Standardization of terminology of pelvic floor muscle function and dysfunction: Report from the pelvic floor clinical assessment group of the International Continence Society

Messelink, Bert; Benson, Thomas E.; Berghmans, Bary; Bø, Kari; Corcos, Jacques; Fowler, Clare J.; Laycock, Jo; Lim, Peter Huat Chye; Lunsen, Rik van; Nijeholt, Guus Lycklama à; Pemberton, John deJ.; Wang, Alex; Watier, Alain; Kerrebroeck, Philip Van

doi:10.1002/nau.20144

Cited by 453 publications

(426 citation statements)

References 12 publications

Supporting

Mentioning

376

Contrasting

Unclassified

Order By: Relevance

“…PFM function and ability to perform VPFMC was graded as either, absent, weak, normal or strong as advised by the International Continence Society (ICS). 15 In most cases, VPFMC was graded by two examiners (a combination of two experienced colorectal surgeons and/or physiotherapists) and a consensus was reached. All baseline clinical examinations and ultrasound scorings were performed by two experienced colorectal surgeons.…”

Section: Clinical Assessmentsmentioning

confidence: 99%

“…The ability to perform VPFMC was graded on the ICS score 15 by experienced colorectal surgeons and women's health specialist physiotherapists at baseline and post-intervention. Further, among the seven women with absent VPFMC at baseline in the intervention group, PFME was not commenced until they were able to perform a correct VPFMC.…”

Section: Strengths and Limitationsmentioning

confidence: 99%

See 1 more Smart Citation

Do pelvic floor muscle exercises reduce postpartum anal incontinence? A randomised controlled trial

Johannessen

Wibe

Stordahl

et al. 2016

BJOG

View full text Add to dashboard Cite

Objective To evaluate the effect of pelvic floor muscle exercises (PFME) for postpartum anal incontinence (AI).Design A parallel two-armed randomised controlled trial stratified on obstetrical anal sphincter injury with primary sphincter repair and hospital affinity.Setting Ano-rectal specialist out-patient clinics at two hospitals in Norway.Population One hundred and nine postpartum women with AI at baseline. MethodsThe intervention group received 6 months of individual physiotherapy-led PFME and the control group written information on PFME. Changes in St. Mark's scores and predictors of post-intervention AI were assessed by independent samples t-tests and multiple linear regression analyses, respectively. The study was not blind.Main outcome measures The primary outcome measure was change in AI symptoms on the St. Mark's score from baseline to post-intervention. Secondary outcome measures were manometry measures of anal sphincter length and strength, endoanal ultrasound (EAUS) defect score and voluntary pelvic floor muscle contraction.Results There was a significant difference in the reduction of St. Mark's scores from baseline to post-intervention in favour of the PFME group (À2.1 versus À0.8 points, P = 0.040). No differences in secondary outcome measures were found between groups. Baseline St. Mark's, PFME group affinity and EAUS defect score predicted post-intervention St. Mark's score in the imputed intention-to-treat analyses. The analysis on unimputed data showed that women performing weekly PFME improved their AI scores more than women in the control group did.Conclusions Our results indicate that individually adapted PFME reduces postpartum AI symptoms.

show abstract

Section: Clinical Assessmentsmentioning

confidence: 99%

Section: Strengths and Limitationsmentioning

confidence: 99%

Do pelvic floor muscle exercises reduce postpartum anal incontinence? A randomised controlled trial

Johannessen

Wibe

Stordahl

et al. 2016

BJOG

View full text Add to dashboard Cite

show abstract

“…1 PFM training should be recommended as a first-line conservative management in the treatment of urinary incontinence, 2,3 as demonstrated by numerous randomized controlled trials. [4][5][6][7] The success of treatment with exercises is dependent on the achievement of strength and endurance, which consequently leads to improvement of the PFM function.…”

Section: Introductionmentioning

confidence: 99%

“…Visual inspection and digital palpation are the most common methods used by physiotherapists. 1,8 The vaginal palpation was first described by Kegel, 9 who performed it to teach patients how to contract the muscles, classifying muscle contraction subjectively as correct or incorrect. Currently, digital palpation is still considered an essential part of the PFM examination, and has become widespread due to its low cost, and also because it is well accepted by the patients.…”

Section: Introductionmentioning

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.

View full text Add to dashboard Cite

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.

show abstract

“…The pelvic floor muscles (PFM) form an integral part of the continence mechanism [5,6]. Decreased PFM strength has been associated with stress urinary incontinence [7,8] and strength training of the PFM has been found to increase muscle volume, reduce muscle length, reduce the levator hiatus and lift the bladder and rectal ampulla [9].…”

mentioning

confidence: 99%

Ethnic differences in pelvic floor muscle strength and endurance in South African women

et al. 2014

Self Cite

View full text Add to dashboard Cite

show abstract

Standardization of terminology of pelvic floor muscle function and dysfunction: Report from the pelvic floor clinical assessment group of the International Continence Society

Cited by 453 publications

References 12 publications

Do pelvic floor muscle exercises reduce postpartum anal incontinence? A randomised controlled trial

Do pelvic floor muscle exercises reduce postpartum anal incontinence? A randomised controlled trial

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

Ethnic differences in pelvic floor muscle strength and endurance in South African women

Contact Info

Product

Resources

About