ArticleClinical biomechanics (Bristol, Avon)2017
Pelvic floor dynamics during high-impact athletic activities: A computational modeling study.
Article in Clinical biomechanics (Bristol, Avon), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
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Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it, 57 citations in OpenAlex.
- Pelvic floor muscle training with feedback or biofeedback for urinary incontinence in women.The Cochrane database of systematic reviews · 2025Pooled it
- Measurement of the Vaginal Pressure Profile with the Femfit® and Leakage Events Using a Newly Developed Pad Test during Selected Sports Activities: A Pilot Study.International urogynecology journal · 2025Observational
- Exploring the connection between the hip and pelvic floor in women with exercise-induced urinary incontinence: integrating clinical hypotheses with current evidence.Journal of pelvic, obstetric and gynaecological physiotherapy · 2025Article
- Finite element-based prioritization of pelvic floor muscles for rehabilitation to maintain urinary and fecal control in elderly women.Frontiers in physiology · 2025Article
- Finite element modeling in obstetrics and gynecology: advances, applications, and challenges.Frontiers in medicine · 2025Review
- Finite Element Analysis of Pelvic Floor Biomechanical Models to Elucidate the Mechanism for Improving Urination and Defecation Dysfunction in Older Adults: Protocol for a Model Development and Validation Study.JMIR research protocols · 2024Article
- Symptomatology and knowledge regarding pelvic floor dysfunctions and influence of gender stereotypes in female athletes.Scientific reports · 2024Article
- Quantifying the effects of five rehabilitation training methods on the ability of elderly men to control bowel movements: a finite element analysis study.Frontiers in bioengineering and biotechnology · 2024Article
- Urinary Incontinence Among Elite Track and Field Athletes According to Their Event Specialization: A Cross-Sectional Study.Sports medicine - open · 2022Article
- Quality of life of fitness professionals in Portugal: Comparative and correlation study.Frontiers in psychology · 2022Article
- Particle Swarm Algorithm-Based Analysis of Pelvic Dynamic MRI Images in Female Stress Urinary Incontinence.Contrast media & molecular imaging · 2021Article
- Progress in studies on pathological changes and future treatment strategies of obesity-associated female stress urinary incontinence: a narrative review.Translational andrology and urology · 2021Review
- Stress Incontinence during Different High-Impact Exercises in Women: A Pilot Survey.International journal of environmental research and public health · 2020Article
- A computational analysis of the effect of supporting organs on predicted vesical pressure in stress urinary incontinence.Medical & biological engineering & computing · 2020Article
- Prevalence of urinary incontinence in women powerlifters: a pilot study.International urogynecology journal · 2019Article
- Physical Activity and Stress Incontinence in Women.Current bladder dysfunction reports · 2019Article
- Assessing prevalence of urinary incontinence in Scottish fitness instructors and experience of teaching pelvic floor muscle exercises: an online survey.Journal of public health (Oxford, England) · 2019Article
- Modern Theories of Pelvic Floor Support : A Topical Review of Modern Studies on Structural and Functional Pelvic Floor Support from Medical Imaging, Computational Modeling, and Electromyographic Perspectives.Current urology reports · 2018Review
- Athletic Incontinence: Proposal of a New Term for a New Woman.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2017Article
- Female pelvic floor biomechanics: bridging the gap.Current opinion in urology · 2017Review
Corrections and comments
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Authors and funding
9 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundStress urinary incontinence is a significant problem in young female athletes, but the pathophysiology remains unclear because of the limited knowledge of the pelvic floor support function and limited capability of currently available assessment tools. The aim of our study is to develop an advanced computer modeling tool to better understand the dynamics of the internal pelvic floor during highly transient athletic activities.
methodsApelvic model was developed based on high-resolution MRI scans of a healthy nulliparous young female. A jump-landing process was simulated using realistic boundary conditions captured from jumping experiments. Hypothesized alterations of the function of pelvic floor muscles were simulated by weakening or strengthening the levator ani muscle stiffness at different levels. Intra-abdominal pressures and corresponding deformations of pelvic floor structures were monitored at different levels of weakness or enhancement.
findingsResults show that pelvic floor deformations generated during a jump-landing process differed greatly from those seen in a Valsalva maneuver which is commonly used for diagnosis in clinic. The urethral mobility was only slightly influenced by the alterations of the levator ani muscle stiffness. Implications for risk factors and treatment strategies were also discussed.
interpretationResults suggest that clinical diagnosis should make allowances for observed differences in pelvic floor deformations between a Valsalva maneuver and a jump-landing process to ensure accuracy. Urethral hypermobility may be a less contributing factor than the intrinsic sphincteric closure system to the incontinence of young female athletes.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.