Urinary incontinence in women with low back pain

Eliasson, Kerstin; Elfving, Britt; Nordgren, Birgitta; Mattsson, Eva

doi:10.1016/j.math.2006.12.006

Cited by 91 publications

(79 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Since matching was not able to fully ensure group comparability, a multivariable model was used to investigate the effect of group membership whilst accounting for potential confounders. Similar to previous findings, incontinence problems were also more frequent in the cLBP group than in the control group [8]. Although a synergistic response between abdominal and pelvic floor muscles has been reported [30,38], there was no clear association between diminished AH performance and incontinence in the present study.…”

Section: Discussionsupporting

confidence: 89%

Ultrasound assessment of transversus abdominis muscle contraction ratio during abdominal hollowing: a useful tool to distinguish between patients with chronic low back pain and healthy controls?

et al. 2011

View full text Add to dashboard Cite

Spine stabilisation exercises, in which patients are taught to preferentially activate the transversus abdominus (TrA) during ''abdominal hollowing'' (AH), are a popular treatment for chronic low back pain (cLBP). The present study investigated whether performance during AH differed between cLBP patients and controls to an extent that would render it useful diagnostic tool. 50 patients with cLBP (46.3 ± 12.5 years) and 50 healthy controls (43.6 ± 12.7 years) participated in this case-control study. They performed AH in hook-lying. Using M-mode ultrasound, thicknesses of TrA, and obliquus internus and externus were determined at rest and during 5 s AH (5 measures each body side). The TrA contraction-ratio (TrA-CR) (TrA contracted/rest) and the ability to sustain the contraction [standard deviation (SD) of TrA thickness during the stable phase of the hold] were investigated. There were no significant group differences for the absolute muscle thicknesses at rest or during AH, or for the SD of TrA thickness. There was a small but significant difference between the groups for TrA-CR: cLBP 1.35 ± 0.14, controls 1.44 ± 0.24 (p \ 0.05). However, Receiver Operator Characteristics (ROC) analysis revealed a poor and non-significant ability of TrA-CR to discriminate between cLBP patients and controls on an individual basis (ROC area under the curve, 0.60 [95% CI 0.495; 0.695], p = 0.08). In the patient group, TrA-CR showed a low but significant correlation with Roland Morris score (Spearman Rho = 0.328; p = 0.02). In conclusion, the difference in group mean values for TrA-CR was small and of uncertain clinical relevance. Moreover, TrA-CR showed a poor ability to discriminate between control and cLBP subjects on an individual basis. We conclude that the TrA-CR during abdominal hollowing does not distinguish well between patients with chronic low back pain and healthy controls.

show abstract

Section: Discussionsupporting

confidence: 89%

Ultrasound assessment of transversus abdominis muscle contraction ratio during abdominal hollowing: a useful tool to distinguish between patients with chronic low back pain and healthy controls?

et al. 2011

View full text Add to dashboard Cite

show abstract

“…Similarly, screening for incontinence is recommended almost exclusively for patients with lumbar conditions and not recognized as a common issue among patients with cervical or extremity conditions. 19,20 Differences in comorbidity rates may potentially guide clinicians on the appropriateness of focused or anatomical region-specific screening for specific musculoskeletal conditions.…”

Section: T T Level Of Evidencementioning

confidence: 99%

Total Number and Severity of Comorbidities Do Not Differ Based on Anatomical Region of Musculoskeletal Pain

Coronado¹,

Alappattu²,

Hart³

et al. 2011

J Orthop Sports Phys Ther

View full text Add to dashboard Cite

“…In a recent epidemiological study, Smith et al 78 determined that disorders of continence are more strongly related to frequent LBP than obesity and levels of physical activity, while Eliasson et al 28 found that 78% of women with LBP report concurrent UI. As such, there is a need for physical therapists to have access to tools that accurately evaluate the various aspects of pelvic floor muscle function (elevating and occlusion functions, as well as neuromuscular control, strength, and endurance) both in laboratory and clinical environments.…”

mentioning

confidence: 99%

“…20,57,85 As the use of rehabilitative ultrasound imaging for assessment of pelvic floor muscles function is a relatively new procedure, the goal of this commentary i t is well accepted that the pelvic floor muscles, specifically the levator ani, provide an important contribution to the continence mechanism. 17,18 However, there is growing evidence from biomechanical models, 65 as well as neurophysiological 40,76,77 and epidemiological 28,66,78 studies, that this muscle group also plays an important role in postural control of the lumbopelvic region. Both low back pain (LBP) and urinary incontinence (UI) are prevalent…”

mentioning

confidence: 99%

Rehabilitative Ultrasound Imaging of Pelvic Floor Muscle Function

Whittaker¹,

Thompson²,

Teyhen³

et al. 2007

J Orthop Sports Phys Ther

View full text Add to dashboard Cite

found that 78% of women with LBP report concurrent UI. As such, there is a need for physical therapists to have access to tools that accurately evaluate the various aspects of pelvic floor muscle function (elevating and occlusion functions, as well as neuromuscular control, strength, and endurance) both in laboratory and clinical environments.Ultrasound imaging is a potential tool that has been used to evaluate the morphology 7,52 and certain components of the function 24,27,67,81,82,86 of these muscles. Specifically, ultrasound imaging has been shown to be more specific than intravaginal palpation for measurement of the lifting action of the pelvic floor muscles on the bladder neck 31 and base, 20,31 and it provides information about the supporting function of the pelvic floor muscles during various maneuvers. 20,57,85 As the use of rehabilitative ultrasound imaging for assessment of pelvic floor muscles function is a relatively new procedure, the goal of this commentary i t is well accepted that the pelvic floor muscles, specifically the levator ani, provide an important contribution to the continence mechanism.17 is to provide an understanding of current applications, the available quantitative and qualitative information, the associated limitations, and to show how rehabilitative ultrasound imaging can be incorporated as a form of biofeedback during rehabilitation. Furthermore, as the compilation and comparison of data depends on consistency of measurement techniques, this commentary highlights considerations for measurement accuracy and interpretation and provides generic guidelines for future investigation based upon international consensus. 80QuantitatiVe eVaLuation u ltrasound imaging has been used to measure the morphology 7,52 of the pelvic floor muscles. It has also been used to measure the impact of pelvic floor muscle contraction or increase in intra-abdominal pressure (straining, cough, sneeze, or leg-raising task) on the bladder from a variety of approaches (transperineal and transabdominal; Figure 1), planes (sagittal and transverse), and positions. 6,22,27,57,61,67,76,83,84,96 The transperineal approach (placement of the ultrasound transducer in a sagittal plane along the midline of the perineum) is considered advantageous to the transabdominal approach, as both the pubic symphysis and the proximal junction of the bladder neck and urethra are included within the field of view and can serve

show abstract

Urinary incontinence in women with low back pain

Cited by 91 publications

References 26 publications

Ultrasound assessment of transversus abdominis muscle contraction ratio during abdominal hollowing: a useful tool to distinguish between patients with chronic low back pain and healthy controls?

Ultrasound assessment of transversus abdominis muscle contraction ratio during abdominal hollowing: a useful tool to distinguish between patients with chronic low back pain and healthy controls?

Total Number and Severity of Comorbidities Do Not Differ Based on Anatomical Region of Musculoskeletal Pain

Rehabilitative Ultrasound Imaging of Pelvic Floor Muscle Function

Contact Info

Product

Resources

About