Funktion und Dysfunktion des weiblichen Beckenbodens

Obwohl schon junge Athletinnen an Inkontinenz leiden, wissen sie wenig bis nichts über ihre Beckenbodenmuskulatur und deren Trainingsmöglichkeiten. Dabei stehen Präventionsmaßnahmen und Therapieoptionen zur Verfügung. Physiotherapeut*innen können wesentlich dazu beitragen, dass das Wissen über den Beckenboden größer und die damit verbundene Tabuisierung geringer wird.

Publication History

Article published online:
19 July 2023

• Literatur

• 1 Gram MCD, Bø K. High level rhythmic gymnasts and urinary incontinence. Scand J Med Sci Sports 2020; 30: 159-161
• 2 Dakic JG, Cook J, Hay-Smith J. et al. Pelvic Floor Symptoms Are an Overlooked Barrier to Exercise Participation: A Cross-Sectional Online Survey of 4556 Women Who Are Symptomatic. Phys Ther 2022; 102: pzab284
• 3 Fritsch H. Anatomie des weiblichen Beckenbodens. In: Michel M, Thüroff J, Janetschek G, Wirth M, Hrsg. Die Urologie. Springer Reference Medizin. Berlin, Heidelberg: Springer; 2015.
• 4 Messelink B, Benson T, Berghmans B. et al. Standardization of terminology of pelvic floor muscle function and dysfuncton: Report from the pelvic floor clinical assessment group of the International Society. Neurourol Urodyn 2005; 24: 374-380
• 5 Tim S, Mazur-Bialy AI. The Most Common Functional Disorders and Factors Affecting Female Pelvic Floor. Life (Basel) 2021; 14: 1397
• 6 Hallock JL, Handa VL. The epidemiology of pelvic floor disorders and childbirth: an update. Obstet Gynecol Clin North Am 2016; 43: 1-13
• 7 Aoki Y, Brown HW, Brubaker L. et al. Urinary incontinence in women. Nat Rev Dis Primers 2017; 3: 17042
• 8 Manski D. Urologielehrbuch.de. 16.Aufl. Stadtbergen: Dr. med. Dirk Manski;. 2022
• 9 Redford K, Odofin F. Pelvic Floor Muscle Training for Women With Pelvic Organ Prolapse. Women’s Health & Pelvic Floor Rehabilitation Royal Hampshire County Hospital, Winchester. Not published.
• 10 Faye RB, Piraccini E. Vulvodynia. In: StatPearls (Internet) (July 18; 2022). Treasure Island (FL): StatPearls Publishing; Im Internet: https://www.ncbi.nlm.nih.gov/books/NBK430792/?report=printable; Stand: 22.04.2023
• 11 Melnik T, Hawton K, McGuire H. Interventions for vaginismus. Cochrane Database Syst Rev 2012; 12: CD001760
• 12 National Institute for Health and Care Excellence (NICE). Pelvic floor dysfunction: prevention and non-surgical management. Nice Guideline, No. 210. London: National Institute for Health and Care Excellence; 2021
• 13 NHS. Vulvodynia (vulval pain). (24 May 2022). Im Internet: https://www.nhs.uk/conditions/vulvodynia/; Stand: 22.04.2023
• 14 NIH. How is pelvic pain treated? (31. Jan. 2017). Im Internet: https://www.nichd.nih.gov/health/topics/pelvicpain/conditioninfo/treatments; Stand: 22.04.2023
• 15 Eliasson K, Larsson T, Mattsson E. Prevalence of Stress Incontinence in Nulliparous Elite Trampolinists. Scand J Med Sci Sports 2002; 12: 106-110
• 16 University of Utah Health Sciences. Pelvic Floor Disorders May Have Genetic Link. ScienceDaily. ScienceDaily, 26 April 2009. Im Internet: . www.sciencedaily.com/releases/2009/04/090423132606.htm; Stand: 15.05.2023
• 17 Luginbuehl H, Baeyens J-P, Kuhn A. et al. Pelvic floor muscle reflex activity during coughing – an exploratory. Ann Phys Rehabil Med 2016; 59: 302-307
• 18 Giagio S, Innocenti T, Pillastrini P. et al. What is known from the existing literature about the available interventions for pelvic floor dysfunction among female athletes? A scoping review. Neurourol Urodyn 2022; 41: 573-584
• 19 Bø K, Frawley HC, Haylen BT. et al. An International Urogynecological Association (IUGA)/International Continence Society (ICS) Joint Report on the Terminology for the Conservative and Non-pharamacological Management of Female Pelvic Floor Dysfunction. Int Urogynecol J 2017; 36: 221-244
• 20 tens4you. NeuroTrac MyoPlus 4 PRO. Im Internet: https://www.tens4you.de/biofeedback-emg/102-neurotrac-myoplus-4-pro.html; Stand: 15.05.2023
• 21 Li W, Hu Q, Zhang Z. et al. Effect of different electrical stimulation protocols for pelvic floor rehabilitation of postpartum women with extremely weak muscle strength: Randomized control trial. Medicine (Baltimore) 2020; 99: e19863
• 22 Corcos J, Chiarelli P, Wyman JF, Bø K, Berghams B. Chapter 7 - Female pelvic floor dysfunctions and evidence-based physical therapy. In: Bø K, Berghams B, Mørkved S, Van Kampen M, eds. Evidence-Based Physical Therapy for the Pelvic Floor. Churchill Livingstone Elsevier; 2015