SynthesisClinics (Sao Paulo, Brazil)2019
Pelvic floor and abdominal muscle cocontraction in women with and without pelvic floor dysfunction: a systematic review and meta-analysis.
Synthesis in Clinics (Sao Paulo, Brazil), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed.
- Effects of spinal stabilization exercises focusing on the pelvic floor in women with overactive bladder.International urogynecology journal · 2023Trial
- Ultrasound-Based Morphofunctional Assessment of the Transversus Abdominis and Urinary Incontinence in Female Rugby Players.Journal of functional morphology and kinesiology · 2026Article
- Assessing Lower Urinary Tract Symptoms in Women Practising Competitive Judo: Findings from a Cross-sectional Study.International urogynecology journal · 2026Observational
- Yoga- and Pilates-Based Respiratory Training in Individuals with Urinary Incontinence: A Randomized Controlled Trial.International urogynecology journal · 2026Article
- Effect of Exercises Performed with External Focus Instructions on Transversus Abdominis Thickness in Postpartum Women with Diastasis Recti.Healthcare (Basel, Switzerland) · 2026Article
- Ultrasound measurements of pelvic floor and diaphragm muscles in chronic obstructive pulmonary disease patients with urinary incontinence.Irish journal of medical science · 2026Article
- Ultrasound Characteristics of Trunk Muscles in Postpartum Women, and Their Correlation with Symptoms of Stress Urinary Incontinence.International journal of women's health · 2026Article
- Relationship Between Abdominal Muscle and Pelvic Floor Muscle Activation in Elderly Individuals with Urinary Incontinence.International urogynecology journal · 2025Article
- Gestational and Type 2 Diabetes in Relation to Urinary Incontinence in Black Women in the U.S.Uro · 2025Article
- Coactivation of the Pelvic Floor and Gluteus Medius Muscles While Walking and Running in Female Runners.Sensors (Basel, Switzerland) · 2024Article
- Lateral abdominal muscle thickness and contractile function in women with and without stress urinary incontinence.International urogynecology journal · 2024Article
- The role of abdominal muscle training in combination with pelvic floor muscle training to treat female urinary incontinence - a pilot 12-week study.Central European journal of urology · 2024Article
- The Correlation between Transperineal Shear-Wave Elastography and Transabdominal Ultrasound When Assessing Pelvic Floor Function in Nulliparous Women.Diagnostics (Basel, Switzerland) · 2023Article
- Lateral abdominal muscle thickness during breathing maneuvers in women with and without stress urinary incontinence.International urogynecology journal · 2023Article
- Acute Effect of a Half-Marathon over the Muscular Function and Electromyographic Activity of the Pelvic Floor in Female Runners with or without Urinary Incontinence: A Pilot Study.International journal of environmental research and public health · 2023Article
- Gestational diabetes is associated with alteration on pelvic floor muscle activation pattern during pregnancy and postpartum: Prospective cohort using electromyography assessment.Frontiers in endocrinology · 2022Article
- Postural Sensorimotor Control on Anorectal Pressures and Pelvic Floor Muscle Tone and Strength: Effects of a Single 5PInternational journal of environmental research and public health · 2021Article
- Article
Corrections and comments
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
There is an ongoing discussion regarding abdominal muscle (AbM) and pelvic floor muscle (PFM) synergism. Therefore, this study aimed to investigate the cocontraction between AbMs and PFMs in women with or without pelvic floor dysfunction (PFD). The following databases were searched up to December 21, 2018: MEDLINE, EMBASE, LILACS, PEDro and CENTRAL. We included any study that assessed the cocontraction between PFMs and AbMs in women with and without PFD. Two reviewers independently screened eligible articles and extracted data. The outcomes were extracted and analyzed as continuous variables with random effect models. Twenty studies were included. A meta-analysis did not show differences in women with and without PFD. However, a sensitivity analysis suggested cocontraction of the transversus abdominis (TrA) during PFM contraction in healthy women (standardized mean difference (SMD) -1.02 [95% confidence interval (CI) -1.90 to -0.14], P=0.02; I2= not applicable; very low quality of evidence). Women with PFD during contraction of PFMs showed cocontraction of the obliquus internus (OI) (SMD 1.10 [95% CI 0.27 to 1.94], P=0.01; I2= not applicable; very low quality of evidence), and obliquus externus (OE) (SMD 2.08 [95% CI 1.10 to 3.06], P<0.0001; I2 = not applicable; very low quality of evidence). Increased cocontraction of the TrA may be associated with maximal contraction of PFMs in women without PFD. On the other hand, there is likely an increased cocontraction with the OI and OE in women with PFD.
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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.