Pelvic Floor and Continence Group

The prevalence of stress urinary incontinence (SUI) is clearly underestimated by public opinion, mainly because it is a taboo subject. Even young women are affected, often in sports, but especially after delivery or in old age. From a scientific point of view, physiotherapy is the first line treatment in this field, as its effectiveness has been thoroughly evaluated. In our «Pelvic Floor and Continence Group» we want to further improve and optimize physiotherapy related to SUI. We investigate diagnostic techniques, interventions and therapy plans regarding patient information, perception and movement as well as strengthening of the pelvic floor muscles (PFMs) in isolated contractions and complex whole-body movements. Specifically, we focus on the neuromechanical aspects of PFMs, i.e., the activation and contraction behavior during voluntary and involuntary, reflexive contractions, which are essentially important to guarantee continence.

People

Alumni

  • Bettina Oberli-Peter, PT, BSc
  • Regula Corina Christen, PT, BSc
  • Rebecca Naeff, PT, BSc
  • Anna Zahnd, PT, BSc
  • Cecile Greter, PT, BSc
  • Doris Grünenfelder, PT, BSc
  • Adrian Kiener, BSc Micro- and Medical Technology
  • Silvan Rudaij, BSc Micro- and Medical Technology
  • Lisa Bachmann, PT, BSc
  • Angéline Bardill, PT, BSc
  • Katja Schenk, PT, BSc
  • Karin Minder, PT, BSc
  • Silvie Hügli, PT, BSc
  • Sabrina Thomann, PT, BSc
  • Pascale Brand, PT, MSc
  • Silvia Graber, PT, MAS
  • Damien Maurer, MSc BioMedEng
  • Noémie Flury, PT, MSc
  • Stefanie Gass, PT, MSc
  • Manuel Kuhn, PT, MSc
  • Anja Schraknepper, PT, MSc
  • Patricia Wassmer, PT, MSc
  • Claudia Balmer, PT, MSc
  • Nadine Christen, PT, BSc
  • Livia Schwertfeger, PT, BSc
  • Valerie Colijn, PT, BSc
  • Lea Spörri Lea, PT, BSc

Collaborations

  • Department of Physiotherapy, University and University Hospital Bern, Switzerland (Martin Verra, PhD)
  • Department of Obstetrics and Gynecology, University and University Hospital Bern, Switzerland (Annette Kuhn, MD)
  • Lindenhof Group, Women’s Center, Bern, Switzerland (Markus Hübner, MD)
  • Fresenius University of Applied Sciences, Cologne, Germany (Birgit Schulte-Frei, PhD)
  • BeBo Österreich, Tarrenz, Austria (Julia Wachter, MSc)
  • University of Utah, USA (Janet Shaw, PhD; Robert Hitchcock, PhD)
  • Free University of Brussels, Belgium (Jean-Pierre Baeyens, PhD)

Projects

Publications

Selected journal publications

  • Ballmer C, Eichelberger P, Leitner M, Moser H, Luginbuehl H, Kuhn A, Radlinger L. Electromyography of pelvic floor muscles with true differential versus faux differential electrode configuration. Int Urogynecol J. 2020 Oct;31(10):2051-2059.
  • Koenig I, Eichelberger P, Luginbuehl H, Kuhn A, Lehmann C, Taeymans J, Radlinger L. Activation patterns of pelvic floor muscles in women with incontinence while running: a randomized controlled trial. Int Urogynecol J. 2020 May 29. Online ahead of print.
  • Koenig I, Moetteli C, Luginbuehl H, Radlinger L, Kuhn A, Taeymans J. Health status, comorbidities and cost-of-illness in females with stress urinary incontinence living in the Canton of Bern. Z Evid Fortbild Qual Gesundhwes. 2020 Apr;150-152:73-79.
  • Gass S, Kuhn M, Koenig I, Radlinger L, Koehler B. Development of an ICF-based questionnaire for urinary and/or fecal incontinence (ICF-IAF): The female patients' perspective using focus groups (subproject). Neurourol Urodyn. 2019 Aug;38(6):1657-1662.
  • Koenig I, Kuhn M, Radlinger L, Koehler B. Development and validation of the ICF-Incontinence Assessment Form (ICF-IAF) to identify problems and resources for planning and evaluation of interventions using the Classification of Functioning, Disability and Health of the World Health Organization: Preliminary study. Neurourol Urodyn. 2019 Apr;38(4):1053-1066.
  • Koenig I, Eichelberger P, Leitner M, Moser H, Kuhn A, Taeymans J, Radlinger L. Pelvic floor muscle activity patterns in women with and without stress urinary incontinence while running. Ann Phys Rehabil Med. 2019 Nov 13. pii: S1877-0657(19)30160-5. doi: 10.1016/j.rehab.2019.09.013. [Epub ahead of print] PubMed PMID: 31733341.
  • Kuhn M, Gass S, Koenig I, Radlinger L, Koehler B. Development of an ICF-based questionnaire for urinary and/or fecal incontinence (ICF-IAF): The male patients' perspective using focus groups. Neurourol Urodyn. 2019 Aug;38(6):1663-1668.
  • Leitner M, Moser H, Eichelberger P, Kuhn A, Radlinger L. Pelvic floor muscle activity during fast voluntary contractions in continent and incontinent women. Neurourol Urodyn. 2019 Feb;38(2):625-631.
  • Moser H, Leitner M, Eichelberger P, Kuhn A, Baeyens JP, Radlinger L. Pelvic floor muscle displacement during jumps in continent and incontinent women: An exploratory study. Neurourol Urodyn. 2019 Nov;38(8):2374-2382.
  • Moser H, Luginbuehl H, Baeyens JP, Radlinger L. Reliability and validity of pelvic floor muscle displacement measurements during voluntary contractions. Int Urogynecol J. 2019 Dec;30(12):2093-2100.
  • Koenig I, Eichelberger P, Blasimann A, Hauswirth A, Baeyens JP, Radlinger L. Wavelets analyses of electromyography signals derived from lower extremity muscles while walking or running: A systematic review. PLOS ONE November 2,2018:1-15.
  • Leitner M, Moser H, Eichelberger P, Kuhn A, Bayens JP, Radlinger L. Evaluation of pelvic floor kinematics in continent and incontinent women during running: An exploratory study. Neurourology and Urodynamics. 2018;37(2);609-618.
  • Moser H, Leitner M, Eichelberger P, Kuhn A, Baeyens J-P, Radlinger L. Pelvic floor muscle activity during jumps in continent and incontinent women: An exploratory study. Archives of Gynecology and Obstetrics 2018;297(6):1455-146.
  • Moser H, Leitner M, Baeyens J-P, Radlinger L. Pelvic floor muscle activity during impact loads in continent and incontinent women: a systematic review. Int Urogynecol J. 2018 Feb;29(2):179-196.
  • Saeuberli P, Schraknepper A, Eichelberger P, Luginbuehl H, Radlinger L. Reflex activity of pelvic floor muscles during drop landings and mini trampolining - Exploratory study. International Urogynecology Journal. 2018;29(12):1833-1840.
  • Flury N, Koenig I, Radlinger L. Crosstalk considerations in studies evaluating pelvic floor muscles using surface electromyography in women: a scoping review. Arch Gynecol Obstet. 2017;295(4):799-809.
  • Koenig I, Luginbuehl H, Radlinger L. Reliability of pelvic floor muscle electromyography tested on healthy women and women with pelvic floor muscle dysfunction. Ann Phys Rehabil Med. 2017;60(6):382-386.
  • Leitner M, Moser H, Eichelberger P, Kuhn A, Baeyens JP, Radlinger L. Evaluation of pelvic floor kinematics in continent and incontinent women during running: An exploratory study. Neurourol Urodyn. 2018 Feb;37(2):609-618.
  • Leitner M, Moser H, Eichelberger P, Kuhn A, Radlinger L. Evaluation of pelvic floor muscle activity during running in continent and incontinent women: An exploratory study. Neurourol Urodyn. 2017;36(6):1570-1576.
  • Moser H, Leitner M, Eichelberger P, Kuhn A, Baeyens JP, Radlinger L. Pelvic floor muscle activity during jumps in continent and incontinent women: an exploratory study. Arch Gynecol Obstet. 2018 Jun;297(6):1455-1463.
  • Lehmann C, Zipponi I, Baumann MU, Radlinger L, Mueller MD, Kuhn A. Standardized pelvic floor exercises improve stress urinary incontinence in women with intrinsic sphincter deficiency. Neurourol Urodyn. 2016 Aug;35(6):711-6.
  • Luginbuehl H, Naeff R, Zahnd A, Baeyens JP, Kuhn A, Radlinger L. Pelvic floor muscle electromyography during different running speeds: an exploratory and reliability study. Arch Gynecol Obstet. 2016 Jan;293(1):117-24.
  • Luginbuehl H, Baeyens JP, Kuhn A, Christen R, Oberli B, Eichelberger P, Radlinger L. Pelvic floor muscle reflex activity during coughing - an exploratory and reliability study. Ann Phys Rehabil Med. 2016 Dec;59(5-6):302-307.
  • Leitner M, Moser H, Taeymans J, Kuhn A, Radlinger L. Pelvic floor muscle displacement during voluntary and involuntary activation in continent and incontinent women: a systematic review. Int Urogynecol J. 2015 Nov;26(11):1587-98.
  • Luginbuehl H, Baeyens JP, Taeymans J, Maeder IM, Kuhn A, Radlinger L. Pelvic floor muscle activation and strength components influencing female urinary continence and stress incontinence: a systematic review. Neurourol Urodyn. 2015 Aug;34(6):498-506.
  • Luginbuehl H, Lehmann C, Baeyens J-P, Kuhn A, Radlinger L. Study Protocol: Involuntary reflexive pelvic floor muscle training in addition to standard training versus standard training alone for women with stress urinary incontinence: study protocol for a randomized controlled trial. Trials. 2015;16:524.

Awards

  • Best presentation award in the field of urogynecology, Science Award of AUG (Arbeitsgemeinschaft für Urogynäkologie und Beckenbodenpathologie), St. Gallen, Switzerland, 2019
  • Best poster award: Pelvisuisse Symposium, Winterthur, Switzerland, 2017
  • Outstanding presentation award: lnternational Organization of Physical Therapists in Women's Health (IOPTWH), World Confederation for Physical Therapy, World Congress, Cape Town, South Africa, 2017
  • Outstanding presentation award: lnternational Organization of Physical Therapists in Women's Health (IOPTWH), World Confederation for Physical Therapy, World Congress, Singapore, Republic of Singapore, 2015
  • Best poster award: Pelvisuisse Symposium, Winterthur, Switzerland, 2015
  • Best poster award: Pelvisuisse Symposium, Winterthur, Switzerland, 2014
  • Best poster award: Deutsche Gesellschaft für Gynäkologie und Geburtshilfe, Hamburg, Germany, 2008
  • Best presentation award: PhysioSwiss Congress, St. Gallen, Switzerland, 2008