Effects of Pelvic Patterns of Proprioceptive Neuromuscular Facilitation in the Pelvic Floor Muscles

NCT03484169 | Unknown DMC

• 1 other identifier: PNF in pelvic floor muscles
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

Specific patterns of PNF have been used in neurological and rheumatologic rehabilitation to improve trunk control and postural stability. However, there are no studies that analyze the effect of pelvic PNF patterns on pelvic floor muscles. We hypothesize that pelvic patterns of proprioceptive neuromuscular facilitation activate the pelvic floor muscles in healthy individuals through the abdomino-pelvic synergism. Thus, the objective of the study is to analyze the effects of pelvic patterns PNF on the recruitment of pelvic floor muscles in healthy individuals.

Conditions

Motor Activity

Keywords

Muscle Stretching Exercises; Pelvic Floor; motor control; motor skill; motor activity

Outcome Measures

Primary Outcomes (1)

• Electromyographic activation of pelvic floor muscles

  The electromyographic signal (RMS AEMFNPI) during the four pelvic patterns: anterior elevation, posterior elevation, anterior depression and posterior depression will be made as the lateral decubitus individual and in each muscle or muscle group evaluated during the execution of the combination technique isotonic in each pattern. The electromyographic recording of the abdominal and pelvic floor muscles will be done three times to perform the weighted average in the following sequences: Combination of isotonic (concentric, stabilizing and eccentric) of the anterior elevation pattern; Combination of isotonic (concentric, stabilizing and eccentric) of the posterior depression pattern; Combination of isotonic (concentric, stabilizing and eccentric) of the previous depression pattern; Combination of isotonic (concentric, stabilizing and eccentric) of the posterior elevation pattern;

  one day

Secondary Outcomes (1)

• Motor learning after repetitive training of pelvic PNF patterns

  6 weeks

Other Outcomes (4)

• Body Mass Index (BMI)

  one day

• Sexual Function

  one day

• Strength of pelvic floor muscles

  one day

Study Arms (2)

Control group

NO INTERVENTION

No intervention

intervention group

EXPERIMENTAL

The training of PNF pelvic patterns for motor learning in GI will be performed twice a week by a trained and experienced researcher for six weeks (CHRISTIANSEN et al., 2017). At each training session, there will be three repeated movements in each pelvic pattern: Combination of isotonic (concentric, stabilizing and eccentric) of the anterior elevation pattern; Combination of isotonic (concentric, stabilizing and eccentric) of the posterior depression pattern; Combination of isotonic (concentric, stabilizing and eccentric) of the previous depression pattern; Combination of isotonic (concentric, stabilizing and eccentric) of the posterior elevation pattern;

Other: intervention group

Interventions

intervention group OTHER

The training of PNF pelvic patterns for motor learning in GI will be performed twice a week by a trained and experienced researcher for six weeks (CHRISTIANSEN et al., 2017). At each training session, there will be three repeated movements in each pelvic pattern: Combination of isotonic (concentric, stabilizing and eccentric) of the anterior elevation pattern; Combination of isotonic (concentric, stabilizing and eccentric) of the posterior depression pattern; Combination of isotonic (concentric, stabilizing and eccentric) of the previous depression pattern; Combination of isotonic (concentric, stabilizing and eccentric) of the posterior elevation pattern;

Also known as: pelvic pattern of proprioceptive neuromuscular facilitation

intervention group

Eligibility Criteria

• Age: 18 Years - 35 Years
• Sex: female
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• female individuals
• aged between 18 and 35 years
• healthy at menacme, eutrophic, nulliparous
• functional evaluation of pelvic floor muscles presenting muscular strength ≥3 of the Oxford Scale.

You may not qualify if:

• Pregnant women will be excluded from the study;
• women with a history of previous abdominal and / or pelvic surgeries;
• urogynecological and neuromuscular diseases;
• vaginismus;
• increased perineal muscle tone;
• chronic constipation;
• diabetes;
• connective tissue disease;
• anal fissures;
• active hemorrhoids; (chronic pelvic pain, pyriform syndrome, hyperlordosis or marked lumbar rectification)
• smokers.

Sponsors & Collaborators

• Universidade Federal de Pernambuco: lead

Study Sites (1)

Josepha Karinne de Oliveira Ferro

Recife, Pernambuco, +5581, Brazil

RECRUITING

MeSH Terms

Conditions

Motor Activity

Condition Hierarchy (Ancestors)

Behavior

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: INVESTIGATOR, OUTCOMES ASSESSOR
• Masking Details: The result of the randomization will be placed in sealed and opaque envelopes and the information will be revealed to the member in charge of the training only at the moment the intervention is performed, guaranteeing the secrecy of the allocation. The study will be triple blind, since the randomization and allocation of participants will be performed by researcher A, electromyographic evaluations, data tabulation and statistical analysis (researcher B) and intervention (researcher C).
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: PhD student

Model Details: Will be part of the study 30 healthy women at menacme, eutrophic, nulliparous and aged between 18 and 35 years, recruited among students of the Department of Physical Therapy of the Federal University of Pernambuco. The initial sample will be divided into two groups: intervention group n=15 (GI) and one control group n=15 (CG), randomized through www.randomization.com by a researcher who will be blind regarding outcomes.

Study Record Dates

• First Submitted: March 16, 2018
• First Posted: March 30, 2018
• Study Start: March 1, 2018
• Primary Completion: November 30, 2018
• Study Completion: November 30, 2019
• Last Updated: April 3, 2018

Record last verified: 2018-03

Locations

BR (1)