A Digital Test for Pelvic Muscle Strength in Women with Urinary Incontinence

Brink, Carol A.; Wells, Tony T.; Sampselle, Carolyn M.; Taillie, Eileen; Mayer, Robert

doi:10.1097/00006199-199411000-00006

Cited by 115 publications

(79 citation statements)

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“…24 Two studies investigated the inter-rater reliability of other palpation scoring systems, with squeeze pressures ranging from moderate to high (r=0.60 to r=0.90). 25,26 Our findings suggest that the correlation coefficient is questionable with respect to MVC (r=0.57) and muscle endurance (r=0.55). Likewise, previous studies have shown weak inter-rater reliability for the Oxford Grading Scale using Cohen's Kappa (0.37) 17 and moderate inter-rater reliability for the Peritron manometer.…”

Section: Baseline Characteristicsmentioning

confidence: 78%

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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Section: Baseline Characteristicsmentioning

confidence: 78%

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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“…It is different than previously published techniques of examination [Brink et al, 1994;Sampselle et al, 1989;Worth et al, 1986]. Previous studies have generally employed a scale assessing three characteristics: pressure, duration and displacement in plane [Brink et al, 1994;Sampselle et al, 1989].…”

Section: Discussionmentioning

confidence: 98%

Interrater reliability and physical examination of the pubovisceral portion of the levator ani muscle, validity comparisons using MR imaging

Kearney

Miller

DeLancey

2005

Neurourology and Urodynamics

116

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Aims-Defects in the pubovisceral portion of the levator ani muscle are seen with MR imaging. This study aims to determine interrater reliability of physical examination in detecting these defects, and to validate findings from physical examination using comparisons with MR images Methods-Two examiners palpated the pubovisceral muscles of 29 women to assess for defects in this muscle. Each examiner was blinded to the others findings. MR scans were acquired on a further 24 women after structured clinical examination by one examiner. These images were read to determine pubovisceral muscle defects, blinded to patient identifiers. Agreement between raters and between MR imaging and clinical examination were calculated.Results-The two examiners had positive agreement (presence of a defect) of 72.7% and negative agreement (absence of a defect) of 83.3%. The positive agreement between physical examination and MR imaging was 27.3% and the negative agreement 86.5% Conclusion-The structured physical examination to detect defects in the pubovisceral portion of the levator ani muscle can be learned as shown by good interrater agreement. However, examination alone underestimates these defects compared with MR imaging.

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“…6,7,9,11 Several methods have been used to analyze pelvic floor function and dysfunction in women, including digital palpation and intravaginal devices, such as a perineometer, to assess muscular function and ability to generate pressure. [12][13][14][15][16][17] But few studies refer to such methods in the evaluation of the PFM during pregnancy and puerperium. 4,6,7,18 Therefore, the aim of the present study was to evaluate the effects of the PFMT during pregnancy in a population of nulliparous pregnant women, using a perineometer and digital examination.…”

Section: Introductionmentioning

confidence: 99%

Effects of Pelvic Floor Muscle Training During Pregnancy

Oliveira

Lopes

Pereira

et al. 2007

Clinics

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OJETIVE:The objective of the present study was to evaluate the effect of pelvic floor muscle training in 46 nulliparous pregnant women. METHODS:The women were divided into 2 groups: an exercise group and a control group. Functional evaluation of the pelvic floor muscle was performed by digital vaginal palpation using the strength scale described by Ortiz and by a perineometer (with and without biofeedback). RESULTS:The functional evaluation of the pelvic floor muscles showed a significant increase in pelvic floor muscle strength during pregnancy in both groups (P < .001). However, the magnitude of the change was greater in the exercise group than in the control group (47.4% vs. 17.3%, P < .001). The study also showed a significant positive correlation (Spearman´s test, r = 0.643; P < .001) between perineometry and digital assessment in the strength of pelvic floor muscles. CONCLUSIONS: Pelvic floor muscle training resulted in a significant increase in pelvic floor muscle pressure and strength during pregnancy. A significant positive correlation between functional evaluation of the pelvic floor muscle and perineometry was observed during pregnancy. KEYWORDS:Exercise and movement techniques. Pelvic floor. Musculoskeletal diseases. Perineum. Pregnancy. Brief summary:To evaluate the effects of pelvic floor muscle training during pregnancy by evaluation of pelvic floor muscle function of the pelvic floor and by perineometry. The analysis of the effects of functional evaluation of the pelvic floor revealed a significant increase in pelvic floor muscle strength during pregnancy.

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A Digital Test for Pelvic Muscle Strength in Women with Urinary Incontinence

Cited by 115 publications

References 0 publications

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

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

Interrater reliability and physical examination of the pubovisceral portion of the levator ani muscle, validity comparisons using MR imaging

Effects of Pelvic Floor Muscle Training During Pregnancy

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