Abstract
Stress urinary incontinence (SUI) is defined by an involuntary loss of urine during physical activity or while coughing or sneezing. Impact activities produce a strong, rapid increase in intra-abdominal pressure that transmits to the bladder. To be continent, the bladder closure pressure must be higher than the bladder pressure. Coughing elicits rapid, vigorous and reflexive contractions of the external urethral sphincter and the pelvic floor muscles (PFMs) in continent, but not in incontinent women. Conventional physiotherapy focuses primarily on the voluntary control of the PFMs. Interestingly, a combination of physiotherapy and vibration exercises also trained the fast, reactive and reflexive muscle fibers and the coordination of the PFMs with interacting muscle groups. This functional training increases muscle strength, reflex activity and coordination, cures/improves SUI, and leads to a better mobility and, in summary, to a higher quality of life.
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsReferences
Rautenberg O, Zivanovic I, Kociszewski J, Kuszka A, Munst J, Eisele L, et al. Current treatment concepts for stress urinary incontinence. Praxis (Bern 1994). 2017;106:829e–36e.
Luginbuehl H, Baeyens JP, Kuhn A, Christen R, Oberli B, Eichelberger P, et al. Pelvic floor muscle reflex activity during coughing – an exploratory and reliability study. Ann Phys Rehabil Med. 2016;59:302–7.
Moser H, Leitner M, Eichelberger P, Kuhn A, Baeyens JP, Radlinger L. Pelvic floor muscle activity during jumps in continent and incontinent women: an exploratory study. Arch Gynecol Obstet. 2018;297:1455–63.
Bo K. Pelvic floor muscle training is effective in treatment of female stress urinary incontinence, but how does it work? Int Urogynecol J Pelvic Floor Dysfunct. 2004;15:76–84.
Chancellor MB, Perkin H, Yoshimura N. Recent advances in the neurophysiology of stress urinary incontinence. Scand J Urol Nephrol. 2005;39:21–4.
Park JM, Bloom DA, McGuire EJ. The guarding reflex revisited. Br J Urol. 1997;80:940–5.
Lovegrove Jones RC, Peng Q, Stokes M, Humphrey VF, Payne C, Constantinou CE. Mechanisms of pelvic floor muscle function and the effect on the urethra during a cough. Eur Urol. 2010;57:1101–10.
Koelbl H, Strassegger H, Riss PA, Gruber H. Morphologic and functional aspects of pelvic floor muscles in patients with pelvic relaxation and genuine stress incontinence. Obstet Gynecol. 1989;74:789–95.
Marques A, Stothers L, Macnab A. The status of pelvic floor muscle training for women. Can Urol Assoc J. 2010;4:419–24.
Perucchini D, DeLancey JO, Ashton-Miller JA, Peschers U, Kataria T. Age effects on urethral striated muscle. I. Changes in number and diameter of striated muscle fibers in the ventral urethra. Am J Obstet Gynecol. 2002;186:351–5.
Sapsford RR, Hodges PW, Richardson CA, Cooper DH, Markwell SJ, Jull GA. Co-activation of the abdominal and pelvic floor muscles during voluntary exercises. Neurourol Urodyn. 2001;20:31–42.
Luginbuehl H, Lehmann C, Baeyens JP, Kuhn A, Radlinger L. Involuntary reflexive pelvic floor muscle training in addition to standard training versus standard training alone for women with stress urinary incontinence: study protocol for a randomized controlled trial. Trials. 2015;16:524.
Penninx BW, Messier SP, Rejeski WJ, Williamson JD, DiBari M, Cavazzini C, et al. Physical exercise and the prevention of disability in activities of daily living in older persons with osteoarthritis. Arch Intern Med. 2001;161:2309–16.
Miller JM, Sampselle C, Ashton-Miller J, Hong GR, DeLancey JO. Clarification and confirmation of the Knack maneuver: the effect of volitional pelvic floor muscle contraction to preempt expected stress incontinence. Int Urogynecol J Pelvic Floor Dysfunct. 2008;19:773–82.
Dumoulin C, Hay-Smith J, Habee-Seguin GM, Mercier J. Pelvic floor muscle training versus no treatment, or inactive control treatments, for urinary incontinence in women: a short version Cochrane systematic review with meta-analysis. Neurourol Urodyn. 2015;34:300–8.
von der Heide S, Viereck V. Vibrationstherapie. In: Carrière B, editor. Beckenboden. Stuttgart, New York: Georg Thieme Verlag; 2012. p. 254–61.
Bemben D, Stark C, Taiar R, Bernardo-Filho M. Relevance of whole-body vibration exercises on muscle strength/power and bone of elderly individuals. Dose Response. 2018;16:1–7.
Lauper M, Kuhn A, Gerber R, Luginbuhl H, Radlinger L. Pelvic floor stimulation: what are the good vibrations? Neurourol Urodyn. 2009;28:405–10.
Luginbuehl H, Lehmann C, Gerber R, Kuhn A, Hilfiker R, Baeyens JP, et al. Continuous versus intermittent stochastic resonance whole body vibration and its effect on pelvic floor muscle activity. Neurourol Urodyn. 2012;31:683–7.
Ross S, Viereck V. Vibration stärkt den Beckenboden. gynäkologie + geburtshilfe. 2005;4:1–2.
von der Heide S, Emons G, Hilgers R, Viereck V. Effect on muscles of mechanical vibrations produced by the Galileo 2000 in combination with physical therapy in treating female stress urinary incontinence. Abstract 285. In: International Continence Society ICS, October 5–9, Florence, Italy; 2003. p. 192–3.
Viereck V, von der Heide S, Manke S, Ross S, Hilgers R, Emons G. Innovatives Beckenbodentrainingskonzept bei Belastungsinkontinenz – Physiotherapie im Einzelunterricht kombiniert mit Galileo-Vibrationstraining: Ergebnisse prospektiver Vergleichsstudien. Abstract FM21. In: Schweizerische Gesellschaft für Gynäkologie und Geburtshilfe SGGG, June 24–26, Interlaken, Switzerland; 2010. p. 4.
Burkhardt A. Wippen mit Wirkung – Vibrationstraining in der Physiotherapie. Physiopraxis. 2006;9:22–5.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2020 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Viereck, V., Gamper, M. (2020). Urinary Incontinence. In: Rittweger, J. (eds) Manual of Vibration Exercise and Vibration Therapy. Springer, Cham. https://doi.org/10.1007/978-3-030-43985-9_23
Download citation
DOI: https://doi.org/10.1007/978-3-030-43985-9_23
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-43984-2
Online ISBN: 978-3-030-43985-9
eBook Packages: MedicineMedicine (R0)