#23421
Characterisation of the vaginal pressure profile (femfit) during exercise
Orr H1, Kruger J1, Budgett D1
1. Auckland Bioengineering Institute, Auckland University
KEYWORDS: Pelvic Floor, Pelvic Organ Prolapse, Stress Urinary Incontinence, Female, Prevention
It has been suggested that excessive or repetitive increases in abdominal pressure associated with exercise, specifically high impact exercise (HIE), may promote the development of pelvic floor dysfunction (1). Research assessing intra-abdominal pressure (IAP) generation during different exercises report wide variations amongst individuals and there remains no established threshold of maximal IAP to guide activity restrictions (2). The contribution of the pelvic floor muscles (PFM)s to a women’s ability to tolerate increases in IAP during exercise also needs to be considered. Assessment of the PFMs using traditional perineometry tools is limited by their inability to differentiate IAP from that produced by the PFMs(3); rendering it invalid as a tool for measuring the PFMs during dynamic activities. The femfit® is a device capable of measuring a pressure profile along the length of the vagina. The device is thin, soft and flexible with eight pressure sensing areas, and is able to be used during dynamic and static exercise. Simultaneous measurements are made of IAP (sensor 8) and within the PFM zone covered by sensors numbered 1 to 6. The aim of this study is to assess the ability of the vaginal pressure profile recorded by the femfit® to describe the PFMs, during distinct tasks, by comparing it with simultaneously measured changes in the pelvic floor anatomy using transperineal ultrasound (TPUS). The hypothesis is that the pressure profile could be used to describe the changes in the geometry of the PFMs during dynamic activity.
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