Which Positions Optimize Pelvic Floor Activation in Female Athletes?

Background/Objectives: Implementing and optimizing pelvic floor muscle (PFM) training programs is crucial for reducing the risk of dysfunctions, improving athletic performance, and enhancing quality of life for athletes. The aim of this study was to assess PFM activation in female athletes during po...

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Main Authors: Elena Sonsoles Rodríguez-López, Luz María Martín-Márquez, María Barbaño Acevedo-Gómez, África López-Illescas, María Benito-de-Pedro, Cristina Ojedo-Martín
Format: Article
Language:English
Published: MDPI AG 2025-01-01
Series:Life
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Online Access:https://www.mdpi.com/2075-1729/15/1/58
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author Elena Sonsoles Rodríguez-López
Luz María Martín-Márquez
María Barbaño Acevedo-Gómez
África López-Illescas
María Benito-de-Pedro
Cristina Ojedo-Martín
author_facet Elena Sonsoles Rodríguez-López
Luz María Martín-Márquez
María Barbaño Acevedo-Gómez
África López-Illescas
María Benito-de-Pedro
Cristina Ojedo-Martín
author_sort Elena Sonsoles Rodríguez-López
collection DOAJ
description Background/Objectives: Implementing and optimizing pelvic floor muscle (PFM) training programs is crucial for reducing the risk of dysfunctions, improving athletic performance, and enhancing quality of life for athletes. The aim of this study was to assess PFM activation in female athletes during postural challenges. Methods: An observational and descriptive study was conducted with twenty-five female rugby players. Surface electromyography was used to evaluate the PFMs in five different body positions under stable and unstable conditions. Results: The peak amplitude of the PFMs at baseline differed according to the physical demand of each position (<i>p</i> < 0.001). The lowest percentage activation was in the supine position (16.23%), while the highest recruitment was observed during the parallel squat (40.69%). The percentage of maximum voluntary contraction also differed according to each position (<i>p</i> = 0.001). The values were similar in supine position, side plank (104%), and standing position, being significantly lower (<i>p</i> < 0.05) than those reached during the off-knees quadruped hold (121.58%), full plank (121.97%), and parallel squat (151.40%); however, the values were comparable between stable and unstable positions (<i>p</i> = 1.000). Conclusions: Positions that challenge gravity and pelvic biomechanics, such as the squat, plank, and quadruped, facilitate greater activation of the PFMs. Contrary to previous recommendations, these exercises do not appear to have significant negative effects; therefore, consideration should be given to the implementation of these exercises for the management of pelvic floor dysfunction and as part of comprehensive exercise programs designed to improve overall core and pelvic floor function.
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spelling doaj-art-831e2173ad684df99e37caed01c843592025-01-24T13:38:36ZengMDPI AGLife2075-17292025-01-011515810.3390/life15010058Which Positions Optimize Pelvic Floor Activation in Female Athletes?Elena Sonsoles Rodríguez-López0Luz María Martín-Márquez1María Barbaño Acevedo-Gómez2África López-Illescas3María Benito-de-Pedro4Cristina Ojedo-Martín5Physiotherapy and Health Research Group (FYSA), Department of Physiotherapy, Faculty of Health Sciences—HM Hospitals, University Camilo José Cela, Villanueva de la Cañada, 28692 Madrid, SpainPhysiotherapy and Health Research Group (FYSA), Department of Physiotherapy, Faculty of Health Sciences—HM Hospitals, University Camilo José Cela, Villanueva de la Cañada, 28692 Madrid, SpainPhysiotherapy and Health Research Group (FYSA), Department of Physiotherapy, Faculty of Health Sciences—HM Hospitals, University Camilo José Cela, Villanueva de la Cañada, 28692 Madrid, SpainPhysiotherapy and Health Research Group (FYSA), Department of Physiotherapy, Faculty of Health Sciences—HM Hospitals, University Camilo José Cela, Villanueva de la Cañada, 28692 Madrid, SpainPhysiotherapy and Health Research Group (FYSA), Department of Physiotherapy, Faculty of Health Sciences—HM Hospitals, University Camilo José Cela, Villanueva de la Cañada, 28692 Madrid, SpainPhysiotherapy and Health Research Group (FYSA), Department of Physiotherapy, Faculty of Health Sciences—HM Hospitals, University Camilo José Cela, Villanueva de la Cañada, 28692 Madrid, SpainBackground/Objectives: Implementing and optimizing pelvic floor muscle (PFM) training programs is crucial for reducing the risk of dysfunctions, improving athletic performance, and enhancing quality of life for athletes. The aim of this study was to assess PFM activation in female athletes during postural challenges. Methods: An observational and descriptive study was conducted with twenty-five female rugby players. Surface electromyography was used to evaluate the PFMs in five different body positions under stable and unstable conditions. Results: The peak amplitude of the PFMs at baseline differed according to the physical demand of each position (<i>p</i> < 0.001). The lowest percentage activation was in the supine position (16.23%), while the highest recruitment was observed during the parallel squat (40.69%). The percentage of maximum voluntary contraction also differed according to each position (<i>p</i> = 0.001). The values were similar in supine position, side plank (104%), and standing position, being significantly lower (<i>p</i> < 0.05) than those reached during the off-knees quadruped hold (121.58%), full plank (121.97%), and parallel squat (151.40%); however, the values were comparable between stable and unstable positions (<i>p</i> = 1.000). Conclusions: Positions that challenge gravity and pelvic biomechanics, such as the squat, plank, and quadruped, facilitate greater activation of the PFMs. Contrary to previous recommendations, these exercises do not appear to have significant negative effects; therefore, consideration should be given to the implementation of these exercises for the management of pelvic floor dysfunction and as part of comprehensive exercise programs designed to improve overall core and pelvic floor function.https://www.mdpi.com/2075-1729/15/1/58pelvic floorelectromyographyposturesportswomenrugby
spellingShingle Elena Sonsoles Rodríguez-López
Luz María Martín-Márquez
María Barbaño Acevedo-Gómez
África López-Illescas
María Benito-de-Pedro
Cristina Ojedo-Martín
Which Positions Optimize Pelvic Floor Activation in Female Athletes?
Life
pelvic floor
electromyography
posture
sportswomen
rugby
title Which Positions Optimize Pelvic Floor Activation in Female Athletes?
title_full Which Positions Optimize Pelvic Floor Activation in Female Athletes?
title_fullStr Which Positions Optimize Pelvic Floor Activation in Female Athletes?
title_full_unstemmed Which Positions Optimize Pelvic Floor Activation in Female Athletes?
title_short Which Positions Optimize Pelvic Floor Activation in Female Athletes?
title_sort which positions optimize pelvic floor activation in female athletes
topic pelvic floor
electromyography
posture
sportswomen
rugby
url https://www.mdpi.com/2075-1729/15/1/58
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