scholarly journals Coccygeal Movement Test: An Objective, Non-Invasive Test for Localization of the Pelvic Floor Muscles in Healthy Women

2014 ◽  
Vol 23 (4) ◽  
pp. 318-322 ◽  
Author(s):  
Stine H. Stensgaard ◽  
Karl Moeller Bek ◽  
Khaled M.K. Ismail
Keyword(s):  
Pelvic Floor ◽  
Pelvic Floor Muscles ◽  
Non Invasive ◽  
Healthy Women ◽  
Invasive Test ◽  
Movement Test

scholarly journals Effect of combined actions of hip adduction/abduction on the force generation and maintenance of pelvic floor muscles in healthy women

PLoS ONE ◽  
2017 ◽  
Vol 12 (5) ◽  
pp. e0177575 ◽  
Author(s):  
Amanda C. Amorim ◽  
Licia P. Cacciari ◽  
Anice C. Passaro ◽  
Simone R. B. Silveira ◽  
Cesar F. Amorim ◽  
...  
Keyword(s):  
Pelvic Floor ◽  
Pelvic Floor Muscles ◽  
Force Generation ◽  
Healthy Women ◽  
Combined Actions

scholarly journals Effect of BoNT/A in the Surface Electromyographic Characteristics of the Pelvic Floor Muscles for the Treatment of Chronic Pelvic Pain

Sensors ◽  
2021 ◽  
Vol 21 (14) ◽  
pp. 4668
Author(s):  
Monica Albaladejo-Belmonte ◽  
Francisco J. Nohales-Alfonso ◽  
Marta Tarazona-Motes ◽  
Maria De-Arriba ◽  
Jose Alberola-Rubio ◽  
...  
Keyword(s):  
Pelvic Floor ◽  
Pelvic Pain ◽  
Chronic Pelvic Pain ◽  
Pelvic Floor Muscles ◽  
Median Frequency ◽  
Fatigue Index ◽  
Social Burden ◽  
Healthy Women ◽  
Almost All ◽  
Electromyographic Signals

Chronic pelvic pain (CPP) is a complex condition with a high economic and social burden. Although it is usually treated with botulinum neurotoxin type A (BoNT/A) injected into the pelvic floor muscles (PFM), its effect on their electrophysiological condition is unknown. In this study, 24 CPP patients were treated with BoNT/A. Surface electromyographic signals (sEMG) were recorded at Weeks 0 (infiltration), 8, 12 and 24 from the infiltrated, non-infiltrated, upper and lower PFM. The sEMG of 24 healthy women was also recorded for comparison. Four parameters were computed: root mean square (RMS), median frequency (MDF), Dimitrov’s index (DI) and sample entropy (SampEn). An index of pelvic electrophysiological impairment (IPEI) was also defined with respect to the healthy condition. Before treatment, the CPP and healthy parameters of almost all PFM sides were significantly different. Post-treatment, there was a significant reduction in power (<RMS), a shift towards higher frequencies (>MDF), lower fatigue index (<DI) and increased information complexity (>SampEn) in all sites in patients, mainly during PFM contractions, which brought their electrophysiological condition closer to that of healthy women (<IPEI). sEMG can be used to assess the PFM electrophysiological condition of CPP patients and the effects of therapies such as BoNT/A infiltration.

scholarly journals Synergism between abdominal and pelvic floor muscles in healthy women: a systematic review of observational studies

2016 ◽  
Vol 29 (2) ◽  
pp. 399-410 ◽  
Author(s):  
Lia Ferla ◽  
Caroline Darski ◽  
Luciana Laureano Paiva ◽  
Graciele Sbruzzi ◽  
Adriane Vieira
Keyword(s):  
Systematic Review ◽  
Pelvic Floor ◽  
Observational Studies ◽  
Pelvic Floor Dysfunction ◽  
Cochrane Collaboration ◽  
Pelvic Floor Muscles ◽  
Abdominal Muscles ◽  
Healthy Women ◽  
Muscle Groups ◽  
Starting Date

Abstract Introduction: The training of the pelvic floor muscles is widely used for treating pelvic floor dysfunctions, like urinary incontinence. During the training, abdominal contractions are avoided; however several studies support the use of the synergy between these muscle groups. Objective: Carrying out a systematic review of studies that seek to identify the presence of synergy between the muscles of the abdomen and the pelvic floor and its functionality in women without pelvic floor dysfunction. Methodology: To conduct the review, we have followed the recommendations proposed by the Cochrane Collaboration for systematic reviews. The literature search included the databases SCIELO, PEDro, MEDLINE, Cochrane CENTRAL and EMBASE, and manual research, the starting date of the databases until August 2013. We included cross observational studies with healthy women who were assessed to find the presence of synergy between the abdominal muscles and the pelvic floor. Results: We included 10 articles and they all showed the existence of synergy between the abdominal and pelvic floor muscles in healthy women in the supine, sitting and standing positions. Conclusion: Thus, we can conclude that there is synergy between the muscles of the abdomen and the pelvic floor in healthy women. Better understanding the behavior of these muscles and synergy may favor the development of strategies for the prevention and treatment of disorders of the female pelvic floor muscles.

scholarly journals Absolute and Relative Reliability of the Assessment of the Muscle Mechanical Properties of Pelvic Floor Muscles in Women with and without Urinary Incontinence

Diagnostics ◽  
2021 ◽  
Vol 11 (12) ◽  
pp. 2315
Author(s):  
Daiana Priscila Rodrigues-de-Souza ◽  
Sandra Alcaraz-Clariana ◽  
Lourdes García-Luque ◽  
Cristina Carmona-Pérez ◽  
Juan Luis Garrido-Castro ◽  
...  
Keyword(s):  
Mechanical Properties ◽  
Urinary Incontinence ◽  
Pelvic Floor ◽  
Intraclass Correlation ◽  
Study Groups ◽  
Pelvic Floor Muscles ◽  
Mean Values ◽  
Relative Reliability ◽  
Healthy Women ◽  
Nulliparous Women

An analysis of the muscle mechanical properties (MMPs) of the pelvic floor muscles (PFMs) is relevant for understanding the physiopathology of urinary incontinence (UI). However, there is no objective and reliable methodology currently available for quantifying the MMPs of PFMs. Thus, the objective was to determine the intra-rater and inter-rater reliability of the MMPs of PFM assessment with a hand-held tonometer device, called the MyotonPRO, in young women with and without UI. Sociodemographic and pelvic floor questionnaires, plus MMPs of PFMs were assessed in 38 nulliparous women with UI and 40 matched healthy women by two trained physiotherapists on two different occasions, 48–72 h apart. Good to excellent absolute reliability was found for tone, stiffness, and decrement of both intra- and inter-rater analyses in both study groups (Intraclass Correlation Coefficient ranged from 0.75 to 0.92), with a trend of lower values for relaxation and creep. The standard error of measurement (SEM) did not achieve 10% of the mean values for any MMPs. The minimum detectable change (MDC) values were also provided for clinical applications. In conclusion, the relative reliability of tone, stiffness, and the assessment of the decrement of PFMs with MyotonPRO is good to excellent for UI and healthy women. The SEM and MDC values were acceptable for their application in clinical settings.

Implementation of a novel non-invasive test for monitoring control in individuals with congenital adrenal hyperplasia

2018 ◽  
Author(s):  
Irina Bacila ◽  
Carlo L Acerini ◽  
Ruth E Krone ◽  
Leena Patel ◽  
Sabah Alvi ◽  
...  
Keyword(s):  
Congenital Adrenal Hyperplasia ◽  
Adrenal Hyperplasia ◽  
Non Invasive ◽  
Invasive Test

Fractional Flow Reserve: Does a Cut-off Value add Value?

2016 ◽  
Vol 11 (1) ◽  
pp. 17
Author(s):  
Shah R Mohdnazri ◽  
◽  
◽  
◽  
Thomas R Keeble ◽  
...  
Keyword(s):  
Fractional Flow Reserve ◽  
Coronary Intervention ◽  
Grey Zone ◽  
Fractional Flow ◽  
Non Invasive ◽  
Invasive Test ◽  
Flow Reserve ◽  
A Value ◽  
Percutaneous Coronary ◽  
Value Add

Fractional flow reserve (FFR) has been shown to improve outcomes when used to guide percutaneous coronary intervention (PCI). There have been two proposed cut-off points for FFR. The first was derived by comparing FFR against a series of non-invasive tests, with a value of ≤0.75 shown to predict a positive ischaemia test. It was then shown in the DEFER study that a vessel FFR value of ≥0.75 was associated with safe deferral of PCI. During the validation phase, a ‘grey zone’ for FFR values of between 0.76 and 0.80 was demonstrated, where a positive non-invasive test may still occur, but sensitivity and specificity were sub-optimal. Clinical judgement was therefore advised for values in this range. The FAME studies then moved the FFR cut-off point to ≤0.80, with a view to predicting outcomes. The ≤0.80 cut-off point has been adopted into clinical practice guidelines, whereas the lower value of ≤0.75 is no longer widely used. Here, the authors discuss the data underpinning these cut-off values and the practical implications for their use when using FFR guidance in PCI.

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