Pelvic organ prolapse – Would you move differently if your uterus was falling out: A narrative review

Kerstin McPherson, Irmina Nahon, Gordon Waddington , A Fearon

Research output: Other contribution to conferenceAbstractpeer-review


Background: Inital Literature review for PHD research looking at the relationship of movement and pelvic organ prolapse (POP)
Purpose: Narrative literature review to define future research examining the relationship of POP and a women's movement.
Methods: Narrative literature review
Results: This is a narrative review of Pelvic organ prolapse (POP) and its relation to a women’s movement . POP is defined as the symptomatic descent of the pelvic organs from their normal anatomical position. The integrated lifespan model, proposed by DeLancey et al, (2008) may help explain causal factors for the development of POP, suggesting that instead of there being one risk factor, cumulative damage and overload of the tissues may lead to the development of POP. This perhaps suggests poor loading of the tissues from altered movement with normal everyday activities over a long time may lead to changes within the tissues. Although, POP is not life threatening it can affect a women’s quality of life. The overall movement of a woman before and after she develops POP maybe the key in optimising overall muscle function of the pelvic and abdominal muscles in their role to support the pelvic organs.
Conclusion: There is a need to investigate how a women with POP moves on simple clinical tests for failed load transfer and if these tests and qualitative information gained for her experiences of how the POP has affected her movement and activities can be used to develop a clinical predictive tool for identifying POP and developing rehabilitation guidelines.
Implications: Pelvic organ prolapse is a growing concern due to lack of awareness with women and an increasing incidence with an aging population. Although there is evidence for pelvic muscle training to help reduce the symptoms of POP, it is expensive and limited to those with access to specialist women health physiotherapist. There is a need to look differently at the organ support to inform preventive and rehabilitation management.
Funding Acknowledgements: unfunded
Ethics Approval: University of Canberra ethics committee
Disclosure of Interest: None Declared
Keywords: Failed load transfer, Movement, Pelvic organ prolapse
Original languageEnglish
Number of pages1
Publication statusPublished - 01 Sept 2016
EventInternational Federation of Orthopedic Manipulative Physical Therapists Conference 2016: IFOMPT 2016 - Glasgow, United Kingdom
Duration: 04 Jul 201608 Jul 2016


ConferenceInternational Federation of Orthopedic Manipulative Physical Therapists Conference 2016
Country/TerritoryUnited Kingdom
Internet address


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