Pelvic floor muscle knowledge and relationship with muscle strength in Brazilian women: a cross-sectional study

Freitas, Leticia Maciel de; Bø, Kari; Fernandes, Ana Carolina Nociti Lopes; Uechi, Natalia; Duarte, Thaiana Bezerra; Ferreira, Cristine Homsi Jorge

doi:10.1007/s00192-018-3824-y

Cited by 26 publications

(25 citation statements)

References 22 publications

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“…Only 16.3% of women with PFD had good or strong PFM during a voluntary pelvic floor contraction as assessed with the Oxford scale. The percentage was similar (19.5%) to a recent cross‐sectional study in Brazilian women . According to Bo et al, due to the fact that PFM are untrained in most people, training these muscles has a great potential for improvement.…”

Section: Discussionsupporting

confidence: 83%

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Is voluntary pelvic floor muscles contraction important for sexual function in women with pelvic floor disorders?

Grzybowska

Wydra

2019

Neurourology and Urodynamics

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Aims: To investigate relationships between pelvic floor muscles (PFM) and sexual function (SF) in sexually active (SA) and not-SA (NSA) women with pelvic floor disorders (PFD). Methods: In 350 women with PFD: 173 (49.4%) SA, 177 (50.6%) NSA, Pelvic Organ Prolapse (POP)-Quantification, PFM tone, and strength were evaluated. Transperineal ultrasound (TPS) measured genital hiatus (GH) diameter, bladder neck (BN) movement. Pelvic Organ Prolapse/Incontinence Sexual Questionnaire, IUGA-Revised (PISQ-IR), and Female Sexual Function Index (FSFI) were used. SA women were dichotomized according to muscle strength (weak/strong) and tone (normal/hypoactive).Results: FSFI scores reflected sexual dysfunction in 63.5% SA women. 32.2% partnered NSA stated PFD the reason for sexual inactivity. NSA women had higher POP stages and hypoactive PFM rates compared to SA: 72 (40.7%) vs 52 (30.1%), P = .04. TPS GH diameter did not differ between SA and NSA at rest, contraction, and did not correlate with SF. BN length was longer in SA at rest (15.0 ± 7.0 vs 13.1 ± 9.4, P = .03) and contraction (19.7 ± 7.0 vs 16.7 ± 10.2, P = .006); 30 (8.6%) subjects depressed BN during contraction. GH change at contraction correlated with Oxford Grading Scale (r ps = 0.41; P < .001), and was smaller in women with nonfunctioning vs normal/underactive PFM (P < .001). Women with hypoactive PFM had lower SF in PISQ-IR Global quality and FSFI Desire domains vs normal tone. BN length at rest, contraction, and total mobility correlated with several PISQ-IR and FSFI domains. Conclusions:In SA women with PFD, lower rates of hypoactive PFM tone were found. The ability to contract PFM did not influence SF. Greater mobility of BN correlated with lower SF.

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Section: Discussionsupporting

confidence: 83%

“…All examinations were performed by the same examiner. Reliability and intra‐tester reliability of the Oxford scale to assess PFM strength was confirmed with the κ values of 0.69 to 0.78 for supine position . The clinician was blinded to the questionnaire results at the moment of the urogynecological examination.…”

Section: Methodsmentioning

confidence: 92%

Is voluntary pelvic floor muscles contraction important for sexual function in women with pelvic floor disorders?

Grzybowska

Wydra

2019

Neurourology and Urodynamics

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“…Shrestha et al (2014), 16 Morhason-Bello et al (2012), 19 and Kubik et al (2004) 24 women with higher education, who had significantly higher rates of willingness to receiving information (UI ¼ 31.5% vs 8.4%, p 0.0001; FI ¼ 24% vs 5.4%, p 0.0001; POP ¼ 27.6% vs 8.2%, p 0.0001) while teenagers were not aware of most of pelvic dysfunctions. Freitas et al 8 have analyzed the knowledge of Brazilian women about PFM and its relationship with the capacity to contract the PFM. Most of women (55%) presented a low level of knowledge, and 79.7% did not know the PFM functions.…”

Section: Low Socioeconomic Statusmentioning

confidence: 99%

Do Women have Adequate Knowledge about Pelvic Floor Dysfunctions? A Systematic Review

Fante

Silva

Mateus-Vasconcelos

et al. 2019

Rev Bras Ginecol Obstet

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Objective We sought to investigate whether women present adequate knowledge of the main pelvic floor disorders (PFDs) (urinary incontinence – UI, fecal incontinence – FI, and pelvic organ prolapse – POP). Data sources A systematic review was performed in the MEDLINE, PEDro, CENTRAL, and Cochrane databases for publications from inception to April 2018. Selection of studies A total of 3,125 studies were reviewed. Meta-analysis was not possible due to the heterogeneity of primary outcomes and the diversity of instruments for measuring knowledge. The quality of the articles included in the analysis was evaluated with the Newcastle-Ottawa Scale (NOS) adapted for cross-sectional studies. Data collection Two authors performed data extraction into a standardized spreadsheet. Data synthesis Nineteen studies were included, comprising 11,512 women. About the methodological quality (NOS), most of the studies (n = 11) presented a total score of 6 out of 10. Validated questionnaires and designed pilot-tested forms were the most frequently used ways of assessing knowledge. Some studies were stratified by race, age, or group minorities. The most used questionnaire was the prolapse and incontinence knowledge questionnaire (PIKQ) (n = 5). Knowledge and/or awareness regarding PFD was low to moderate among the studies. Urinary incontinence was the most prevalent PFD investigated, and the most important risk factors associated with the lack of knowledge of the pelvic floor were: African-American ethnicity (n = 3), low educational level (n = 4), low access to information (n = 5) and socioeconomic status (n = 3). Conclusion Most women have a gap in the knowledge of pelvic floor muscle dysfunctions, do not understand their treatment options, and are not able to identify risk factors for these disorders.

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“…Bom, ai ela falou: "bom então vamos ver..."." (P19, 69, IU, IA, C, DS) , 1999;DE FREITAS et al, 2018;NEELS et al, 2016aNEELS et al, , 2016b et al, 1988). Enquanto o Health Belief Model depende da existência simultânea de motivação, crença na vulnerabilidade (ameaça percebida) e na possibilidade de vencer a ameaça percebida seguindo as orientações propostas à um custo aceitável.…”

Section: Influência E Impacto Das Disfunções Do Assoalho Pélvicounclassified

“…Considerando a falta de conhecimento das mulheres sobre os MAP amplamente discutida na literatura atual (DE FREITAS et al, 2018;DE ANDRADE et al, 2018), a necessidade relatada pelas pacientes em conhecerem melhor a anatomia e função dos MAP e a possível influência positiva do componente educativo na eficácia e adesão ao TMAP (ALEWIJNSE et al, 2003a(ALEWIJNSE et al, , 2003bHINES et al, 2007) atividades de educação em saúde estão sendo desenvolvidas (ALEWIJNSE et al, 2003a;BATISTA, 2017;HYAKUTAKE et al, 2016).…”

Section: Introductionunclassified

Perspectiva de mulheres sobre uma atividade educativa voltada ao assoalho pélvico: estudo qualitativo

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Pelvic floor muscle knowledge and relationship with muscle strength in Brazilian women: a cross-sectional study

Cited by 26 publications

References 22 publications

Is voluntary pelvic floor muscles contraction important for sexual function in women with pelvic floor disorders?

Is voluntary pelvic floor muscles contraction important for sexual function in women with pelvic floor disorders?

Do Women have Adequate Knowledge about Pelvic Floor Dysfunctions? A Systematic Review

Perspectiva de mulheres sobre uma atividade educativa voltada ao assoalho pélvico: estudo qualitativo

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