Clinical evaluation of pelvic floor muscle function in continent and incontinent women

Devreese, A. M.; Staes, Filip; Weerdt, Willy De; Feys, Hilde; Assche, Ado Van; Penninckx, Freddy; Vereecken, R.L.

doi:10.1002/nau.20018

Cited by 124 publications

(125 citation statements)

References 41 publications

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“…Visual inspection and digital tests are easy and reliable methods by which insight can be gained into the multi-muscular activity and coordination of the PFM and lower abdominal muscles in continent and incontinent women (14). Lynch and Aronoff (15), in a small sample size, observed better agreement using the tampon scale than the digital scale.…”

Section: Introductionmentioning

confidence: 99%

A comparative analisys of pelvic floor muscle strength in women with stress and urge urinary incontinence

et al. 2012

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ARTICLE INFO _________________________________________________________ ___________________Aims: To assess pelvic floor muscle (PFM) strength in women with stress urinary incontinence (SUI) and urge urinary incontinence (UUI). Materials and Methods: 51 women were prospectively divided into two groups, according to the symptoms as SUI (G1 = 22) or UUI (G2 = 29). Demographic data, such as number of pads/ 24 hours, number of micturations/ 24 hours and nocturia, delay time of urgent void (i.e., the time period for which an urgent void could be voluntarily postponed), number of parity and vaginal deliveries were obtained using a clinical questionnaire. Objective urine loss was evaluated by 60-min. Pad Test, subjective urine stream interruption test (UST) and visual survey of perineal contraction. Objective evaluations of PFM were performed in all patients (vaginal manometry). Results: Median of age, mean number of pads / 24 hours, nocturia and warning time were significantly higher in UUI comparing to SUI group. During UST, 45.45% in G1 and 3.44%, in G2, were able to interrupt the urine stream (p < 0.001). The 60-min. Pad Test was significantly higher in G2 compared to G1 women (2.7 ± 2.4 vs 1.5 ± 1.9 respectively, p = 0.049). Objective evaluation of PFM strength was significantly higher in the SUI than in the UUI patients. No statistical difference was observed regarding other studied parameters. Conclusion: Pelvic floor muscle weakness was significantly higher in women with UUI when compared to SUI.

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Section: Introductionmentioning

confidence: 99%

A comparative analisys of pelvic floor muscle strength in women with stress and urge urinary incontinence

et al. 2012

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“…To date, PFM passive properties are estimated by introducing a finger, a pressure probe or a dynamometric speculum into the vaginal cavity. For digital examination, Devreese et al (2004) reported the use of a 3-point scale (normo-, hypo-, hypertone) in continent and incontinent women. However, despite its usefulness in a clinical setting, this assessment technique remains subjective.…”

Section: Introductionmentioning

confidence: 99%

Application of a new method in the study of pelvic floor muscle passive properties in continent women

Morin

Gravel

Bourbonnais

et al. 2010

Journal of Electromyography and Kinesiology

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The aim of this study was to present a new methodology for evaluating the pelvic floor muscle (PFM) passive properties. The properties were assessed in 13 continent women using an intra-vaginal dynamometric speculum and EMG (to ensure the subjects were relaxed) in four different conditions: (1) forces recorded at minimal aperture (initial passive resistance); (2) passive resistance at maximal aperture; (interquartile range 13.33). This original approach to evaluating the PFM passive properties is very promising for providing better insight into the patho-physiology of stress urinary incontinence and pinpointing conservative treatment mechanisms.

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“…Thompson et al [5] found a significant correlation between TAUS and transperineal ultrasonography, and manual muscle testing for PFMs contraction. Several studies have assessed PFMs function in women by using TAUS and transperineal ultrasonography [12,22,23].…”

Section: Discussionmentioning

confidence: 99%

Effect of different contraction methods on pelvic floor muscle contraction in middle-aged women

Kim

Choi

Shin

2015

PTRS

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Objective: Pelvic floor muscles (PFMs) form the base of the abdomino-pelvic cavity and also the PFMs function is important for urinary continence. PFMs training (PFMT) is considered to be the first method for PFM dysfunction. This study demonstrated correct PFMs contraction among commonly used different contraction methods for PFMT. Design: Cross-sectional study. Methods: In this study, nineteen middle-aged (40-70 years) women participated. To evaluate PFM function, ultrasonography was used to measure the distance of the bladder base movement. The distance of the PFM movements were calculated at rest and during the other contractions. The following four different contraction methods were performed randomly: (1) PFM contraction, (2) abdominal drawing-in maneuver (ADIM), (3) anal contraction, and (4) hip adductor muscle contraction. The participants held the contraction for 3 seconds for a total of 3 times with a 30 seconds rest period between each trial. The mean of three measurements in each position were obtained and compared with that in the resting position. Results: The bladder base movement values were significantly greater when comparing PFM with ADIM and hip adductor contractions (p<0.05). The bladder base movement values were significantly greater when comparing ADIM and anal contractions with hip adductor contractions (p<0.05). Conclusions:The results of this study suggest that performing PFM contractions is the best method among the common methods for PFMT. Performing PFM contractions was more effective than the other contraction methods.

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Clinical evaluation of pelvic floor muscle function in continent and incontinent women

Abstract: Visual inspection and digital tests are easy and reliable methods by which insight can be gained into the multi-muscular activity and coordination of the pelvic floor and lower abdominal muscles in continent and incontinent women.

Cited by 124 publications

References 41 publications

A comparative analisys of pelvic floor muscle strength in women with stress and urge urinary incontinence

A comparative analisys of pelvic floor muscle strength in women with stress and urge urinary incontinence

Application of a new method in the study of pelvic floor muscle passive properties in continent women

Effect of different contraction methods on pelvic floor muscle contraction in middle-aged women

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