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Sportphysio 2024; 12(05): 231-239
DOI: 10.1055/a-2413-5939
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Der weibliche Beckenboden im Sport

Teil l: Belastungsinkontinenz – (k)ein Problem?
Monika Leitner
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Aus Studien weiß man, dass eine erhebliche Anzahl weiblicher Athleten Probleme damit hat, beim Sporttreiben den ungewollten Abgang von Urin zu verhindern. Doch immer noch ist die Belastungsinkontinenz im Sport ein Tabuthema. Es wird höchste Zeit, mit mehr Aufklärung und geeigneten Maßnahmen betroffenen Frauen zu helfen.



Publication History

Article published online:
05 December 2024

© 2024. Thieme. All rights reserved.

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  • Literatur

  • 1 Abrams P, Cardozo L, Fall M. et al. The standardisation of terminology in lower urinary tract function: Report from the standardisation sub-committee of the International Continence Society. Urology 2003; 61 (1) 37-49
    CrossrefPubMedSearch in Google Scholar
  • 2 Araújo MP, Oliveira E, Zucchi EVM. et al. The relationship between urinary incontinence and eating disorders in female long-distance runners. Revista da Associação Médica Brasileira 2008; 54 (2) 146-149
    PubMedSearch in Google Scholar
  • 3 Bérubé MÈ, McLean L. The acute effects of running on pelvic floor morphology and function in runners with and without running-induced stress urinary incontinence. International Urogynecology Journal 2024; 35 (1) 127-138
    CrossrefPubMedSearch in Google Scholar
  • 4 Berube ME, McLean L. Differences in pelvic floor muscle morphology and function between female runners with and without running-induced stress urinary incontinence. Neurourol Urodyn 2023; 42 (8) 1733-1744
    CrossrefPubMedSearch in Google Scholar
  • 5 Bo K. Urinary incontinence, pelvic floor dysfunction, exercise and sport. Sports Med 2004; 34 (7) 451-464
    CrossrefPubMedSearch in Google Scholar
  • 6 Bø K, Bratland-Sanda S, Sundgot-Borgen J. Urinary incontinence among group fitness instructors including yoga and pilates teachers. Neurourol Urodyn 2011; 30 (3) 370-373
    CrossrefPubMedSearch in Google Scholar
  • 7 Bø K, Engh ME, Hilde G. Regular exercisers have stronger pelvic floor muscles than nonregular exercisers at midpregnancy. American Journal of Obstetrics and Gynecology 2018; 218 (4) 427.e421-427.e425
    Search in Google Scholar
  • 8 Bø K, Nygaard IE. Is physical activity good or bad for the female pelvic floor? A narrative review. Sports Medicine 2020; 50 (3) 471-484
    CrossrefPubMedSearch in Google Scholar
  • 9 da Silva Borin LCM, Nunes FR, de Oliveira Guirro EC. Assessment of pelvic floor muscle pressure in female athletes. Pm & r 2013; 5 (3) 189-193
    CrossrefPubMedSearch in Google Scholar
  • 10 Dakic JG, Cook J, Hay-Smith JC. et al. Pelvic floor disorders stop women exercising: A survey of 4556 symptomatic women. Journal of Science and Medicine in Sport 2021; 12: 1211-1217
    CrossrefPubMedSearch in Google Scholar
  • 11 Dietze-Hermosa M, Hitchcock R, Nygaard IE. et al. Intra-abdominal pressure and pelvic floor health: Should we be thinking about this relationship differently?. Female Pelvic Medicine & Reconstructive Surgery 2020; 26 (7) 409-414
    CrossrefPubMedSearch in Google Scholar
  • 12 Dobrowolski SL, Pudwell J, Harvey MA. Urinary incontinence among competitive rope-skipping athletes: A cross-sectional study. International Urogynecology Journal 2019; 1-6
    PubMedSearch in Google Scholar
  • 13 Eliasson K, Larsson T, Mattsson E. Prevalence of stress incontinence in nulliparous elite trampolinists. Scand J Med Sci Sports 2002; 12 (2) 106-110
    CrossrefPubMedSearch in Google Scholar
  • 14 Elks W, Jaramillo-Huff A, Barnes KL. et al. The Stress Urinary Incontinence in CrossFit (SUCCeSS) Study. Female Pelvic Medicine & Reconstructive Surgery 2020; 26 (2) 101-106
    CrossrefPubMedSearch in Google Scholar
  • 15 Ferla L, Paiva LL, Darki C. et al. Comparison of the functionality of pelvic floor muscles in women who practice the Pilates method and sedentary women: A pilot study. International Urogynecology Journal 2016; 27 (1) 123-128
    CrossrefPubMedSearch in Google Scholar
  • 16 Gan ZS, Smith AL. Urinary incontinence in elite female athletes. Current Urology Reports 2023; 24 (2) 51-58
    CrossrefPubMedSearch in Google Scholar
  • 17 Gram MCD, Bø K. High level rhythmic gymnasts and urinary incontinence: Prevalence, risk factors, and influence on performance. Scand J Med Sci Sports 2020; 30 (1) 159-165
    CrossrefPubMedSearch in Google Scholar
  • 18 Gupta J, Lin CH, Chen Q. Flow dynamics and characterization of a cough. Indoor Air 2009; 19 (6) 517-525
    CrossrefPubMedSearch in Google Scholar
  • 19 Hagins M, Pietrek M, Sheikhzadeh A. et al. The effects of breath control on intra-abdominal pressure during lifting tasks. Spine 2004; 29 (4) 464-469
    CrossrefPubMedSearch in Google Scholar
  • 20 Hamad NM, Shaw JM, Nygaard IE. et al. More complicated than it looks: The vagaries of calculating intra-abdominal pressure. Journal of Strength and Conditioning Research/National Strength & Conditioning Association 2013 27. 11
    Search in Google Scholar
  • 21 Leitner M, Moser H, Eichelberger P. et al. Evaluation of pelvic floor kinematics in continent and incontinent women during running: An exploratory study. Neurourol Urodyn 2018; 37 (2) 609-618
    CrossrefPubMedSearch in Google Scholar
  • 22 Leitner M, Moser H, Eichelberger P. et al. Evaluation of pelvic floor muscle activity during running in continent and incontinent women: An exploratory study. Neurourol Urodyn 2017; 36 (6) 1570-1576
    CrossrefPubMedSearch in Google Scholar
  • 23 Leitner M, Moser H, Eichelberger P. et al. Pelvic floor muscle activity during fast voluntary contractions in continent and incontinent women. Neurourology and urodynamics 2019; 38 (2) 625-631
    CrossrefPubMedSearch in Google Scholar
  • 24 Lose G. The burden of stress urinary incontinence. European Urology Supplements 2005; 4 (1) 5-10
    CrossrefSearch in Google Scholar
  • 25 Louis-Charles K, Biggie K, Wolfinbarger A. et al. Pelvic floor dysfunction in the female athlete. Current Sports Medicine Reports 2019; 18 (2) 49-52
    CrossrefPubMedSearch in Google Scholar
  • 26 McKenzie S, Watson T, Thompson J. et al. Stress urinary incontinence is highly prevalent in recreationally active women attending gyms or exercise classes. International Urogynecology Journal 2016; 27 (8) 1175-1184
    CrossrefPubMedSearch in Google Scholar
  • 27 Middlekauff ML, Egger MJ, Nygaard IE. The impact of acute and chronic strenuous exercise on pelvic floor muscle strength and support in nulliparous healthy women. American Journal of Obstetrics and Gynecology 2016; 215 (3) 316.e311-316.e317
    CrossrefPubMedSearch in Google Scholar
  • 28 Minassian VA, Drutz HP, Al-Badr A. Urinary incontinence as a worldwide problem. International Journal of Gynecology & Obstetrics 2003; 82 (3) 327-338
    CrossrefPubMedSearch in Google Scholar
  • 29 Monz B, Pons ME, Hampel C. et al. Patient-reported impact of urinary incontinence – Results from treatment seeking women in 14 European countries. Maturitas 2005; 52 (Suppl. 2) 24-34
    CrossrefPubMedSearch in Google Scholar
  • 30 Morin M, Bourbonnais D, Gravel D. et al. Pelvic floor muscle function in continent and stress urinary incontinent women using dynamometric measurements. Neurourol Urodyn 2004; 23 (7) 668-674
    CrossrefPubMedSearch in Google Scholar
  • 31 Moser H, Leitner M, Eichelberger P. et al. Pelvic floor muscle activity during jumps in continent and incontinent women: An exploratory study. Arch Gynecol Obstet 2018; 297 (6) 1455-1463
    CrossrefPubMedSearch in Google Scholar
  • 32 Murphy M, Olivera C, Wheeler T. et al. Postoperative management and restrictions for female pelvic surgery: A systematic review. International Urogynecology Journal 2013; 24 (2) 185-193
    CrossrefPubMedSearch in Google Scholar
  • 33 Nygaard I, DeLancey JO, Arnsdorf L. et al. Exercise and incontinence. Obstetrics & Gynecology 1990; 75 (5) 848-851
    Search in Google Scholar
  • 34 Papanicolaou S, Hunskaar S, Lose G. et al. Assessment of bothersomeness and impact on quality of life of urinary incontinence in women in France, Germany, Spain and the UK. BJU International 2005; 96 (6) 831-838
    CrossrefPubMedSearch in Google Scholar
  • 35 Parmigiano TR, Zucchi EVM, Araujo MP d. et al. Pre-participation gynecological evaluation of female athletes: A new proposal. Einstein (São Paulo) 2014; 12: 459-466
    CrossrefPubMedSearch in Google Scholar
  • 36 Rainville J, Smeets RJ, Bendix T. et al. Fear-avoidance beliefs and pain avoidance in low back pain – Translating research into clinical practice. The Spine Journal 2011; 11 (9) 895-903
    CrossrefPubMedSearch in Google Scholar
  • 37 Schettino M, Mainini G, Ercolano S. et al. Risk of pelvic floor dysfunctions in young athletes. Clin Exp Obstet Gynecol 2014; 41 (6) 671-676
    CrossrefPubMedSearch in Google Scholar
  • 38 Stephen K, van Woerden H, MacRury S. Assessing prevalence of urinary incontinence in Scottish fitness instructors and experience of teaching pelvic floor muscle exercises: An online survey. Journal of Public Health 2019; 41 (1) e44-e50
    CrossrefPubMedSearch in Google Scholar
  • 39 Tian T, Budgett S, Smalldridge J. et al. Assessing exercises recommended for women at risk of pelvic floor disorders using multivariate statistical techniques. International Urogynecology Journal 2018; 29 (10) 1447-1454
    CrossrefPubMedSearch in Google Scholar
  • 40 Tomori Z, Widdicombe J. Muscular, bronchomotor and cardiovascular reflexes elicited by mechanical stimulation of the respiratory tract. The Journal of Physiology 1969; 200 (1) 25-49
    CrossrefPubMedSearch in Google Scholar
  • 41 Weir LF, Nygaard IE, Wilken J. et al. Postoperative activity restrictions: Any evidence?. Obstetrics & Gynecology 2006; 107 (2) Part 1 305-309
    CrossrefPubMedSearch in Google Scholar
  • 42 Wikander L, Kirshbaum MN, Gahreman DE. Urinary incontinence and women CrossFit competitors. International Journal of Women’s Health 2020; 12: 1189
    CrossrefPubMedSearch in Google Scholar
  • 43 Wilson P, Bo K, Hay-Smith J. et al. Conservative treatment in women. Incontinence 2002; 2: 571-624
    Search in Google Scholar
  • 44 Yi J, Tenfelde S, Tell D. et al. Triathlete risk of pelvic floor disorders, pelvic girdle pain, and female athlete triad. Urogynecology 2016; 22 (5) 373-376
    Search in Google Scholar