Effect of Variations in Forced Expiration Effort on Pelvic Floor Activation in Asymptomatic Women

Kitani, Lenore J.; Apte, Gail; Dedrick, Gregory S.; Sizer, Phillip S.; Brismée, Jean‐Michel

doi:10.1097/jwh.0000000000000005

Cited by 2 publications

(1 citation statement)

References 43 publications

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“…The role of the PFMs with respect to respiration was not included explicitly in the report of the Pelvic Floor Clinical Assessment Group of the International Continence Society in 2005 [6], nor in more recent guidelines on this topic [22]. Meanwhile, evidence has become sufficiently strong to acknowledge and emphasise the complex synergies of the PFMs in connection with breathing and coughing manoeuvres [10][11][12][13][14][15][16][26][27][28][29][30].…”

Section: Discussionmentioning

confidence: 99%

Inappropriate pelvic floor muscle activation during forced exhalation and coughing in elderly female inpatients with urinary incontinence

Talasz¹,

Kofler²,

Mariacher³

et al. 2022

Physiotherapy

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Section: Discussionmentioning

confidence: 99%

Inappropriate pelvic floor muscle activation during forced exhalation and coughing in elderly female inpatients with urinary incontinence

Talasz¹,

Kofler²,

Mariacher³

et al. 2022

Physiotherapy

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Linking Pelvic Floor Muscle Function Terminology to the International Classification of Functioning, Disability and Health

Saltiel¹,

Miranda-Gazzola²,

Vitória³

et al. 2020

Physical Therapy

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Objective A previous systematic review on pelvic floor muscle function (PFMF) identified a miscellaneity of terms. The lack of consensual terminology might have come from the complexity of neuromusculoskeletal function itself. This study sought to link the previously identified PFMF terms to the International Classification of Functioning, Disability and Health (ICF) terminology. Methods In this secondary analysis study, 10 linkage rules were applied to link the 196 previously identified PFMF terms to the ICF. Two researchers performed the linking process independently. Disagreements were solved by open dialogue with a third researcher. Percentage agreement was computed for main outcome. Results A total of 184 (93.9%) PFMF terms were subsumed into the following 6 ICF terms: Tone, Involuntary movement reaction, Control, Coordination, Strength, and Endurance. The most frequently investigated PFMF was Strength (25.5%), followed by Involuntary movement reaction (22.9%), Endurance (17.2%), Control (14.1%), Coordination (9.9%), and Tone (4.2%). Only 6.2% PFMF could not be linked to ICF terminology. A wide variation of instruments/methods was used to measure PFMF. Vaginal palpation was the only method employed to measure all six PFMF. Percentage agreement between raters was 73.2%. Conclusions Linking PFMF terminology to the ICF was feasible and valid. It allowed the identification of the most investigated PFMF and their measuring methods. ICF terminology to describe PFMF should be used since it may improve communication, data gathering and the advance in scientific knowledge. Impact Standardized terminology anchored in a theoretical framework is crucial to data gathering, communication, and dissemination of evidence-based practice. The PFMF terminology based on ICF can be used to improve data pooling and communication.

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Effect of Variations in Forced Expiration Effort on Pelvic Floor Activation in Asymptomatic Women

Cited by 2 publications

References 43 publications

Inappropriate pelvic floor muscle activation during forced exhalation and coughing in elderly female inpatients with urinary incontinence

Inappropriate pelvic floor muscle activation during forced exhalation and coughing in elderly female inpatients with urinary incontinence

Linking Pelvic Floor Muscle Function Terminology to the International Classification of Functioning, Disability and Health

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