Using a Smartphone Application to Strengthen Pelvic Floor and Manage Symptomatology of Female Track and Field Athletes: A Randomized Controlled Study

Despite the high prevalence of pelvic floor (PF) dysfunctions in female athletes, help-seeking is low due to embarrassment and disinformation. This study evaluated the effects of a 6-week exercise program guided by a specific app, with and without intravaginal biofeedback on the PF symptoms, strengt...

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Main Authors: Natalia Romero-Franco, Elisa Bosch-Donate, Elena Vico-Moreno, Ángel Oliva-Pascual Vaca, Pau Martínez-Bueso, Jesús Molina-Mula, Juan Carlos Fernández-Domínguez
Format: Article
Language:English
Published: MDPI AG 2024-12-01
Series:Applied Sciences
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Online Access:https://www.mdpi.com/2076-3417/14/24/11927
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author Natalia Romero-Franco
Elisa Bosch-Donate
Elena Vico-Moreno
Ángel Oliva-Pascual Vaca
Pau Martínez-Bueso
Jesús Molina-Mula
Juan Carlos Fernández-Domínguez
author_facet Natalia Romero-Franco
Elisa Bosch-Donate
Elena Vico-Moreno
Ángel Oliva-Pascual Vaca
Pau Martínez-Bueso
Jesús Molina-Mula
Juan Carlos Fernández-Domínguez
author_sort Natalia Romero-Franco
collection DOAJ
description Despite the high prevalence of pelvic floor (PF) dysfunctions in female athletes, help-seeking is low due to embarrassment and disinformation. This study evaluated the effects of a 6-week exercise program guided by a specific app, with and without intravaginal biofeedback on the PF symptoms, strength, and sonographic measures of female athletes. Compliance with the program was evaluated. Thirty-nine athletes with PF symptoms used the app with different functionalities: experimental group 1 (<i>n</i> = 13) (EG1: exercises, PF information, and physiotherapists contact); experimental group 2 (<i>n</i> = 14) (EG2: exercises with biofeedback, PF information, and physiotherapists contact); and the control group (<i>n</i> = 12) (CG: PF information, and physiotherapists contact). Before and after the 6 weeks, PF symptoms, strength with the Oxford scale, and sonographic measures were evaluated. EG1 and EG2 improved strength (<i>p</i> = 0.028 and <i>p</i> = 0.001, respectively) and incontinence urinary symptoms (<i>p</i> = 0.041 and <i>p</i> = 0.002, respectively) over the baseline, without between-group differences (<i>p</i> > 0.05). No significant differences were observed in sonography (<i>p</i> > 0.05). Regarding compliance, 84.6 and 71.4% of athletes from EG1 and EG2 completed the program twice per week or more. A 6-week PF exercise program guided by the app improved PF symptoms and strength of female athletes and ensured high compliance with the program but was insufficient to improve sonography.
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spelling doaj-art-01abf4663fcb467b96a562f54b6d5e902025-08-20T02:43:28ZengMDPI AGApplied Sciences2076-34172024-12-0114241192710.3390/app142411927Using a Smartphone Application to Strengthen Pelvic Floor and Manage Symptomatology of Female Track and Field Athletes: A Randomized Controlled StudyNatalia Romero-Franco0Elisa Bosch-Donate1Elena Vico-Moreno2Ángel Oliva-Pascual Vaca3Pau Martínez-Bueso4Jesús Molina-Mula5Juan Carlos Fernández-Domínguez6Nursing and Physiotherapy Department, University of the Balearic Islands, 07122 Palma de Mallorca, SpainNursing and Physiotherapy Department, University of the Balearic Islands, 07122 Palma de Mallorca, SpainNursing and Physiotherapy Department, University of the Balearic Islands, 07122 Palma de Mallorca, SpainInstituto de Biomedicina de Sevilla (IBiS), Department of Physiotherapy, University of Seville, 41013 Seville, SpainNursing and Physiotherapy Department, University of the Balearic Islands, 07122 Palma de Mallorca, SpainNursing and Physiotherapy Department, University of the Balearic Islands, 07122 Palma de Mallorca, SpainNursing and Physiotherapy Department, University of the Balearic Islands, 07122 Palma de Mallorca, SpainDespite the high prevalence of pelvic floor (PF) dysfunctions in female athletes, help-seeking is low due to embarrassment and disinformation. This study evaluated the effects of a 6-week exercise program guided by a specific app, with and without intravaginal biofeedback on the PF symptoms, strength, and sonographic measures of female athletes. Compliance with the program was evaluated. Thirty-nine athletes with PF symptoms used the app with different functionalities: experimental group 1 (<i>n</i> = 13) (EG1: exercises, PF information, and physiotherapists contact); experimental group 2 (<i>n</i> = 14) (EG2: exercises with biofeedback, PF information, and physiotherapists contact); and the control group (<i>n</i> = 12) (CG: PF information, and physiotherapists contact). Before and after the 6 weeks, PF symptoms, strength with the Oxford scale, and sonographic measures were evaluated. EG1 and EG2 improved strength (<i>p</i> = 0.028 and <i>p</i> = 0.001, respectively) and incontinence urinary symptoms (<i>p</i> = 0.041 and <i>p</i> = 0.002, respectively) over the baseline, without between-group differences (<i>p</i> > 0.05). No significant differences were observed in sonography (<i>p</i> > 0.05). Regarding compliance, 84.6 and 71.4% of athletes from EG1 and EG2 completed the program twice per week or more. A 6-week PF exercise program guided by the app improved PF symptoms and strength of female athletes and ensured high compliance with the program but was insufficient to improve sonography.https://www.mdpi.com/2076-3417/14/24/11927pelvic floor disordersexercise therapysportstelerehabilitation
spellingShingle Natalia Romero-Franco
Elisa Bosch-Donate
Elena Vico-Moreno
Ángel Oliva-Pascual Vaca
Pau Martínez-Bueso
Jesús Molina-Mula
Juan Carlos Fernández-Domínguez
Using a Smartphone Application to Strengthen Pelvic Floor and Manage Symptomatology of Female Track and Field Athletes: A Randomized Controlled Study
Applied Sciences
pelvic floor disorders
exercise therapy
sports
telerehabilitation
title Using a Smartphone Application to Strengthen Pelvic Floor and Manage Symptomatology of Female Track and Field Athletes: A Randomized Controlled Study
title_full Using a Smartphone Application to Strengthen Pelvic Floor and Manage Symptomatology of Female Track and Field Athletes: A Randomized Controlled Study
title_fullStr Using a Smartphone Application to Strengthen Pelvic Floor and Manage Symptomatology of Female Track and Field Athletes: A Randomized Controlled Study
title_full_unstemmed Using a Smartphone Application to Strengthen Pelvic Floor and Manage Symptomatology of Female Track and Field Athletes: A Randomized Controlled Study
title_short Using a Smartphone Application to Strengthen Pelvic Floor and Manage Symptomatology of Female Track and Field Athletes: A Randomized Controlled Study
title_sort using a smartphone application to strengthen pelvic floor and manage symptomatology of female track and field athletes a randomized controlled study
topic pelvic floor disorders
exercise therapy
sports
telerehabilitation
url https://www.mdpi.com/2076-3417/14/24/11927
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