Literature DB >> 20798920

Pubococcygeal activity on perineal ultrasound in incontinent women.

Mara de Abreu Etienne1, André Lima de Oliveira, Silvia da Silva Carramão, José Rafael Macea, Tsutomu Aoki, Antonio Pedro Flores Auge.   

Abstract

INTRODUCTION AND HYPOTHESIS: The aim of this study was to investigate the applicability and reproducibility of perineal ultrasound (US) in the evaluation of the pubococcygeal muscle (PCM) activity in urinary incontinent women.
METHODS: Thirty women were assessed twice by two examiners who measured the angle between the lateral bundles of the PCM. The 2D US on coronal view evaluated the PCM performance during squeezing, straining, and resting.
RESULTS: There was significant correlation (p ≤ 0.001) in all measurements to both examiners, except for the contraction on their second assessment. The images showed asymmetries of muscle volume and activity. Five women (16.7%) had difficulty to rest after squeezing or straining, six (20%) first opened the muscle bundles when asked to squeeze them, and eight (26.7%) had no movement during different moments.
CONCLUSIONS: The 2D perineal US on coronal view is useful to evaluate PCM activity. It is easily applicable and reproducible.

Entities:  

Mesh:

Year:  2010        PMID: 20798920     DOI: 10.1007/s00192-010-1251-9

Source DB:  PubMed          Journal:  Int Urogynecol J        ISSN: 0937-3462            Impact factor:   2.894


  14 in total

1.  Evaluation of pelvic floor muscle strength using four different techniques.

Authors:  U M Peschers; A Gingelmaier; K Jundt; B Leib; T Dimpfl
Journal:  Int Urogynecol J Pelvic Floor Dysfunct       Date:  2001

Review 2.  The pelvic floor muscles: muscle thickness in healthy and urinary-incontinent women measured by perineal ultrasonography with reference to the effect of pelvic floor training. Estrogen receptor studies.

Authors:  I T Bernstein
Journal:  Neurourol Urodyn       Date:  1997       Impact factor: 2.696

3.  The appearance of levator ani muscle abnormalities in magnetic resonance images after vaginal delivery.

Authors:  John O L DeLancey; Rohna Kearney; Queena Chou; Steven Speights; Shereen Binno
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4.  The assessment of levator muscle strength: a validation of three ultrasound techniques.

Authors:  H P Dietz; S K Jarvis; T G Vancaillie
Journal:  Int Urogynecol J Pelvic Floor Dysfunct       Date:  2002

5.  The standardization of terminology of female pelvic organ prolapse and pelvic floor dysfunction.

Authors:  R C Bump; A Mattiasson; K Bø; L P Brubaker; J O DeLancey; P Klarskov; B L Shull; A R Smith
Journal:  Am J Obstet Gynecol       Date:  1996-07       Impact factor: 8.661

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

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Journal:  Neurourol Urodyn       Date:  2005       Impact factor: 2.696

7.  The assessment of levator trauma: a comparison between palpation and 4D pelvic floor ultrasound.

Authors:  H P Dietz; G Hyland; J Hay-Smith
Journal:  Neurourol Urodyn       Date:  2006       Impact factor: 2.696

8.  Assessment of voluntary pelvic floor muscle contraction in continent and incontinent women using transperineal ultrasound, manual muscle testing and vaginal squeeze pressure measurements.

Authors:  Judith A Thompson; Peter B O'Sullivan; N Kathryn Briffa; Patricia Neumann
Journal:  Int Urogynecol J Pelvic Floor Dysfunct       Date:  2006-03-11

9.  Levator defects can be detected by 2D translabial ultrasound.

Authors:  H P Dietz; K L Shek
Journal:  Int Urogynecol J Pelvic Floor Dysfunct       Date:  2009-03-17

10.  Levator plate movement during voluntary pelvic floor muscle contraction in subjects with incontinence and prolapse: a cross-sectional study and review.

Authors:  Judith A Thompson; Peter B O'Sullivan
Journal:  Int Urogynecol J Pelvic Floor Dysfunct       Date:  2003-04-24
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  1 in total

Review 1.  The Role of Rehabilitative Ultrasound Imaging Technique in the Lumbopelvic Region as a Diagnosis and Treatment Tool in Physiotherapy: Systematic Review, Meta-Analysis and Meta-Regression.

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Journal:  J Clin Med       Date:  2021-12-03       Impact factor: 4.241

  1 in total

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