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Which Positions Optimize Pelvic Floor Activation in Female Athletes?
Elena Sonsoles Rodríguez-López1,2, Luz María Martín-Márquez1, María Barbaño Acevedo-Gómez1
1Physiotherapy and Health Research Group (FYSA), Department of Physiotherapy, Faculty of Health Sciences-HM Hospitals, University Camilo José Cela, Villanueva de la Cañada, 28692 Madrid, Spain.
Pelvic floor muscle (PFM) activation is highest during challenging exercises like squats and planks in female athletes. These positions, unlike previous recommendations, do not negatively impact PFM function and can aid in managing dysfunction.
Area of Science:
- Sports Science
- Biomechanics
- Physiology
Background:
- Pelvic floor muscle (PFM) training is vital for athletes' performance and quality of life.
- Optimizing PFM training can reduce dysfunction risk and enhance athletic capabilities.
Purpose of the Study:
- To assess pelvic floor muscle (PFM) activation in female athletes during various postural challenges.
Main Methods:
- An observational study involving twenty-five female rugby players.
- Surface electromyography (sEMG) measured PFM activity in five body positions.
- Evaluations were conducted under both stable and unstable conditions.
Main Results:
- PFM activation varied significantly across positions (p < 0.001), with the parallel squat showing the highest recruitment (40.69%).
- Maximum voluntary contraction percentages were highest in quadruped, plank, and squat positions.
- No significant differences in PFM activation were found between stable and unstable conditions (p = 1.000).
Conclusions:
- Postures challenging gravity and pelvic biomechanics, like squats and planks, enhance PFM activation.
- These exercises appear safe and beneficial, contrary to some prior recommendations.
- Incorporating these exercises may help manage pelvic floor dysfunction and improve core function.

