OBJECTIVE: To study the reliability and clinical predictive validity of pelvic floor muscle surface electromyography (sEMG) for use in early detection and prophylaxis of urogynecologic disorders. STUDY DESIGN: Fifty-seven women ranging from 19 to 69 years of age completed a written questionnaire and underwent digital pelvic examination followed by pelvic floor muscle sEMG using an intravaginal sensor. Thirty-seven subjects underwent repeat evaluations one week or more later. RESULTS: sEMG data demonstrated significant test-retest reliability (P < .001) and significant clinical predictive validity (P < .05) for undifferentiated urinary incontinence, stress incontinence, urge incontinence, menstrual status and parity on both initial and repeat examinations. CONCLUSIONS: Pelvic floor muscle sEMG is reliable and consistently predictive of several important clinical status variables, suggesting that it can be a useful tool in early at-risk detection and prophylactic intervention for disorders of pelvic floor muscle laxity. Recent advances in sEMG technology make it cost-effective, convenient, noninvasive and easy to learn and administer by assisting staff. This technology is a powerful complementary tool for digital assessment of pelvic floor muscles and should be considered for use in gynecologic practice.
OBJECTIVE: To study the reliability and clinical predictive validity of pelvic floor muscle surface electromyography (sEMG) for use in early detection and prophylaxis of urogynecologic disorders. STUDY DESIGN: Fifty-seven women ranging from 19 to 69 years of age completed a written questionnaire and underwent digital pelvic examination followed by pelvic floor muscle sEMG using an intravaginal sensor. Thirty-seven subjects underwent repeat evaluations one week or more later. RESULTS: sEMG data demonstrated significant test-retest reliability (P < .001) and significant clinical predictive validity (P < .05) for undifferentiated urinary incontinence, stress incontinence, urge incontinence, menstrual status and parity on both initial and repeat examinations. CONCLUSIONS: Pelvic floor muscle sEMG is reliable and consistently predictive of several important clinical status variables, suggesting that it can be a useful tool in early at-risk detection and prophylactic intervention for disorders of pelvic floor muscle laxity. Recent advances in sEMG technology make it cost-effective, convenient, noninvasive and easy to learn and administer by assisting staff. This technology is a powerful complementary tool for digital assessment of pelvic floor muscles and should be considered for use in gynecologic practice.
Authors: Flávia Ignácio Antonio Vassimon; Cristine Homsi Jorge Ferreira; Wellington Paula Martins; Rui Alberto Ferriani; Roberta Leopoldino de Andrade Batista; Kari Bo Journal: Int Urogynecol J Date: 2015-10-17 Impact factor: 2.894
Authors: Kai-Min Guo; Lang-Chi He; Yan Feng; Liu Huang; Abraham Nick Morse; Hui-Shu Liu Journal: Int Urogynecol J Date: 2021-06-16 Impact factor: 1.932
Authors: Daria Chmielewska; Magdalena Stania; Grzegorz Sobota; Krystyna Kwaśna; Edward Błaszczak; Jakub Taradaj; Grzegorz Juras Journal: Biomed Res Int Date: 2015-02-22 Impact factor: 3.411
Authors: Łukasz Oleksy; Anna Mika; Iwona Sulowska-Daszyk; Ewelina Rosłoniec; Renata Kielnar; Artur Stolarczyk Journal: Int J Environ Res Public Health Date: 2021-01-18 Impact factor: 3.390