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Urinary incontinence and pelvic floor muscle training in young volleyball players

A common type of pelvic floor dysfunction in female athletes is urinary incontinence (UI), with a prevalence of 8.5 to 38 percent. The purpose of the study is to determine the status of UI and awareness of the importance of pelvic floor muscle training (PFMT) and the impact of PFMT on pelvic floor muscle (PFM) endurance. The sample consisted of 30 female volleyball players from volleyball club Šentvid, aged 15 to 25, who practice volleyball four to five times a week. We used a survey questionnaire and performed PFM endurance measurements according to the PERFECT scheme. The subjects were enrolled in an 8 weeks training program for PFM. Endurance measurements of PFM were performed before and after the study period. The data were analyzed and processed through IBM SPSS 21, using frequency distribution, averages, standard deviation and standard error of averages. A t-test for dependent samples was used to analyze the differences between the initial and final measurements of the PFM. Given the asymmetry of the data, the differences between the measurements were analyzed by the Wilcoxon test at a risk level of p=0.05. We found that UI occurs in 43.33 percent of subjects, mostly stress UI. The feeling of urgent urination and urinary incontinence are mainly caused by jumps and jogging. Awareness of the importance of PFMT among volleyball players is otherwise satisfactory, but PFMT is only performed by 6.66 percent of players. After an eight-week PFMT program, the endurance of PFM improved statistically. Volleyball is one of the most trained sports among women, but because of the high correlation with excessive increases in intra-abdominal pressure, it becomes an important factor in the development of UI. Adequate awareness of the importance of preventive PFMT in this population is therefore of utmost importance.

Maruša Pungartnik
Alma Mater Europaea - ECM
Slovenia

Patricija Goubar
Alma Mater Europaea - ECM
Slovenia

 


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