Evaluating Pelvic Floor Dysfunction in Female Horse Show Jumpers Using the Australian Pelvic Floor Questionnaire.
Abstract: BACKGROUND Pelvic floor dysfunction (PFD) significantly reduces quality of life. During horseback riding, the movement of the horse's back affects the tension of the pelvic floor muscles. This study aimed to compare reported symptoms of pelvic floor dysfunction in women with past, current, and no history of horse show jumping. MATERIAL AND METHODS We examined 160 women (age 23.69±3.96 years). The cohort group consisted of 74 women training currently and training in the past, and a control group of 86 women not practicing horseback riding. The study used the original questionnaire and the Australian Pelvic Floor Questionnaire. RESULTS The analysis of the questionnaire results in groups (currently training, past training, control group) concerned bladder function (0.93±0.85 vs 0.88±0.66 vs 0.88±0.67, respectively; p=0.901), bowel function (1.22±0.96 vs 1.38±0.93 vs 1.37±0.77, respectively; p=0.266), pelvic organ prolapse (0.02±0.13 vs 0.00±0.00 vs 0.04±0.19, respectively; p=0.626), sexual activity (1.68±1.69 vs 1.46±1.23 vs 1.80±1.40, respectively; p=0.515), and total score for sexually active women (3.84±2.68 vs 3.82±1.86 vs 4.1±2.09, respectively; p=0.834). There were no statistically significant differences between the study groups in terms of individual PFD functions or overall PFD scores. CONCLUSIONS Pelvic floor dysfunction does not differ between show jumping riders and non-riders, so further research is advisable in this field, considering different equestrian sports and the use of clinical assessment of PFM function. Undoubtedly, the present study contributes to filling the knowledge gap and is important to the development of urogynaecology physiotherapy.
Publication Date: 2025-03-16 PubMed ID: 40089837PubMed Central: PMC11924776DOI: 10.12659/MSM.946830Google Scholar: Lookup
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- Journal Article
Summary
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This research article investigates if horse show jumping, a physically demanding activity, affects pelvic floor dysfunction (PFD) in women. While PFD can greatly reduce quality of life, the study found no significant differences in reported PFD symptoms between women who have or are participating in horse show jumping and those who have not.
Study Background and Purpose
- The intent of this research was to understand the impacts of horse show jumping, a strenuous physical activity, on pelvic floor dysfunction (PFD) in women. Since horseback riding movement affects the tension of the pelvic floor muscles, researchers hypothesized performance in this sport could direct the incidence of PFD.
- Previous studies have shown that PFD can significantly reduce quality of life, thus it is vital to study those activities that can potentially contribute to its development.
Methodology
- The research involved 160 women with an average age of approximately 24 years. The subject pool consisted of three groups: those currently training in horse show jumping, those with a history of past training, and a control group of women who have never practiced horseback riding.
- Both an original questionnaire and the Australian Pelvic Floor Questionnaire were employed to evaluate PFD symptoms in the participants. These tools assessed various aspects of PFD, including bladder and bowel function, pelvic organ prolapse, and impact on sexual activity.
Results
- The results from the questionnaires were analyzed for the different groups. Statistical analysis showed no significant variation in PFD symptoms concerning bladder function, bowel function, pelvic organ prolapse, and sexual activity between women currently training, past training, and those not practicing horseback riding.
- The total score for sexually active women also revealed no considerable differences in the levels of PFD symptoms among these groups.
Conclusions and Recommendations
- This study concluded there was no significant difference in PFD symptoms among the women studied, regardless of their participation or lack thereof in horse show jumping.
- However, considering the limited research on this topic, the authors recommended for further studies, potentially focusing on other equestrian sports and the inclusion of clinical assessments of pelvic floor muscle function.
- The research undoubtedly contributes to urogynaecology physiotherapy by filling the knowledge gap in the potential effects of physical activities like horse show jumping on PFD.
Cite This Article
APA
Cygańska AK, Giżewska B, Zdunek K.
(2025).
Evaluating Pelvic Floor Dysfunction in Female Horse Show Jumpers Using the Australian Pelvic Floor Questionnaire.
Med Sci Monit, 31, e946830.
https://doi.org/10.12659/MSM.946830 Publication
Researcher Affiliations
- Faculty of Rehabilitation, Józef Piłsudski University of Physical Education in Warsaw, Warsaw, Poland.
- Faculty of Rehabilitation, Józef Piłsudski University of Physical Education in Warsaw, Warsaw, Poland.
- Department of Health Education, Medical University of Lublin, Lublin, Poland.
MeSH Terms
- Female
- Humans
- Pelvic Floor / physiopathology
- Surveys and Questionnaires
- Horses
- Pelvic Floor Disorders / physiopathology
- Australia
- Animals
- Adult
- Quality of Life
- Pelvic Organ Prolapse / physiopathology
- Young Adult
Conflict of Interest Statement
Conflict of interest: None declared
References
This article includes 31 references
- Tim S, Mazur-Bialy AI. The most common functional disorders and factors affecting female pelvic floor.. Life (Basel) 2021;11(12):1397.
- Grimes WR, Stratton M. Pelvic floor dysfunction.. StatPearls [Internet] Treasure Island (FL): StatPearls Publishing; 2024. [Updated 2023 Jun 26].
- Cygańska A, Sobieska D, Truszczyńska-Baszak A. Women’s awareness of physiotherapeutic methods in the treatment of urinary incontinence.. Advances in Rehabilitation 2018;32(4):21–27.
- Culleton-Quinn E, Bø K, Fleming N. Elite female athletes’ experiences of symptoms of pelvic floor dysfunction: A systematic review.. Int Urogynecol J 2022;33(10):2681–711.
- Gan ZS, Smith AL. Urinary incontinence in elite female athletes.. Curr Urol Rep 2023;24(2):51–58.
- Meyer HL, Scheidgen P, Polan C. Injuries and overuse injuries in show jumping – a retrospective epidemiological cross-sectional study of show jumpers in Germany.. Int J Environ Res Public Health 2022;19(4):2305.
- Bø K. Urinary incontinence, pelvic floor dysfunction, exercise and sport.. Sports Med 2004;34(7):451–64.
- Muñoz-Lasa S, López de Silanes C, Atín-Arratibel MÁ. Effects of hippotherapy in multiple sclerosis: Pilot study on quality of life, spasticity, gait, pelvic floor, depression and fatigue.. Med Clin (Barc) 2019;152(2):55–58.
- Rigby BR, Grandjean PW. The efficacy of equine-assisted activities and therapies on improving physical function.. J Altern Complement Med 2016;22(1):9–24.
- Hoffmann MF, Bernstorff M, Kreitz N. Horse-related injury patterns: A single center report.. J Orthop Surg Res 2023;18(1):83.
- Carboni C, Blanquet M, Bouallalene Jaramillo K. Horseback riding in the management of pelvic floor dysfunctions.. Int J Health Rehabil Sci 2014;3(1):1–6.
- Urbowicz M, Saulicz M, Saulicz A, Saulicz E. Self-assessment of the pelvic floor by women practicing recreational horseback riding.. Int J Environ Res Public Health 2022;19(4):2108.
- Alanee S, Heiner J, Liu N, Monga M. Horseback riding: Impact on sexual dysfunction and lower urinary tract symptoms in men and women.. Urology 2009;73(1):109–14.
- Rydström E. Labor and delivery in horseback riders and exercisers.. 2022. [Accessed December 6, 2024].
- Battaglia C, Nappi RE, Mancini F. Ultrasonographic and Doppler findings of subclinical clitoral microtraumatisms in mountain bikers and horseback riders.. J Sex Med 2009;6(2):464–68.
- Museler W. Riding logic: Transform riding skills to art on horseback with classical lessons in flatwork and jumping.. New York, NY: Trafalgar Square Books; 2021. Updated.
- Fortier Guillaume J, Laroche D, Babault N. Kinematics and electromyographic activity of horse riders during various cross-country jumps in equestrian.. Sports Biomech 2021;20(6):680–92.
- Călătan GC, Costin N, Todea C. Stress urinary incontinence, a personal health and hygiene problem.. Palestrica Third Millenn Civiliz Sport 2012;13(1):52.
- Fédération Equestre Internationale. FEI Jumping Rules – 26th edition, effective.. Switzerland: Fédération Equestre Internationale; 2017. Jan 1, 2018.
- Górecka-Bruzda A, Jastrzębska E. To jump or not to jump? Strategies employed by leisure and sport horses.. J Vet Behav Clin Appl Res 2013;8(4):253–60.
- Baessler K, O’Neill SM, Maher CF, Battistutta D. A validated self-administered female pelvic floor questionnaire.. Int Urogynecol J 2010;21(2):163–72.
- Baessler K, O’Neill SM, Maher CF, Battistutta D. Australian pelvic floor questionnaire: A validated interviewer-administered pelvic floor questionnaire for routine clinic and research.. Int Urogynecol J Pelvic Floor Dysfunct 2009;20(2):149–58.
- Zyznawska J, Buksa M, Załęcka M. The level of awareness of selected university female students about urinary stress incontinence among women.. Health Promot Phys Act 2019;8(3):29–37.
- Dakic JG, Hay-Smith J, Lin KY. Experience of playing sport or exercising for women with pelvic floor symptoms: A qualitative study.. Sports Med Open 2023;9(1):25.
- Pires T, Pires P, Moreira H, Viana R. Prevalence of urinary incontinence in high-impact sport athletes: A systematic review and meta-analysis.. J Hum Kinet 2020;73:279–88.
- Zhang Y, Kim S, Erdman AG. Feasibility of using a computer modeling approach to study SUI Induced by landing a jump.. Ann Biomed Eng 2009;37(7):1425–33.
- Opara JA, Socha T, Poświata A. Pelvic floor muscle exercise as the best stress urinary incontinence prevention method in women practising competitive sport.. Fizjoterapia 2013;21(2):57–63.
- Dietze-Hermosa M, Hitchcock R, Nygaard IE, Shaw JM. Intra-abdominal pressure and pelvic floor health: Should we be thinking about this relationship differently?. Female Pelvic Med Reconstr Surg 2020;26(7):409–14.
- Murer S, Polidori G, Beaumont F. Could horse gait and induced pelvic dynamic loads in female equestrians be a risk factor in pudendal neuralgia?. Sports (Basel) 2023;11(1):16.
- Molina-Torres G, Guallar-Bouloc M, Galán-Mercant A. Spanish cross-cultural adaptation and validation of the Australian Pelvic Floor Questionnaire in running women.. Sci Rep 2022;12(1):8325.
- Lin KY, Frawley HC, Granger CL, Denehy L. The Australian Pelvic Floor Questionnaire is a valid measure of pelvic floor symptoms in patients following surgery for colorectal cancer.. Neurourol Urodyn 2017;36(5):1395–402.
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