{"id":8122,"date":"2018-11-14T20:24:01","date_gmt":"2018-11-14T19:24:01","guid":{"rendered":"https:\/\/blogs.bmj.com\/bjsm\/?p=8122"},"modified":"2018-11-14T20:32:24","modified_gmt":"2018-11-14T19:32:24","slug":"precisions-about-hypopressive-abdominal-techniques","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bjsm\/2018\/11\/14\/precisions-about-hypopressive-abdominal-techniques\/","title":{"rendered":"The need to clarify hypopressive abdominal techniques"},"content":{"rendered":"

By Jenny Osorio<\/em><\/strong>\u00a0<\/em><\/strong>and Marcel Caufriez<\/em><\/strong><\/p>\n

We welcome the paper by Martin-Rodriguez and B\u00d8 on the Hypopressive Abdominal Technique (HAT) (1) and share their concerns regarding the time that has elapsed between first observations and the achievement of level 1A evidence in physiotherapy.\u00a0Creator of the\u00a0Hypopressive Method (and blog co-author), Dr. Caufriez is not cited by Martin-Rodriguez and B\u00d8 and in this blog will clarify his proposed method.<\/p>\n

In the early 1980s, Dr. Caufriez developed the hypopressive method, which in its therapeutic application includes the HAT,\u00a0manual and instrumental therapy and ecophysiological techniques (HAT is not applied in isolation). (2) The HAT includes 3 groups of exercises:<\/p>\n

    \n
  1. Hypopressive abdominal gymnastics (HAG),<\/li>\n
  2. Diaphragmatic aspiration techniques (DAT), and<\/li>\n
  3. Techniques of tensional transfer (TTT).<\/li>\n<\/ol>\n

    HAG exercises are grouped into various programmes and classified depending on exercise intensity and the desired therapeutic responses. A hypopressive gymnastic exercise is a succession of postures forming a complete movement. These postures are called “postural steps” and currently, there are more than 800 hypopressive postural steps. (2)<\/p>\n

    The HAT acts on the abdominal pressure by relaxing the postural activity of the thoracic diaphragm and normalizing the activity of respiratory muscles. They also increase the postural activity of the abdominal girdle. Resistance of the abdominal girdle is involved in the movement of the digestive and pelvic viscera to the effort that usually follows an axis navel – coccyx down and back on the two domes of the pelvic floor. (3,4) \u00a0The HAG exercises are used to ensure greater management of abdominal pressure and to reestablish synergy between abdominal girdle and pelvic floor. The HAT is aimed at treating symptoms of postural deficiency syndrome, (5) such as restoring a postpartum woman’s body schema, as a complement to spinal dysfunction and pelvic floor therapeutic techniques, among others. In addition, the potential effectiveness of HAG in an aquatic environment has been studied. (6)<\/p>\n

    Hospitals, universities and rehabilitation centers have used the hypopressive method extensively. Unfortunately, some have tried to use it without adequate training which has resulted in confusion around the method. We call the attention to continue the support of high\u00a0quality trials to generate evidence for HAT use in physiotherapy.<\/p>\n

    \"\"<\/p>\n

    Other BJSM blogs on the abdominal hypopressive technique (8 Jan 2018):\u00a0The on-going debate about the usefulness of abdominal hypopressive technique on pelvic floor dysfunction: Evidence or evidence, there is no room for speculation.<\/a><\/strong><\/em><\/p>\n

    ***<\/p>\n

    Competing interests:<\/em><\/strong><\/p>\n

    Jenny Osorio:\u00a0Head Lecturer in the Hypopressive Method, Interdisciplinary Academy in Motor Sciences – AICM<\/p>\n

    Marcel Caufriez:\u00a0Creator of the Hypopressive Method and the perineal tonometer<\/p>\n

    Biographies:\u00a0<\/em><\/strong><\/p>\n

    Jenny Osorio:<\/strong><\/em>\u00a0Physiotherapist, Universidad del Valle-Colombia. Student of Master in Neurosciences, University of the Balearic Islands. Lecturer in Hydrotherapy, Universidad del Valle-Colombia. Address:\u00a0Center of Research and Functional\u00a0Therapy. Calle Cami de la Serra 4, \u00a007181 Bendinat Balear Islands (Mallorca) Spain Email:\u00a0marcelcaufriez@hotmail.com<\/a><\/u>. jloa77@hotmail.com<\/p>\n

    Marcel Caufriez (@MarcelCaufriez<\/b><\/a>)<\/span>:<\/strong><\/em>\u00a0PhD in Sciences of Motricity (Rehabilitation and Kinesitherapy), Free University of Brussels. Physiotherapist, Researcher and Lecturer. Director of the Research Laboratory of Ecophysiology of Mallorca.<\/p>\n

    References<\/em><\/strong><\/p>\n

      \n
    1. Martin Rodriguez S., Bo K. Is abdominal Hypopressive technique effective in the prevention and treatment of pelvic floor dysfunction? Marketing or evidence from high-quality clinical trials? Br J Sports Med. 2017.<\/li>\n
    2. El M\u00e9todo Hipopresivo del Dr. Marcel Caufriez Tomo 1, G\u00e9nesis programa de Base de la Gimnasia Abdominal Hipopresiva. M. Caufriez \u2013 Mallorca 2016 No. Editorial: AE-2016-16006770 No. de registro en la biblioteca Royal de B\u00e9lgica D\/2016\/5591\/1 ISBN-13: 978-84-608-7890<\/li>\n
    3. Caufriez, M. Contribution a l\u00b4etude des mecanismes physiopathologiques en cause dans l\u00b4incontinence urinarie a l\u00b4effort chez la femme. Th\u00e8se de Laboratoire d\u00b4analyse de mouvement Institut Superieur de Kin\u00e9sitherapie; Universit\u00e9 Libre de Bruxelles, Bruxelles. 1991<\/li>\n
    4. Navarro Braz\u00e1lez B., Torres Lacomba M., Arranz Mart\u00edn B., S\u00e1nchez M\u00e9ndez O. Respuesta muscular durante un ejercicio hipopresivo tras tratamiento de fisioterapia pelviperineal : valoraci\u00f3n con ecograf\u00eda transabdominal, Fisioterapia, 2017, 39(5):187-194<\/li>\n
    5. Caufriez M., Fernandez J.C., Fanzel R., Snoeck T.Efectos de un programa de entrenamiento estructurado de Gimnasia Abdominal Hipopresiva sobre la est\u00e1tica vertebral, cervical y dorsolumbar. Fisioterapia,\u00a0 2006, 28(4): 205-216<\/li>\n
    6. Caufriez M., Fern\u00e1ndez J.C., Guignel G., Heimann A. Comparison between abdominal pressure variations in acuatic and aerial enviroment during four hipopressive gymnastic exercises. Rev Iberoam Fisioter Kinesiol 2007, 10:12-23<\/li>\n<\/ol>\n

      <\/p>\n","protected":false},"excerpt":{"rendered":"

      By Jenny Osorio\u00a0and Marcel Caufriez We welcome the paper by Martin-Rodriguez and B\u00d8 on the Hypopressive Abdominal Technique (HAT) (1) and share their concerns regarding the time that has elapsed between first observations and the achievement of level 1A evidence in physiotherapy.\u00a0Creator of the\u00a0Hypopressive Method (and blog co-author), Dr. Caufriez is not cited by Martin-Rodriguez […]<\/p>\n

      Read More…<\/a><\/p>\n","protected":false},"author":1,"featured_media":8123,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[16068,1622],"class_list":["post-8122","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized","tag-featured","tag-pelvis"],"yoast_head":"\nThe need to clarify hypopressive abdominal techniques - BJSM blog - social media's leading SEM voice<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/bjsm\/2018\/11\/14\/precisions-about-hypopressive-abdominal-techniques\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"The need to clarify hypopressive abdominal techniques - BJSM blog - social media's leading SEM voice\" \/>\n<meta property=\"og:description\" content=\"By Jenny Osorio\u00a0and Marcel Caufriez We welcome the paper by Martin-Rodriguez and B\u00d8 on the Hypopressive Abdominal Technique (HAT) (1) and share their concerns regarding the time that has elapsed between first observations and the achievement of level 1A evidence in physiotherapy.\u00a0Creator of the\u00a0Hypopressive Method (and blog co-author), Dr. Caufriez is not cited by Martin-Rodriguez [...]Read More...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/blogs.bmj.com\/bjsm\/2018\/11\/14\/precisions-about-hypopressive-abdominal-techniques\/\" \/>\n<meta property=\"og:site_name\" content=\"BJSM blog - 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