Four‐dimensional translabial ultrasound concordance with digital palpation and surface electromyography during dynamic pelvic floor muscles assessment: A cross‐sectional study

2019 ◽  
Vol 39 (1) ◽  
pp. 403-411 ◽  
Author(s):  
Natalia Martinho ◽  
Simone Botelho ◽  
Anita Nagib ◽  
Rodrigo Menezes Jales ◽  
Friyan Turel ◽  
...  
2015 ◽  
Vol 14 (2) ◽  
pp. e356
Author(s):  
H. Neels ◽  
S. De Wachter ◽  
J-J. Wyndaele ◽  
W. Tjalma ◽  
M. Wyndaele ◽  
...  

2020 ◽  
Vol 27 (3) ◽  
pp. 335-344
Author(s):  
Fernanda Cabegi de Barros ◽  
Patricia Driusso ◽  
Fernanda Roberto ◽  
Mariana Vieira Batistão ◽  
Mikaela Corrêa ◽  
...  

ABSTRACT Pelvic floor muscles act synergistically with the abdominal and lumbar muscles contributing to spine and pelvic control. These muscles are activated during activities that increase intra-abdominal pressure, such as manual material handling. The aim of our study was to assess the electrical activity of the lumbar, abdominal and pelvic floor muscles during manual material handling with different loads. This is a cross-sectional study with sixteen nulliparous continent women aged between 18 and 35 years. An electromyographic system was used to evaluate the activation of the multifidus, erector spinal (iliocostal) and abdominal rectus muscles bilaterally (Trigno Wireless®, DelSys®, Boston, USA) and another for the pelvic floor muscles (Thought Technology Ltd, Canadá). Electromyographic data were collected during manual handling of three loads: light (1.5 kg), medium (4.5 kg) and heavy (11.3 kg). Repeated measures ANOVA was applied to compare the activation among loads at a 5% level of significance (α = 0.05). There was a significant increase in the activation of the lumbar and abdominal musculature as the load increases. No difference among loads was found for the pelvic floor muscle activation. Pelvic floor muscles did not increase their activation in function of the load, as occur for the lumbar and abdominal muscles in nulliparous continent women. These findings need to be confirmed for incontinent woman, since it could have clinical implications for designing both occupational tasks and pelvic floor rehabilitation.


Author(s):  
S.P. Jürgensen ◽  
A. Borghi-Silva ◽  
A.M.F.G. Bastos ◽  
G.N. Correia ◽  
V.S. Pereira-Baldon ◽  
...  

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Alzbeta Binkova ◽  
Marion Uebelhart ◽  
Patrick Dällenbach ◽  
Michel Boulvain ◽  
Angèle Gayet-Ageron ◽  
...  

Abstract Background Female Genital Mutilation/Cutting (FGM/C) concerns over 200 million women and girls worldwide and is associated with obstetric trauma and long-term urogynaecological and psychosexual complications that are often under-investigated and undertreated. The aim of this study was to assess the pelvic floor distress and the impact of pelvic floor and psychosexual symptoms among migrant women with different types of FGM/C. Methods This cross-sectional study was conducted between April 2016 and January 2019 at the Division of Gynaecology of the Geneva University Hospitals. The participants were interviewed on socio-demographic and background information, underwent a systematic gynaecological examination to assess the presence and type of FGM/C and eventual Pelvic Organ Prolapse (POP), and completed six validated questionnaires on pelvic floor and psychosexual symptoms (PFDI-20 and PFIQ7 on pelvic floor distress and impact, FISI and WCS on faecal incontinence and constipation, PISQ-IR and FGSIS on sexual function and genital self-image). The participants’ scores were compared with scores of uncut women available from the literature. The association between selected variables and higher scores for distress and impact of pelvic floor symptoms was assessed using univariate and multivariable linear regression models. Results 124 women with a mean age of 31.5 (± 7.5), mostly with a normal BMI, and with no significant POP were included. PFDI-20 and PFIQ-7 mean (± SD) scores were of 49.5 (± 52.0) and 40.7 (± 53.6) respectively. In comparison with the available literature, the participants’ scores were lower than those of uncut women with pelvic floor dysfunction but higher than those of uncut women without such disorders. Past violent events other than FGM/C and forced or arranged marriage, age at FGM/C of more than 10, a period of staying in Switzerland of less than 6 months, and nulliparity were significantly associated with higher scores for distress and impact of pelvic floor symptoms, independently of known risk factors such as age, weight, ongoing pregnancy and history of episiotomy. Conclusions Women with various types of FGM/C, without POP, can suffer from pelvic floor symptoms responsible for distress and impact on their daily life. Trial registration. The study protocol was approved by the Swiss Ethics Committee on research involving humans (protocol n°15-224).


2019 ◽  
Vol 20 (1) ◽  
Author(s):  
Chi Chiung Grace Chen ◽  
Jacob T. Cox ◽  
Chloe Yuan ◽  
Lauren Thomaier ◽  
Sonia Dutta

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