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Proprioceptive Trunk-Based Physiotherapy for Stress Urinary Incontinence: Case Report in a Rhythmic Gymnast.

Gabriela Martínez-Roig¹, Irene Sandoval-Hernández², Marta María Córdoba-Peláez³

¹Cofrentes Thermal Spa, Cofrentes, 46625 Valencia, Spain.

Archivos Espanoles De Urologia

|May 9, 2026

Summary

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Muscles of the Pelvic Floor and Perineum

Muscles of the Pelvic Floor and Perineum

The muscles of the pelvic floor and perineum are crucial for supporting the pelvic organs, controlling continence, and aiding in sexual function, childbirth, and core stability. They are typically divided into the superficial perineal layer and the deep pelvic floor layer.
Perineal Layer
The perineum is a diamond-shaped area below the pelvic diaphragm, divided into an anterior urogenital triangle that contains the external genitals and a posterior anal triangle housing the anus. The urogenital...

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This case study shows that physiotherapy improved stress urinary incontinence (SUI) symptoms in an elite rhythmic gymnast. The intervention focused on pelvic floor activation and core strengthening, leading to better control during sports.

Area of Science:

Physiotherapy and Sports Medicine
Pelvic Floor Dysfunction
Urinary Incontinence

Background:

Pelvic floor dysfunction (PFD) affects muscle control, with urinary incontinence (UI) being the most common form in women.
Stress urinary incontinence (SUI), characterized by involuntary urine leakage during increased intra-abdominal pressure, is prevalent in elite athletes like gymnasts.
A 25-year-old rhythmic gymnast with an 8-year history of SUI during training and competition presented with symptoms influenced by fatigue and stress.

Keywords:

pelvic floor dysfunctions physiotherapy propioceptive trunk urinary incontinence

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