Athletic Incontinence relates to urinary incontinence experienced when you engage in high impact or strenuous activity. Abrams (2202) defines Urinary Incontinence as "the complaint of any involuntary leakage of urine". A study by Carls (2007) indicated that female athletes who participate in high-impact sports are at risk for Urinary Incontinence and that there is a lack of knowledge in young female athletes of preventative incontinence care.
How common is Athletic Incontinence?
Nygaard (1994) studying a group of college athletes came to the conclusion that incontinence during physical stresses is common in young, highly fit, college female athletes. The study found that 28% reported urine loss while participating in their sport, with the highest proportions coming in gymnastics 67%, basketball 66%, tennis 50%, field hockey 42%, track & field 29%.
Eliason (2002) studied 35 elite trampolinists (range 12-22 years) and found approximately 80% of the trampolinists reported involuntary urinary leakage, but only during trampoline training. The leakage started after 2.5 years of training. Age, duration of training, and training frequency all increased risk. All women above 15 years of age reported urinary leakage.
Borin(2013) evaluated the pressure of the pelvic floor muscles in female athletes. The group comprised of 40 women between 18 and 30 years of age divided into 4 groups: 10 volleyball players, 10 handball players, 10 basketball players, and 10 non-athletes. Analysis of the data suggests that perineal pressure is decreased in female athletes compared with non-athletes. A lower perineal pressure correlates with increased symptoms of urinary incontinence and pelvic floor dysfunction.
Addressing Athletic Incontinence
Athletic Incontinence is generally thought to be the result of the decreased structural support of the pelvic floor due to increased abdominal pressure during the activity.
In a study, BØ (1989), strengthening of the pelvic floor muscles was shown to be effective in reducing symptoms of urinary incontinence.
To address Athletic Incontinence BØ (2004) recommends pelvic floor muscle training (Kegel exercises) as it has no serious adverse effects. In addition to working on strengthening the pelvic floor muscles, athletes should also work on improving their Core Stability.
The Mayo Clinic explains how to perform the Kegel exercises.
It takes diligence to identify your pelvic floor muscles and learn how to contract and relax them. Here are some pointers:
Do not make a habit of using Kegel exercises to start and stop your urine stream as this can lead to incomplete emptying of the bladder which increases the risk of a urinary tract infection.
BØ (2004) indicates that at the present time there is no evidence to suggest that participation in regular, strenuous, high impact exercise predisposes women to athletic incontinence.
Perhaps modifying training programs to avoid fatiguing the pelvic floor muscles and introducing high intensity jumping slowly may help the pelvic floor muscles to adapt and reduce athletic incontinence. Further research is required.
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