SlideShare a Scribd company logo
1 of 4
Download to read offline
194
eliminate the possible increase of intraabdominal pressure towards the pelvic floor
which is ill-advised in women with pelvic floor dysfunction (7, 8). Involves an
organized series of rhythmic postural and sequential respiratory pattern that allows
the integration of proprioceptive messages associated with certain postural position-
ing (1). The evolution of the technique, and its unforeseen benefits at the first years,
inspired its evolution from a rehabilitation tool for women, to a complete core
restoration and re-programming technique practiced by more men and women
through this last decade.
Low Pressure Fitness Fundaments
Low Pressure Fitness is an integrated and global training program which fun-
damentally focus on posture and breathing as mentioned before. It is performed via
the bases of pranayama Uddiyana banda in yoga (ribs opening and expiratory apnea),
in conjunction with diaphragmatic breathing. During the abdominal vacuum “rib cage
lift”, the inhalatory muscles contract and consequently the diaphragm rises, sucking
up the pelvic viscera and fascial connections and decreasing intraabdominal pressure.
This provokes a highly demanding postural training and one of the greatest assistance
in order to raise and tone up the pelvic floor muscle group and reposition the viscera.
The exercises involve isometric and eccentric muscle actions that generate a global
lengthening of the posterior myofascial chain, including the respiratory chain. The
postural training focus on elongation the vertebral spine and pelvis.
These exercises are carried out in different positions, following specific pat-
terns, in order to facilitate and enhance postural muscle activity by: bringing forward
the center of gravity axis, axial stretching, activation of the shoulder girdle, contrac-
tion of inspiratory muscles, and expiratory apnea. It is this combination of rhythmic
breathing coupled with the specific and detailed postures that seeks a deep-muscle
activation (Figure 1).
One of the major effects of LPF is the visceral decompression that is exerted
due to the strong diaphragmatic aspiration of the abdominal vacuum maneuver. This
diafragmatic aspiration produced causes a change in the angle urethrovesical (6), this
effect leads to a pelvic decongestion and increase of pelvic vascularization (9).
Figure 1. Low Pressure Fitness exercise performed with abdominal vacuum.
195
The coordinated activity of the diaphragm, lumbar spine, abdominal wall and
pelvic floor muscles influences postural control by regulating intraabdominal
pressure and increasing the tension in the thoracolumbar fascia. A poor posture and
lumbopelvic deficit can lead to pelvic floor pain or dysfunction. Suboptimal strate-
gies for posture, movement and/or breathing can create a load transfer which can lead
to pain, increase in intraabdominal and pelvic pressure or breathing dysfunctions. A
habitual posteriorly tilted pelvis is thought to cause increased vertical loading on the
pelvic floor muscles and increased risk for stretch weakness from repetitive activities
that increase intraabdominal pressure (running, aerobics, crunches, weightlifting...).
The correct alignment of the pelvis and lumbar spine directly effects the co-activation
of the core’s musculature. LPF performance will directly affect the stabilizing muscle
group of the spine and the abdominal wall muscles providing a new core structure. It
can be used as an optimal tool for postural alignment and activation of core deep
muscles (10).
Trough specific global postural reeducation guidelines spinal muscles acquire
the necessary local muscular endurance for physical activities while back pain
decreases. It seems to offers optimal training for the athlete looking to increase their
respiratory capacity and improve their sports performance (12) or physical fitness
(13). Acute effect changes in waist circumference and extensibility of the lumbar
spine performed by physically active women were shown after a program of
hypopressive training (14) and fitness trainers (15).
Traditionally we have used rehabilitation exercises with the goal of obtaining
improved voluntary contractions of the abdominals and pelvic floor muscles, and
focusing the attention on improved strength. Recognizing the importance of posture
or balance in miofascial tissues, however is of equal importance. LPF can be a useful
tool for physical therapists or trainers to re-training stabilizing muscles and
respiratory functionality.
Bibliography
1. Rial, T., & Pinsach, P. (2013). Hypopressive Thecniques. Ed. Cardeñoso:
Vigo.
2. Hodges, P. (2007). Postural and respiratory functions of the pelvic floor
muscles. Neurourology and Urodynamics. 26(3), 362-371
3. Kolar, P., Sulc, J., Kyncl, M., Sanda, J., Cakrt, O. et al. (2012). Postural
Function of the Diaphragm in Persons With and Without Chronic Low Back Pain. J
Orthop Sports Phys Ther 42(4), 352-362,. doi:10.2519/jospt.2012.3830
4. Stüpp L, Resende A, Petricelli C, Nakamura M, Alexandre S, Zanetti M.
(2011). Pelvic floor muscle and transversus abdominis activation in abdominal
hypopressive technique through surface electromyography. Neurology Urodynamics,
30(8), 518-21.
5. Bernardes B, Resende A, Stupp L, Oliveira E, Castro R, Bella Z, et al.
(2012) Efficacy of pelvic floor muscle training and hypopressive exercises for
treating pelvic organ prolapse in women: randomized controlled trial. Sao Paulo
196
Medical Journal, 130(1), 5-9.
6. Latorre, G., Seleme, M., Resende, A.P., Stüpp, L. y Berghmans, B. (2011).
Hipopressive gymnastics: evidences for an alternative training for women with local
proprioceptive deficit of the pelvic floor muscles. Fisioterapia Brasil, 12(6), 463-466.
7. Hamad, NM, Shaw, JM, Nygaard, IE, Coleman, TJ, Hsu, Y, Egger, M, and
Hitchcock, RW. (2013). More complicated than it looks: the vagaries of calculating
intra-abdominal pressure. J Strength Cond Res 27(11), 3204-3215.
8. Yamasato, K.S., Oyama, I.A., Kaneshiro, B. (2014). Intraabdominal pressure
with pelvic floor dysfunction: do postoperative restrictions make sense? J Reprod
Med. 59(7-8), 409-13.
9. Thyl, S., Aude, P., Caufriez, M., Balestra, C. (2009). Incidence de
l'aspiration diaphragmatique associée à une apnée expiratoire sur la circulation de
retour veineuse fémorale: étude par échographie-doppler. Kinésithérapie scientifique.
502: 27-30.
10. Serdá, B., Vesa, J., Del Valle A. y Monreal, B. (2010) The Urinary Inconti-
nence in the prostate cancer: desing of a rehabilitation program. Actas Urol Esp,
34(6): 522–530.
11. Humanes, R. Rial, T, Chulvi-Medrano, I. (2014). Does Hypopressive
Thecnique and Pilates increase the activity os stabilizing core muscles? Journal
Strenght and Conditional Research, IV National Strenght and Conditioning
Association International Conference, 28(11),7.
12. Rial, T., Pérez, R., Chulvi-Medrano, I. (2014). Effects of diafragmatic
aspiration on physical and blood parametres of professional mountain bikers. Journal
Strenght and Conditional Research, IV National Strenght and Conditioning
Association International Conference, 28(11), 16.
13. Marcilla, A., Rial, T., Chulvi-Medrano, I., Soidan-García, JL (2014). ¿Can
a program based on postural exercise associated with intermittent apneas improve
physical fitness of Young students? Journal of Sport and Exercise Science, Suppl 2.
doi: 10.12863/ejssxs1x-2014.
14. Rial. T, Sousa, L., García E, Pinsach P. (2014). Immediate effects of one
session of hypopressive exercises in different body parameters. Cuestiones de
fisioterapia: revista universitaria de información e investigación en Fisioterapia, 43
(1), 13-21.
15. Rial, T., Chulvi-Medrano, I. Pinsach, P., Navarro, I. (2014). Can a session
of hypopressive exercises provide Effects on fitness trainers? Journal Strenght and
Conditional Research, IV National Strenght and Conditioning Association
International Conference, 28(11), 6.

More Related Content

Recently uploaded

Culture and Health Disorders Social change.pptx
Culture and Health Disorders Social change.pptxCulture and Health Disorders Social change.pptx
Culture and Health Disorders Social change.pptxDr. Dheeraj Kumar
 
METHODS OF ACQUIRING KNOWLEDGE IN NURSING.pptx by navdeep kaur
METHODS OF ACQUIRING KNOWLEDGE IN NURSING.pptx by navdeep kaurMETHODS OF ACQUIRING KNOWLEDGE IN NURSING.pptx by navdeep kaur
METHODS OF ACQUIRING KNOWLEDGE IN NURSING.pptx by navdeep kaurNavdeep Kaur
 
The next social challenge to public health: the information environment.pptx
The next social challenge to public health:  the information environment.pptxThe next social challenge to public health:  the information environment.pptx
The next social challenge to public health: the information environment.pptxTina Purnat
 
COVID-19 (NOVEL CORONA VIRUS DISEASE PANDEMIC ).pptx
COVID-19  (NOVEL CORONA  VIRUS DISEASE PANDEMIC ).pptxCOVID-19  (NOVEL CORONA  VIRUS DISEASE PANDEMIC ).pptx
COVID-19 (NOVEL CORONA VIRUS DISEASE PANDEMIC ).pptxBibekananda shah
 
Statistical modeling in pharmaceutical research and development.
Statistical modeling in pharmaceutical research and development.Statistical modeling in pharmaceutical research and development.
Statistical modeling in pharmaceutical research and development.ANJALI
 
SWD (Short wave diathermy)- Physiotherapy.ppt
SWD (Short wave diathermy)- Physiotherapy.pptSWD (Short wave diathermy)- Physiotherapy.ppt
SWD (Short wave diathermy)- Physiotherapy.pptMumux Mirani
 
SYNDESMOTIC INJURY- ANATOMICAL REPAIR.pptx
SYNDESMOTIC INJURY- ANATOMICAL REPAIR.pptxSYNDESMOTIC INJURY- ANATOMICAL REPAIR.pptx
SYNDESMOTIC INJURY- ANATOMICAL REPAIR.pptxdrashraf369
 
maternal mortality and its causes and how to reduce maternal mortality
maternal mortality and its causes and how to reduce maternal mortalitymaternal mortality and its causes and how to reduce maternal mortality
maternal mortality and its causes and how to reduce maternal mortalityhardikdabas3
 
Introduction to Sports Injuries by- Dr. Anjali Rai
Introduction to Sports Injuries by- Dr. Anjali RaiIntroduction to Sports Injuries by- Dr. Anjali Rai
Introduction to Sports Injuries by- Dr. Anjali RaiGoogle
 
VarSeq 2.6.0: Advancing Pharmacogenomics and Genomic Analysis
VarSeq 2.6.0: Advancing Pharmacogenomics and Genomic AnalysisVarSeq 2.6.0: Advancing Pharmacogenomics and Genomic Analysis
VarSeq 2.6.0: Advancing Pharmacogenomics and Genomic AnalysisGolden Helix
 
PULMONARY EDEMA AND ITS MANAGEMENT.pdf
PULMONARY EDEMA AND  ITS  MANAGEMENT.pdfPULMONARY EDEMA AND  ITS  MANAGEMENT.pdf
PULMONARY EDEMA AND ITS MANAGEMENT.pdfDolisha Warbi
 
April 2024 ONCOLOGY CARTOON by DR KANHU CHARAN PATRO
April 2024 ONCOLOGY CARTOON by  DR KANHU CHARAN PATROApril 2024 ONCOLOGY CARTOON by  DR KANHU CHARAN PATRO
April 2024 ONCOLOGY CARTOON by DR KANHU CHARAN PATROKanhu Charan
 
low cost antibiotic cement nail for infected non union.pptx
low cost antibiotic cement nail for infected non union.pptxlow cost antibiotic cement nail for infected non union.pptx
low cost antibiotic cement nail for infected non union.pptxdrashraf369
 
97111 47426 Call Girls In Delhi MUNIRKAA
97111 47426 Call Girls In Delhi MUNIRKAA97111 47426 Call Girls In Delhi MUNIRKAA
97111 47426 Call Girls In Delhi MUNIRKAAjennyeacort
 
Hematology and Immunology - Leukocytes Functions
Hematology and Immunology - Leukocytes FunctionsHematology and Immunology - Leukocytes Functions
Hematology and Immunology - Leukocytes FunctionsMedicoseAcademics
 
Presentation for Bella Mahl 2024-03-28-24-MW-Overview-Bella.pptx
Presentation for Bella Mahl 2024-03-28-24-MW-Overview-Bella.pptxPresentation for Bella Mahl 2024-03-28-24-MW-Overview-Bella.pptx
Presentation for Bella Mahl 2024-03-28-24-MW-Overview-Bella.pptxpdamico1
 
Wessex Health Partners Wessex Integrated Care, Population Health, Research & ...
Wessex Health Partners Wessex Integrated Care, Population Health, Research & ...Wessex Health Partners Wessex Integrated Care, Population Health, Research & ...
Wessex Health Partners Wessex Integrated Care, Population Health, Research & ...Wessex Health Partners
 
Presentation on Parasympathetic Nervous System
Presentation on Parasympathetic Nervous SystemPresentation on Parasympathetic Nervous System
Presentation on Parasympathetic Nervous SystemPrerana Jadhav
 
LUNG TUMORS AND ITS CLASSIFICATIONS.pdf
LUNG TUMORS AND ITS  CLASSIFICATIONS.pdfLUNG TUMORS AND ITS  CLASSIFICATIONS.pdf
LUNG TUMORS AND ITS CLASSIFICATIONS.pdfDolisha Warbi
 
world health day presentation ppt download
world health day presentation ppt downloadworld health day presentation ppt download
world health day presentation ppt downloadAnkitKumar311566
 

Recently uploaded (20)

Culture and Health Disorders Social change.pptx
Culture and Health Disorders Social change.pptxCulture and Health Disorders Social change.pptx
Culture and Health Disorders Social change.pptx
 
METHODS OF ACQUIRING KNOWLEDGE IN NURSING.pptx by navdeep kaur
METHODS OF ACQUIRING KNOWLEDGE IN NURSING.pptx by navdeep kaurMETHODS OF ACQUIRING KNOWLEDGE IN NURSING.pptx by navdeep kaur
METHODS OF ACQUIRING KNOWLEDGE IN NURSING.pptx by navdeep kaur
 
The next social challenge to public health: the information environment.pptx
The next social challenge to public health:  the information environment.pptxThe next social challenge to public health:  the information environment.pptx
The next social challenge to public health: the information environment.pptx
 
COVID-19 (NOVEL CORONA VIRUS DISEASE PANDEMIC ).pptx
COVID-19  (NOVEL CORONA  VIRUS DISEASE PANDEMIC ).pptxCOVID-19  (NOVEL CORONA  VIRUS DISEASE PANDEMIC ).pptx
COVID-19 (NOVEL CORONA VIRUS DISEASE PANDEMIC ).pptx
 
Statistical modeling in pharmaceutical research and development.
Statistical modeling in pharmaceutical research and development.Statistical modeling in pharmaceutical research and development.
Statistical modeling in pharmaceutical research and development.
 
SWD (Short wave diathermy)- Physiotherapy.ppt
SWD (Short wave diathermy)- Physiotherapy.pptSWD (Short wave diathermy)- Physiotherapy.ppt
SWD (Short wave diathermy)- Physiotherapy.ppt
 
SYNDESMOTIC INJURY- ANATOMICAL REPAIR.pptx
SYNDESMOTIC INJURY- ANATOMICAL REPAIR.pptxSYNDESMOTIC INJURY- ANATOMICAL REPAIR.pptx
SYNDESMOTIC INJURY- ANATOMICAL REPAIR.pptx
 
maternal mortality and its causes and how to reduce maternal mortality
maternal mortality and its causes and how to reduce maternal mortalitymaternal mortality and its causes and how to reduce maternal mortality
maternal mortality and its causes and how to reduce maternal mortality
 
Introduction to Sports Injuries by- Dr. Anjali Rai
Introduction to Sports Injuries by- Dr. Anjali RaiIntroduction to Sports Injuries by- Dr. Anjali Rai
Introduction to Sports Injuries by- Dr. Anjali Rai
 
VarSeq 2.6.0: Advancing Pharmacogenomics and Genomic Analysis
VarSeq 2.6.0: Advancing Pharmacogenomics and Genomic AnalysisVarSeq 2.6.0: Advancing Pharmacogenomics and Genomic Analysis
VarSeq 2.6.0: Advancing Pharmacogenomics and Genomic Analysis
 
PULMONARY EDEMA AND ITS MANAGEMENT.pdf
PULMONARY EDEMA AND  ITS  MANAGEMENT.pdfPULMONARY EDEMA AND  ITS  MANAGEMENT.pdf
PULMONARY EDEMA AND ITS MANAGEMENT.pdf
 
April 2024 ONCOLOGY CARTOON by DR KANHU CHARAN PATRO
April 2024 ONCOLOGY CARTOON by  DR KANHU CHARAN PATROApril 2024 ONCOLOGY CARTOON by  DR KANHU CHARAN PATRO
April 2024 ONCOLOGY CARTOON by DR KANHU CHARAN PATRO
 
low cost antibiotic cement nail for infected non union.pptx
low cost antibiotic cement nail for infected non union.pptxlow cost antibiotic cement nail for infected non union.pptx
low cost antibiotic cement nail for infected non union.pptx
 
97111 47426 Call Girls In Delhi MUNIRKAA
97111 47426 Call Girls In Delhi MUNIRKAA97111 47426 Call Girls In Delhi MUNIRKAA
97111 47426 Call Girls In Delhi MUNIRKAA
 
Hematology and Immunology - Leukocytes Functions
Hematology and Immunology - Leukocytes FunctionsHematology and Immunology - Leukocytes Functions
Hematology and Immunology - Leukocytes Functions
 
Presentation for Bella Mahl 2024-03-28-24-MW-Overview-Bella.pptx
Presentation for Bella Mahl 2024-03-28-24-MW-Overview-Bella.pptxPresentation for Bella Mahl 2024-03-28-24-MW-Overview-Bella.pptx
Presentation for Bella Mahl 2024-03-28-24-MW-Overview-Bella.pptx
 
Wessex Health Partners Wessex Integrated Care, Population Health, Research & ...
Wessex Health Partners Wessex Integrated Care, Population Health, Research & ...Wessex Health Partners Wessex Integrated Care, Population Health, Research & ...
Wessex Health Partners Wessex Integrated Care, Population Health, Research & ...
 
Presentation on Parasympathetic Nervous System
Presentation on Parasympathetic Nervous SystemPresentation on Parasympathetic Nervous System
Presentation on Parasympathetic Nervous System
 
LUNG TUMORS AND ITS CLASSIFICATIONS.pdf
LUNG TUMORS AND ITS  CLASSIFICATIONS.pdfLUNG TUMORS AND ITS  CLASSIFICATIONS.pdf
LUNG TUMORS AND ITS CLASSIFICATIONS.pdf
 
world health day presentation ppt download
world health day presentation ppt downloadworld health day presentation ppt download
world health day presentation ppt download
 

Featured

2024 State of Marketing Report – by Hubspot
2024 State of Marketing Report – by Hubspot2024 State of Marketing Report – by Hubspot
2024 State of Marketing Report – by HubspotMarius Sescu
 
Everything You Need To Know About ChatGPT
Everything You Need To Know About ChatGPTEverything You Need To Know About ChatGPT
Everything You Need To Know About ChatGPTExpeed Software
 
Product Design Trends in 2024 | Teenage Engineerings
Product Design Trends in 2024 | Teenage EngineeringsProduct Design Trends in 2024 | Teenage Engineerings
Product Design Trends in 2024 | Teenage EngineeringsPixeldarts
 
How Race, Age and Gender Shape Attitudes Towards Mental Health
How Race, Age and Gender Shape Attitudes Towards Mental HealthHow Race, Age and Gender Shape Attitudes Towards Mental Health
How Race, Age and Gender Shape Attitudes Towards Mental HealthThinkNow
 
AI Trends in Creative Operations 2024 by Artwork Flow.pdf
AI Trends in Creative Operations 2024 by Artwork Flow.pdfAI Trends in Creative Operations 2024 by Artwork Flow.pdf
AI Trends in Creative Operations 2024 by Artwork Flow.pdfmarketingartwork
 
PEPSICO Presentation to CAGNY Conference Feb 2024
PEPSICO Presentation to CAGNY Conference Feb 2024PEPSICO Presentation to CAGNY Conference Feb 2024
PEPSICO Presentation to CAGNY Conference Feb 2024Neil Kimberley
 
Content Methodology: A Best Practices Report (Webinar)
Content Methodology: A Best Practices Report (Webinar)Content Methodology: A Best Practices Report (Webinar)
Content Methodology: A Best Practices Report (Webinar)contently
 
How to Prepare For a Successful Job Search for 2024
How to Prepare For a Successful Job Search for 2024How to Prepare For a Successful Job Search for 2024
How to Prepare For a Successful Job Search for 2024Albert Qian
 
Social Media Marketing Trends 2024 // The Global Indie Insights
Social Media Marketing Trends 2024 // The Global Indie InsightsSocial Media Marketing Trends 2024 // The Global Indie Insights
Social Media Marketing Trends 2024 // The Global Indie InsightsKurio // The Social Media Age(ncy)
 
Trends In Paid Search: Navigating The Digital Landscape In 2024
Trends In Paid Search: Navigating The Digital Landscape In 2024Trends In Paid Search: Navigating The Digital Landscape In 2024
Trends In Paid Search: Navigating The Digital Landscape In 2024Search Engine Journal
 
5 Public speaking tips from TED - Visualized summary
5 Public speaking tips from TED - Visualized summary5 Public speaking tips from TED - Visualized summary
5 Public speaking tips from TED - Visualized summarySpeakerHub
 
ChatGPT and the Future of Work - Clark Boyd
ChatGPT and the Future of Work - Clark Boyd ChatGPT and the Future of Work - Clark Boyd
ChatGPT and the Future of Work - Clark Boyd Clark Boyd
 
Getting into the tech field. what next
Getting into the tech field. what next Getting into the tech field. what next
Getting into the tech field. what next Tessa Mero
 
Google's Just Not That Into You: Understanding Core Updates & Search Intent
Google's Just Not That Into You: Understanding Core Updates & Search IntentGoogle's Just Not That Into You: Understanding Core Updates & Search Intent
Google's Just Not That Into You: Understanding Core Updates & Search IntentLily Ray
 
Time Management & Productivity - Best Practices
Time Management & Productivity -  Best PracticesTime Management & Productivity -  Best Practices
Time Management & Productivity - Best PracticesVit Horky
 
The six step guide to practical project management
The six step guide to practical project managementThe six step guide to practical project management
The six step guide to practical project managementMindGenius
 
Beginners Guide to TikTok for Search - Rachel Pearson - We are Tilt __ Bright...
Beginners Guide to TikTok for Search - Rachel Pearson - We are Tilt __ Bright...Beginners Guide to TikTok for Search - Rachel Pearson - We are Tilt __ Bright...
Beginners Guide to TikTok for Search - Rachel Pearson - We are Tilt __ Bright...RachelPearson36
 

Featured (20)

2024 State of Marketing Report – by Hubspot
2024 State of Marketing Report – by Hubspot2024 State of Marketing Report – by Hubspot
2024 State of Marketing Report – by Hubspot
 
Everything You Need To Know About ChatGPT
Everything You Need To Know About ChatGPTEverything You Need To Know About ChatGPT
Everything You Need To Know About ChatGPT
 
Product Design Trends in 2024 | Teenage Engineerings
Product Design Trends in 2024 | Teenage EngineeringsProduct Design Trends in 2024 | Teenage Engineerings
Product Design Trends in 2024 | Teenage Engineerings
 
How Race, Age and Gender Shape Attitudes Towards Mental Health
How Race, Age and Gender Shape Attitudes Towards Mental HealthHow Race, Age and Gender Shape Attitudes Towards Mental Health
How Race, Age and Gender Shape Attitudes Towards Mental Health
 
AI Trends in Creative Operations 2024 by Artwork Flow.pdf
AI Trends in Creative Operations 2024 by Artwork Flow.pdfAI Trends in Creative Operations 2024 by Artwork Flow.pdf
AI Trends in Creative Operations 2024 by Artwork Flow.pdf
 
Skeleton Culture Code
Skeleton Culture CodeSkeleton Culture Code
Skeleton Culture Code
 
PEPSICO Presentation to CAGNY Conference Feb 2024
PEPSICO Presentation to CAGNY Conference Feb 2024PEPSICO Presentation to CAGNY Conference Feb 2024
PEPSICO Presentation to CAGNY Conference Feb 2024
 
Content Methodology: A Best Practices Report (Webinar)
Content Methodology: A Best Practices Report (Webinar)Content Methodology: A Best Practices Report (Webinar)
Content Methodology: A Best Practices Report (Webinar)
 
How to Prepare For a Successful Job Search for 2024
How to Prepare For a Successful Job Search for 2024How to Prepare For a Successful Job Search for 2024
How to Prepare For a Successful Job Search for 2024
 
Social Media Marketing Trends 2024 // The Global Indie Insights
Social Media Marketing Trends 2024 // The Global Indie InsightsSocial Media Marketing Trends 2024 // The Global Indie Insights
Social Media Marketing Trends 2024 // The Global Indie Insights
 
Trends In Paid Search: Navigating The Digital Landscape In 2024
Trends In Paid Search: Navigating The Digital Landscape In 2024Trends In Paid Search: Navigating The Digital Landscape In 2024
Trends In Paid Search: Navigating The Digital Landscape In 2024
 
5 Public speaking tips from TED - Visualized summary
5 Public speaking tips from TED - Visualized summary5 Public speaking tips from TED - Visualized summary
5 Public speaking tips from TED - Visualized summary
 
ChatGPT and the Future of Work - Clark Boyd
ChatGPT and the Future of Work - Clark Boyd ChatGPT and the Future of Work - Clark Boyd
ChatGPT and the Future of Work - Clark Boyd
 
Getting into the tech field. what next
Getting into the tech field. what next Getting into the tech field. what next
Getting into the tech field. what next
 
Google's Just Not That Into You: Understanding Core Updates & Search Intent
Google's Just Not That Into You: Understanding Core Updates & Search IntentGoogle's Just Not That Into You: Understanding Core Updates & Search Intent
Google's Just Not That Into You: Understanding Core Updates & Search Intent
 
How to have difficult conversations
How to have difficult conversations How to have difficult conversations
How to have difficult conversations
 
Introduction to Data Science
Introduction to Data ScienceIntroduction to Data Science
Introduction to Data Science
 
Time Management & Productivity - Best Practices
Time Management & Productivity -  Best PracticesTime Management & Productivity -  Best Practices
Time Management & Productivity - Best Practices
 
The six step guide to practical project management
The six step guide to practical project managementThe six step guide to practical project management
The six step guide to practical project management
 
Beginners Guide to TikTok for Search - Rachel Pearson - We are Tilt __ Bright...
Beginners Guide to TikTok for Search - Rachel Pearson - We are Tilt __ Bright...Beginners Guide to TikTok for Search - Rachel Pearson - We are Tilt __ Bright...
Beginners Guide to TikTok for Search - Rachel Pearson - We are Tilt __ Bright...
 

Rehabilitation for pelvic floor and core muscles through Low Pressure Fitness

  • 1.
  • 2. 194 eliminate the possible increase of intraabdominal pressure towards the pelvic floor which is ill-advised in women with pelvic floor dysfunction (7, 8). Involves an organized series of rhythmic postural and sequential respiratory pattern that allows the integration of proprioceptive messages associated with certain postural position- ing (1). The evolution of the technique, and its unforeseen benefits at the first years, inspired its evolution from a rehabilitation tool for women, to a complete core restoration and re-programming technique practiced by more men and women through this last decade. Low Pressure Fitness Fundaments Low Pressure Fitness is an integrated and global training program which fun- damentally focus on posture and breathing as mentioned before. It is performed via the bases of pranayama Uddiyana banda in yoga (ribs opening and expiratory apnea), in conjunction with diaphragmatic breathing. During the abdominal vacuum “rib cage lift”, the inhalatory muscles contract and consequently the diaphragm rises, sucking up the pelvic viscera and fascial connections and decreasing intraabdominal pressure. This provokes a highly demanding postural training and one of the greatest assistance in order to raise and tone up the pelvic floor muscle group and reposition the viscera. The exercises involve isometric and eccentric muscle actions that generate a global lengthening of the posterior myofascial chain, including the respiratory chain. The postural training focus on elongation the vertebral spine and pelvis. These exercises are carried out in different positions, following specific pat- terns, in order to facilitate and enhance postural muscle activity by: bringing forward the center of gravity axis, axial stretching, activation of the shoulder girdle, contrac- tion of inspiratory muscles, and expiratory apnea. It is this combination of rhythmic breathing coupled with the specific and detailed postures that seeks a deep-muscle activation (Figure 1). One of the major effects of LPF is the visceral decompression that is exerted due to the strong diaphragmatic aspiration of the abdominal vacuum maneuver. This diafragmatic aspiration produced causes a change in the angle urethrovesical (6), this effect leads to a pelvic decongestion and increase of pelvic vascularization (9). Figure 1. Low Pressure Fitness exercise performed with abdominal vacuum.
  • 3. 195 The coordinated activity of the diaphragm, lumbar spine, abdominal wall and pelvic floor muscles influences postural control by regulating intraabdominal pressure and increasing the tension in the thoracolumbar fascia. A poor posture and lumbopelvic deficit can lead to pelvic floor pain or dysfunction. Suboptimal strate- gies for posture, movement and/or breathing can create a load transfer which can lead to pain, increase in intraabdominal and pelvic pressure or breathing dysfunctions. A habitual posteriorly tilted pelvis is thought to cause increased vertical loading on the pelvic floor muscles and increased risk for stretch weakness from repetitive activities that increase intraabdominal pressure (running, aerobics, crunches, weightlifting...). The correct alignment of the pelvis and lumbar spine directly effects the co-activation of the core’s musculature. LPF performance will directly affect the stabilizing muscle group of the spine and the abdominal wall muscles providing a new core structure. It can be used as an optimal tool for postural alignment and activation of core deep muscles (10). Trough specific global postural reeducation guidelines spinal muscles acquire the necessary local muscular endurance for physical activities while back pain decreases. It seems to offers optimal training for the athlete looking to increase their respiratory capacity and improve their sports performance (12) or physical fitness (13). Acute effect changes in waist circumference and extensibility of the lumbar spine performed by physically active women were shown after a program of hypopressive training (14) and fitness trainers (15). Traditionally we have used rehabilitation exercises with the goal of obtaining improved voluntary contractions of the abdominals and pelvic floor muscles, and focusing the attention on improved strength. Recognizing the importance of posture or balance in miofascial tissues, however is of equal importance. LPF can be a useful tool for physical therapists or trainers to re-training stabilizing muscles and respiratory functionality. Bibliography 1. Rial, T., & Pinsach, P. (2013). Hypopressive Thecniques. Ed. Cardeñoso: Vigo. 2. Hodges, P. (2007). Postural and respiratory functions of the pelvic floor muscles. Neurourology and Urodynamics. 26(3), 362-371 3. Kolar, P., Sulc, J., Kyncl, M., Sanda, J., Cakrt, O. et al. (2012). Postural Function of the Diaphragm in Persons With and Without Chronic Low Back Pain. J Orthop Sports Phys Ther 42(4), 352-362,. doi:10.2519/jospt.2012.3830 4. Stüpp L, Resende A, Petricelli C, Nakamura M, Alexandre S, Zanetti M. (2011). Pelvic floor muscle and transversus abdominis activation in abdominal hypopressive technique through surface electromyography. Neurology Urodynamics, 30(8), 518-21. 5. Bernardes B, Resende A, Stupp L, Oliveira E, Castro R, Bella Z, et al. (2012) Efficacy of pelvic floor muscle training and hypopressive exercises for treating pelvic organ prolapse in women: randomized controlled trial. Sao Paulo
  • 4. 196 Medical Journal, 130(1), 5-9. 6. Latorre, G., Seleme, M., Resende, A.P., Stüpp, L. y Berghmans, B. (2011). Hipopressive gymnastics: evidences for an alternative training for women with local proprioceptive deficit of the pelvic floor muscles. Fisioterapia Brasil, 12(6), 463-466. 7. Hamad, NM, Shaw, JM, Nygaard, IE, Coleman, TJ, Hsu, Y, Egger, M, and Hitchcock, RW. (2013). More complicated than it looks: the vagaries of calculating intra-abdominal pressure. J Strength Cond Res 27(11), 3204-3215. 8. Yamasato, K.S., Oyama, I.A., Kaneshiro, B. (2014). Intraabdominal pressure with pelvic floor dysfunction: do postoperative restrictions make sense? J Reprod Med. 59(7-8), 409-13. 9. Thyl, S., Aude, P., Caufriez, M., Balestra, C. (2009). Incidence de l'aspiration diaphragmatique associée à une apnée expiratoire sur la circulation de retour veineuse fémorale: étude par échographie-doppler. Kinésithérapie scientifique. 502: 27-30. 10. Serdá, B., Vesa, J., Del Valle A. y Monreal, B. (2010) The Urinary Inconti- nence in the prostate cancer: desing of a rehabilitation program. Actas Urol Esp, 34(6): 522–530. 11. Humanes, R. Rial, T, Chulvi-Medrano, I. (2014). Does Hypopressive Thecnique and Pilates increase the activity os stabilizing core muscles? Journal Strenght and Conditional Research, IV National Strenght and Conditioning Association International Conference, 28(11),7. 12. Rial, T., Pérez, R., Chulvi-Medrano, I. (2014). Effects of diafragmatic aspiration on physical and blood parametres of professional mountain bikers. Journal Strenght and Conditional Research, IV National Strenght and Conditioning Association International Conference, 28(11), 16. 13. Marcilla, A., Rial, T., Chulvi-Medrano, I., Soidan-García, JL (2014). ¿Can a program based on postural exercise associated with intermittent apneas improve physical fitness of Young students? Journal of Sport and Exercise Science, Suppl 2. doi: 10.12863/ejssxs1x-2014. 14. Rial. T, Sousa, L., García E, Pinsach P. (2014). Immediate effects of one session of hypopressive exercises in different body parameters. Cuestiones de fisioterapia: revista universitaria de información e investigación en Fisioterapia, 43 (1), 13-21. 15. Rial, T., Chulvi-Medrano, I. Pinsach, P., Navarro, I. (2014). Can a session of hypopressive exercises provide Effects on fitness trainers? Journal Strenght and Conditional Research, IV National Strenght and Conditioning Association International Conference, 28(11), 6.