Pelvic Floor Muscle Assessment: The PERFECT Scheme

Laycock, Jo; Jerwood, D.

doi:10.1016/s0031-9406(05)61108-x

Cited by 509 publications

(448 citation statements)

References 12 publications

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“…number of fast contractions. 11 After digital examination, the maximum voluntary contraction (MVC) pressure of the pelvic floor muscles was assessed using a Peritron manometer (Cardio Design™, Victoria, Austrália). It is a conical vaginal catheter that is connected to a hand-held microprocessor with a latex tube, which allows pressure readings to be transmitted in centimeters of water (cmH 2 O) when the catheter is compressed due to external pressure.…”

Section: Methodsmentioning

confidence: 99%

Pelvic floor muscle training for overactive bladder symptoms – A prospective study

Fitz

Sartori

Girão

et al. 2017

Rev. Assoc. Med. Bras.

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Introduction: Pelvic floor muscle training (PFMT) involves the contraction of the puborectal, anal sphincter and external urethral muscles, inhibiting the detrusor contraction, what justify its use in the treatment of overactive bladder (OAB) symptoms. Objective: To verify the effects of isolated PFMT on the symptoms of OAB. Method: Prospective clinical trial with 27 women with mixed urinary incontinence (MUI), with predominance of OAB symptoms and loss ≥ 2 g in the pad test. It was evaluated: pelvic floor muscles (PFMs) function (digital palpation and manometry); urinary symptoms (nocturia, frequency and urinary loss); degree of discomfort of OAB symptoms; and quality of life (Incontinence Quality-ofLife Questionnaire [I-QoL]). The PFMT program consisted of 24 outpatient sessions (2x/week + home PFMT). The Mann-Whitney and Wilcoxon tests (with a significance level of 5%) were used to analyse the data. Results: There was a significant improvement of the urinary symptoms to the pad test (5.8±9.7, p<0.001), urinary loss (0.7±1.1, p=0.005) and nocturia (0.8±0.9, p=0.011). Reduction in the degree of discomfort of urinary symptoms was observed according to OAB-V8 questionnaire (10.0±7.7, p=0.001). There were also significant results in PFMs function: Oxford (3.6±0.9, p=0.001), endurance (5.2±1.8, p<0.001), fast (8.9±1.5, p<0.001) and manometry (26.6±15.8, p=0.003).In addition, quality of life had a significant improvement in the three domains evaluated by I-QoL. Conclusion: The PFMT without any additional guidelines improves the symptomatology, the function of PFMs and the quality of life of women with OAB symptoms.

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Section: Methodsmentioning

confidence: 99%

Pelvic floor muscle training for overactive bladder symptoms – A prospective study

Fitz

Sartori

Girão

et al. 2017

Rev. Assoc. Med. Bras.

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“…19 Endurance was recorded via the PERFECT assessment scheme. 20 Endurance was expressed as the length of time, up to 10 seconds, that an MVC could be sustained. Thus, the contraction was registered until the muscle began to fatigue.…”

Section: Digital Palpationmentioning

confidence: 99%

Correlation between maximum voluntary contraction and endurance measured by digital palpation and manometry: An observational study

Fitz

Stüpp

Costa

et al. 2016

Rev. Assoc. Med. Bras.

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Correlation between maximum voluntary ContraCtion and enduranCe measured by digital palpation and manometry: an observational study rev assoC med bras 2016; 62 (7) Introduction: Digital palpation and manometry are methods that can provide information regarding maximum voluntary contraction (MVC) and endurance of the pelvic floor muscles (PFM), and a strong correlation between these variables can be expected. Objective: To investigate the correlation between MVC and endurance, measured by digital palpation and manometry. Method: Forty-two women, with mean age of 58.1 years (±10.2), and predominant symptoms of stress urinary incontinence (SUI), were included. Examination was firstly conducted by digital palpation and subsequently using a Peritron manometer. MVC was measured using a 0-5 score, based on the Oxford Grading Scale. Endurance was assessed based on the PERFECT scheme. Results:We found a significant positive correlation between the MVC measured by digital palpation and the peak manometric pressure (r=0.579, p<0.001), and between the measurements of the endurance by Peritron manometer and the PERFECT assessment scheme (r=0.559, p<0.001). Conclusion:Our results revealed a positive and significant correlation between the capacity and maintenance of PFM contraction using digital and manometer evaluations in women with predominant symptoms of SUI.

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“…The PERFECT scheme consists of seven items and was developed and validated to assess the functionality of the PFM 10 . The "P" (power/force) indicator evaluates the intensity of the contraction of the PFM, graded using the modified Oxford scale.…”

Section: Methodsmentioning

confidence: 99%

“…The participants were instructed to contract the PFM following the commands given by the examiner, which followed the steps determined by the PERFECT scheme and the intervals of rest 10 . All evaluations were performed before and after the 12-week follow-up period.…”

Section: Methodsmentioning

confidence: 99%

Influence of a protocol of Pilates exercises on the contractility of the pelvic floor muscles of non-institutionalized elderly persons

Souza

Pegorare

Christofoletti

et al. 2017

Rev. bras. geriatr. gerontol.

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Objective: To investigate the influence of a protocol of Pilates exercises on the functionality and contractility of the pelvic floor muscles (PFM) of older women living in the city of Campo Grande, Mato Grosso, Brazil. Method: Ten women (median age of 63.4±4.5 years) with little or no pelvic floor dysfunction were subjected to 24 sessions of Pilates exercises lasting one hour each, for 12 weeks. The pressure of the pelvic floor muscles (PFM) was assessed using a perineometer (cmH 2 0) and contractility was assessed with the PERFECT scheme. Data were described as median ± interquartile range and inferential analysis was performed using the Wilcoxon paired test, with a significance level of 5%. Results: In view of the proposed treatment, the degree of voluntary contraction of the PFM of the participants increased from 79.0±83.5 to 90.0±82.0 cmH 2 0, with a statistically significant difference in paired comparison ( p=0.012). According to the PERFECT scheme, there was an increase in contraction time (from 5.0±0.1 to 7.0±4.7 seconds) and in the number of fast repetitions (from 7.0±4.5 to 8.0±4.7), with a statistically significant difference for both variables ( p=0.017 and p=0.008, respectively). Conclusion: The results indicate that the Pilates method increased the contractility and pressure of the PFM of elderly women with little or no PFM impairment. Further studies are required to determine whether the Pilates method is an effective method for the treatment of women with severe pelvic floor dysfunction.

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Pelvic Floor Muscle Assessment: The PERFECT Scheme

Cited by 509 publications

References 12 publications

Pelvic floor muscle training for overactive bladder symptoms – A prospective study

Pelvic floor muscle training for overactive bladder symptoms – A prospective study

Correlation between maximum voluntary contraction and endurance measured by digital palpation and manometry: An observational study

Influence of a protocol of Pilates exercises on the contractility of the pelvic floor muscles of non-institutionalized elderly persons

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