avulsion | es |
dc.subject | Postpartum physiotherapy | es |
dc.title | Pelvic floor rehabilitation in patients with levator ani muscle avulsion | es |
dc.type | info:eu-repo/semantics/article | es |
dc.type.version | info:eu-repo/semantics/publishedVersion | es |
dc.rights.accessRights | info:eu-repo/semantics/openAccess | es |
dc.contributor.affiliation | Universidad de Sevilla. Departamento de Cirugía | es |
dc.contributor.affiliation | Universidad de Sevilla. Departamento de Fisioterapia | es |
dc.relation.projectID | PI16/01387 | es |
dc.relation.publisherversion | https://www.imrpress.com/journal/CEOG/47/3/10.31083/j.ceog.2020.03.5252 | es |
dc.identifier.doi | 10.31083/J.CEOG.2020.03.5252 | es |
dc.journaltitle | Clinical and Experimental Obstetrics & Gynecology | es |
dc.publication.volumen | 47 | es |
dc.publication.issue | 3 | es |
dc.publication.initialPage | 341 | es |
dc.publication.endPage | 347 | es |
dc.contributor.funder | Instituto de Salud Carlos III | es |