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Exercise design based on the morphological evidence which is performed by mothers with a baby aiming at prevention of chronic post-delivery urinary incontinence

Research Project

Project/Area Number 15K11721
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Lifelong developmental nursing
Research InstitutionThe University of Shimane

Principal Investigator

Nagashima Reiko  島根県立大学, 看護学部, 教授 (00310805)

Co-Investigator(Renkei-kenkyūsha) OTANI Hiroki  島根大学, 医学部, 教授 (20160533)
Research Collaborator IMAOKA Mituru  ヘルスサイエンスセンター島根, 放射線技師
Project Period (FY) 2015-04-01 – 2018-03-31
Project Status Completed (Fiscal Year 2017)
Budget Amount *help
¥2,730,000 (Direct Cost: ¥2,100,000、Indirect Cost: ¥630,000)
Fiscal Year 2017: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Fiscal Year 2016: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Fiscal Year 2015: ¥780,000 (Direct Cost: ¥600,000、Indirect Cost: ¥180,000)
Keywords出産後尿失禁 / 骨盤底筋収縮 / 大殿筋収縮 / 形態学的評価 / MRI / 骨盤底ケア / 骨盤底筋運動 / 腹圧性尿失禁 / 骨盤底筋訓練 / 産褥女性 / 大殿筋収縮訓練 / 腹圧性尿失禁予防 / 女性 / 分娩後 / 骨盤底筋 / 運動 / エビデンス / 大臀筋 / 腹横筋
Outline of Final Research Achievements

Objective: We compared the bladder neck movement between during gluteus maximus muscle (GM) contraction and during pelvic floor muscles (PFM) contraction using MRI to design exercise for prevention of post-delivery urinary incontinence.
Results: 24 women were imaged by cine MRI for 5 s during rest and for 10 s during GM contraction, and 10 s during PFM contraction. Using midsagittal cine MRI once every second, we measured bladder neck height from the standard plane and position in the dorsoventral orientation. Correlations in the bladder neck height/position and the uniformity of the distribution of bladder neck height/position during 10 s muscle contractions were statistically analyzed between GM and PFM contractions. The bladder neck height/position and in the distribution of bladder neck height/position were highly correlated between GM and PFM contractions. The present results suggest that GM contraction effectively induces PFM contraction and may be useful for PFM training.

Report

(4 results)
  • 2017 Annual Research Report   Final Research Report ( PDF )
  • 2016 Research-status Report
  • 2015 Research-status Report
  • Research Products

    (7 results)

All 2018 2017 2016 2015

All Journal Article (3 results) (of which Peer Reviewed: 3 results,  Open Access: 1 results,  Acknowledgement Compliant: 2 results) Presentation (4 results) (of which Int'l Joint Research: 1 results)

  • [Journal Article] 骨盤底筋訓練による出産後尿失禁症状の消失例と非消失例の比較検討―MR画像による骨盤底の形態学的評価―2018

    • Author(s)
      長島玲子、井上千晶、合田典子、大谷 浩
    • Journal Title

      島根県立大学出雲キャンパス紀要

      Volume: 13 Pages: 111-120

    • NAID

      120006486021

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Bladder Neck Moves in a Correlated Manner During Gluteal Muscle and Pelvic Floor Muscle Contractions: Gluteal Muscle Contraction as Easily Confirmable Pelvic Floor Muscle Training2017

    • Author(s)
      Reiko Nagashima, Noriko Goda, Chiaki Inoue, Hiroki Otani
    • Journal Title

      Shimane Journal of Medhical Science

      Volume: 33 Pages: 71-78

    • Related Report
      2016 Research-status Report
    • Peer Reviewed / Open Access / Acknowledgement Compliant
  • [Journal Article] 妊婦の腹圧性尿失禁を予防するための保存的療法の評価-骨盤底筋訓練と歩数調査-2015

    • Author(s)
      長島玲子、合田典子、井上千晶、多々納憂子、大谷 浩
    • Journal Title

      日本医学看護学教育学会誌

      Volume: 24(1) Pages: 63-67

    • NAID

      40020585327

    • Related Report
      2015 Research-status Report
    • Peer Reviewed / Acknowledgement Compliant
  • [Presentation] Evidence-based Examination of a Pelvic-Floor Muscle Training Method for Stress Urinary Incontinence2017

    • Author(s)
      Reiko Nagashima, Noriko Goda, Chiaki Inoue
    • Organizer
      31stICM Triennial Congress
    • Related Report
      2017 Annual Research Report
  • [Presentation] 分娩後に腹圧性尿失禁を発症し、骨盤底筋の収縮感が不明瞭な初産婦に対する骨盤底筋訓練の検討2016

    • Author(s)
      長島玲子,井上千晶
    • Organizer
      第18回日本母性看護学会学術集会,2016.6,
    • Place of Presentation
      福岡県久留米市
    • Year and Date
      2016-06-17
    • Related Report
      2016 Research-status Report
  • [Presentation] 骨盤底筋訓練方法の検討-殿筋収縮時の膀胱頚部の形態学的評価-2016

    • Author(s)
      長島玲子,大谷 浩
    • Organizer
      第19回日本女性骨盤底医学学会
    • Place of Presentation
      北九州市小倉
    • Year and Date
      2016-06-11
    • Related Report
      2016 Research-status Report
  • [Presentation] Pelvic floor muscle training to prevent chronic postpartum urinary incontinence2015

    • Author(s)
      Reiko Nagashima , Noriko Goda, Chiaki Inoue, Yuko Tatano, Hiroki Otani
    • Organizer
      The ICM Asia Pacific Regional Conference 2015
    • Place of Presentation
      PACIFICO YOKOHAMA,JAPAN
    • Year and Date
      2015-07-20
    • Related Report
      2015 Research-status Report
    • Int'l Joint Research

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Published: 2015-04-16   Modified: 2019-03-29  

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