Comparative effects of selected abdominal and lower limb exercises in the recruitment of the pelvic floor muscles: Determining adjuncts to Kegel's exercises.

Purpose: This study evaluated the electrical activities of the pelvic floor muscles in response to selected abdominal and hip adductor exercises, using the Kegel's maneuver as a gold standard, to compare the efficacies of these maneuvers in pelvic floor muscles recruitment to guide their informed utilization as adjuncts for Kegel's exercises.

Method: Twenty-one postpartum mothers with recent vaginal deliveries performed six trials, including the typical Kegel's exercise; two abdominal exercises (curl-up and abdominal hollowing); two hip adductor exercises (adductor ball squeeze and auto-resisted hip adduction); and a combination of abdominal, hip adductor and pelvic floor muscle contractions (combo). Pelvic floor muscles activities were monitored via surface electromyography during each 5-s trial.