Bioelectrical activity of the pelvic floor muscles during synchronous whole-body vibration--a randomized controlled study.
BACKGROUND
More and more frequently stress urinary incontinence affects young healthy women. Hence, early implementation of effective preventive strategies in nulliparous continent women is essential, including pelvic floor muscle training. An initial evaluation based on the bioelectrical activity of the pelvic floor muscles (PFM) during whole-body vibration (WBV) would help to devise the best individualized training for prevention of stress urinary incontinence in woman. We hypothesized that synchronous WBV enhances bioelectrical activity of the PFM which depends on vibration frequency and peak-to-peak vibration displacement.


METHODS
The sample consisted of 36 nulliparous continent women randomly allocated to three comparative groups. Group I and II subjects participated in synchronous whole-body vibrations on a vibration platform; the frequency and peak-to-peak displacement of vibration were set individually for each group. Control participants performed exercises similar to those used in the study groups but without the concurrent application of vibrations. Pelvic floor surface electromyography (sEMG) activity was recorded using a vaginal probe during three experimental trials limited to 30s, 60s and 90 s. The mean amplitude and variability of the signal were normalized to the Maximal Voluntary Contraction - MVC.


RESULTS
Friedman's two-way ANOVA revealed a statistically significant difference in the mean normalized amplitudes (%MVC) of the sEMG signal from the PFM during 60s- and 90 s-trials between the group exposed to high-intensity WBV and control participants (p < 0.05). Longer trial duration was associated with a statistically significant decrease in the variability of sEMG signal amplitude in the study and control groups (p < 0.05).


CONCLUSIONS
Synchronous high-intensity WBV (40 Hz, 4 mm) of long duration (60s, 90 s) significantly enhances the activation of the PFM in young continent women. Prolonged maintenance of a static position significantly decreases the variability of sEMG signal amplitude independent of whole-body vibrations. Single whole-body vibrations in nulliparous continent women does not cause pelvic floor muscle fatigue.


BACKGROUND
The trial was registered in the Australian and New Zealand Clinical Trials Registry (no. ACTRN12615000966594); registration date: 15/09/2015.
Department of Physiotherapy Basics, Jerzy Kukuczka Academy of Physical Education, Mikołowska 72a, 40-065, Katowice, Poland. m.stania@awf.katowice.pl.
Magdalena
M
Stania
Department of Physiotherapy Basics, Jerzy Kukuczka Academy of Physical Education, Mikołowska 72a, 40-065, Katowice, Poland. d.chmielewska@awf.katowice.pl.
Daria
D
Chmielewska
Department of Physiotherapy Basics, Jerzy Kukuczka Academy of Physical Education, Mikołowska 72a, 40-065, Katowice, Poland. k.kwasna@awf.katowice.pl.
Krystyna
K
Kwaśna
Department of Physiotherapy Basics, Jerzy Kukuczka Academy of Physical Education, Mikołowska 72a, 40-065, Katowice, Poland. a.smykla@awf.katowice.pl.
Agnieszka
A
Smykla
Department of Physiotherapy Basics, Jerzy Kukuczka Academy of Physical Education, Mikołowska 72a, 40-065, Katowice, Poland. j.taradaj@awf.katowice.pl.
Jakub
J
Taradaj
Department of Human Motor Behavior, Jerzy Kukuczka Academy of Physical Education, Mikołowska 72a, 40-065, Katowice, Poland. g.juras@awf.katowice.pl.
Grzegorz
G
Juras
D000328:Adult; D004576:Electromyography / Q000379:methods*; D005260:Female; D006801:Humans; D009119:Muscle Contraction / Q000502:physiology*; D018763:Muscle Fatigue / Q000502:physiology*; D018482:Muscle, Skeletal / Q000502:physiology*; D017773:Pelvic Floor / Q000502:physiology*; D010812:Physical Stimulation / Q000379:methods; D012026:Reflex, Stretch / Q000502:physiology; D015203:Reproducibility of Results; D012680:Sensitivity and Specificity; D014732:Vibration