scholarly journals The Self-Report Fecal Incontinence and Constipation Questionnaire in Patients With Pelvic-Floor Dysfunction Seeking Outpatient Rehabilitation

2014 ◽  
Vol 94 (2) ◽  
pp. 273-288 ◽  
Author(s):  
Ying-Chih Wang ◽  
Daniel Deutscher ◽  
Sheng-Che Yen ◽  
Mark W. Werneke ◽  
Jerome E. Mioduski
Keyword(s):  
Fecal Incontinence ◽  
Pelvic Floor ◽  
Item Difficulty ◽  
Pelvic Floor Dysfunction ◽  
Self Report ◽  
Outpatient Rehabilitation ◽  
Rehabilitation Services ◽  
Local Independence ◽  
Floor Effect ◽  
Cross Sectional

Background Fecal incontinence and constipation affect men and women of all ages. Objective The purpose of this study was to psychometrically analyze the Fecal Incontinence and Constipation Questionnaire (FICQ) in patients seeking outpatient rehabilitation services due to pelvic-floor dysfunction (PFD). Design This was a retrospective analysis of cross-sectional data from 644 patients (mean age=52 years, SD=16, range=18–91) being treated for PFD in 64 outpatient rehabilitation clinics in 20 states (United States). Methods We assessed the 20-item FICQ for unidimensionality and local independence, differential item functioning (DIF), item fit, item hierarchical structure, and test precision using an item response theory model. Results Factor analyses supported the 2-factor subscales as originally defined; items related to severity of leakage or constipation. Removal of 2 leakage items improved unidimensionality and local independence of the leakage scale. Among the remaining items, 2 items were suggestive of adjustment for DIF by age group and by number of PFD comorbid conditions. Item difficulties were suitable for patients with PFD with no ceiling or floor effect. Mean item difficulty parameters for leakage and constipation subscales ranged from 38.8 to 62.3 and 28.1 to 63.3 (0–100 scale), respectively. Endorsed leakage items representing highest difficulty levels were related to delay defecation and confidence to control bowel leakage. Endorsed constipation items representing highest difficulty levels were related to the need to strain during a bowel movement and the frequency of bowel movements. Limitations A limitation of this study was the lack of medical diagnostic criteria to classify patients. Conclusions After removing 2 items and adjusting for DIF, the results supported sound psychometric properties of the FICQ items and its initial use for patients with PFD in outpatient rehabilitation services.

scholarly journals Psychometric Properties and Practicability of the Self-Report Urinary Incontinence Questionnaire in Patients With Pelvic-Floor Dysfunction Seeking Outpatient Rehabilitation

2013 ◽  
Vol 93 (8) ◽  
pp. 1116-1129 ◽  
Author(s):  
Ying-Chih Wang ◽  
Dennis L. Hart ◽  
Daniel Deutscher ◽  
Sheng-Che Yen ◽  
Jerome E. Mioduski
Keyword(s):  
Urinary Incontinence ◽  
Physical Therapy ◽  
Pelvic Floor ◽  
Psychometric Properties ◽  
Pelvic Floor Dysfunction ◽  
Outpatient Rehabilitation ◽  
Local Independence ◽  
Therapy Services ◽  
Urine Leakage ◽  
Discriminating Ability

BackgroundPelvic-floor dysfunction (PFD) affects a substantial proportion of individuals, mostly women. In responding to the demands in measuring PFD outcomes in outpatient rehabilitation, the Urinary Incontinence Questionnaire (UIQ) was developed by FOTO in collaboration with an experienced physical therapist who has a specialty in treating patients with PFD.ObjectiveThe purpose of this study was to evaluate psychometric properties and practicability of the 21-item UIQ in patients seeking outpatient physical therapy services due to PFD.DesignThis was a retrospective analysis of cross-sectional data from 1,628 patients (mean age=53 years, SD=16, range=18–91) being treated for their PFD in 91 outpatient physical therapy clinics in 24 states (United States).MethodsUsing a 2-parameter logistic item response theory (IRT) procedure and the graded response model, the UIQ was assessed for unidimensionality and local independence, differential item functioning (DIF), discriminating ability, item hierarchical structure, and test precision.ResultsFour items were dropped to improve unidimensionality and discriminating ability. Remaining UIQ items met IRT assumptions of unidimensionality and local independence. One item was adjusted for DIF by age group. Item difficulties were suitable for patients with PFD with no ceiling or floor effect. Item difficulty parameters ranged from −2.20 to 0.39 logits. Endorsed items representing highest difficulty levels were related to control urine flow, impact of leaking urine on life, and confidence to control the urine leakage problem. Item discrimination parameters ranged from 0.48 to 1.18. Items with higher discriminating abilities were those related to impact on life of leaking urine, confidence to control the urine leakage problem, and the number of protective garments for urine leakage.LimitationsBecause this study was a secondary analysis of prospectively collected data, missing data might have influenced our results.ConclusionsPreliminary analyses supported sound psychometric properties of the UIQ items and their initial use for patients with PFD in outpatient physical therapy services.

scholarly journals Students’ Confidence Instrument Analysis in Poetry Learning through Rasch Model

2020 ◽  
Vol 13 (1) ◽  
pp. 289-299
Author(s):  
Nandang Rusmana ◽  
Anne Hafina ◽  
Risnawati Oktavia Wardhany ◽  
Dodi Suryana
Keyword(s):  
Elementary School ◽  
Rasch Model ◽  
Item Difficulty ◽  
Sampling Technique ◽  
Self Report ◽  
Cluster Sampling ◽  
Partial Credit Model ◽  
Cross Sectional ◽  
Confidence Levels ◽  
Student Confidence

Background: Students' low confidence becomes the reasons for conducting this research whereas it is one of the most important skills needed to develop ability and potency. Objective: This research aims to obtain information about Students' confidence levels in Bahasa Indonesia's subject, especially in poetry learning. Materials and Methods: This research employed a cross-sectional study with the quantitative approach. Participants of this research were 45 fifth grade students in Cibeureum Elementary School and 50th grade students in Kotabaru Elementary School 2019/2020 academic year. The self-report questionnaires were used as a research instrument to measure Students' confidence levels with the cluster sampling technique. Data were analyzed using the Partial Credit Model (PCM). These parameters are identified with the category coefficients and the scoring function of the Rasch model for polychotomous responses in which the latent trait is assumed uni-dimensional. Results: The trial results showed that as many as 13 items proved to be compatible with PCM instruments, the reliability of the instrument was 0.74, the item difficulty index started from -0.36 to 0.36 which meant that all items in the category were sufficient. Conclusion: This development instrument is valid and really measures the effect of student confidence on poetry learning, so it can be used to measure student confidence in poetry learning.

Diastasis recti abdominis and pelvic floor dysfunction in peri- and postmenopausal women: a cross-sectional study

2020 ◽  
pp. 1-7
Author(s):  
Beatriz Souza Harada ◽  
Thainá Tolosa De Bortolli ◽  
Letícia Carnaz ◽  
Marta Helena Souza De Conti ◽  
Adoniz Hijaz ◽  
...  
Keyword(s):  
Pelvic Floor ◽  
Postmenopausal Women ◽  
Pelvic Floor Dysfunction ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Diastasis Recti ◽  
Diastasis Recti Abdominis

scholarly journals Knowledge, Attitude and Practice of Physician toward Pelvic Floor Dysfunction KAP of Physician toward PFD

2019 ◽  
Vol 3 (1) ◽  
Keyword(s):  
Quality Of Life ◽  
Urinary Incontinence ◽  
Pelvic Organ Prolapse ◽  
Fecal Incontinence ◽  
Pelvic Floor ◽  
Pelvic Floor Dysfunction ◽  
Pelvic Organ ◽  
Attitude And Practice ◽  
Knowledge Attitude And Practice

Pelvic floor dysfunction (PFD) as a term includes underlying different sub-conditions the major ones are pelvic organ prolapse (POP), urinary incontinence (UI), fecal incontinence (FI), sexual function. The direct effect of dysfunction in these areas can affect the quality of life on a personal and healthy level in patients with PFD.

scholarly journals Reproducibility in pelvic floor biometric parameters of nulliparous women assessed by translabial three-dimensional ultrasound using Omniview reformatting technique.

2016 ◽  
Vol 18 (3) ◽  
pp. 345 ◽  
Author(s):  
Zsuzsanna Ilona Katalin Jármy-Di Bella ◽  
Edward Araujo Júnior ◽  
Claudinei Alves Rodrigues ◽  
Luiza Torelli ◽  
Wellington P. Martins ◽  
...  
Keyword(s):  
Pelvic Floor ◽  
Pelvic Floor Dysfunction ◽  
Three Dimensional ◽  
3D Ultrasound ◽  
Observer Agreement ◽  
Cross Sectional ◽  
Biometric Parameters ◽  
Observer Reliability ◽  
Hiatal Area ◽  
Nulliparous Women

Aim: To assess the reproducibility of pelvic floor biometric parameters by translabial three-dimensional ultrasound compared with the OmniView® reformatting technique. Material and methods: We performed a cross-sectional study involving 47 nulliparous women without symptoms of pelvic floor dysfunction. The hiatal area and right pubovisceral muscle width measurements were performed in the axial plane using both 3D ultrasound in the rendering mode and OmniView® techniques. To determine the occurrence of standardized error between examiners and the two sonographic methods, the paired t-test was used. The intra- and inter-observer reliability and agreement were estimated by concordance correlation coefficient (CCC) and limits of agreement, respectively. Results: We did not observe significant statistical differences among both measurements performed by the first examiner, both examiners and both methods in the assessment of the hiatal area; however, the measurements of the right pubovisceral muscle were significantly lower using OmniView®. The intra-observer reliability was good in the evaluation of all pelvic floor parameters; however, the inter-observer reliability was good only to the 3D rendering mode (CCC=0.87). The intra-observer agreement was good in the assessment of all pelvic floor parameters; however, the inter-observer agreement was found to be good only when 3DUS in the rendering mode was used (<±15%). Conclusion: Both 3D ultrasound in the rendering mode and OmniView® reformatting techniques were concordant in the assessment of pelvic floor parameters; however, the 3D ultrasound rendering in the mode demonstrated better inter-observer reliability and agreement.

Association between lumbopelvic pain and pelvic floor dysfunction in women: A cross sectional study

2018 ◽  
Vol 34 ◽  
pp. 47-53 ◽  
Author(s):  
Sinéad Dufour ◽  
Brittany Vandyken ◽  
Marie-Jose Forget ◽  
Carolyn Vandyken
Keyword(s):  
Pelvic Floor ◽  
Pelvic Floor Dysfunction ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional

scholarly journals Comparison of pelvic floor dysfunction in primiparous and nulliparous women and its relation to pelvic floor muscle strength

2020 ◽  
Vol 9 (7) ◽  
pp. 3011
Author(s):  
Shahida Naghma ◽  
Achla Batra ◽  
Deepak Kumar
Keyword(s):  
Muscle Strength ◽  
Pelvic Floor ◽  
Pelvic Floor Muscle ◽  
Pelvic Floor Dysfunction ◽  
Mode Of Delivery ◽  
Instrumental Delivery ◽  
Cross Sectional ◽  
Squeeze Pressure ◽  
Pelvic Floor Muscle Strength ◽  
Nulliparous Women

Background: The pelvic floor muscles (PFM) play an important role in supporting the pelvic and abdominal organs and controlling urinary and fecal continence, in addition to their role in the sexual function. The objective of this study was to compare pelvic floor muscle strength in primiparous 6 months after delivery and nulliparous women, to evaluate pelvic floor dysfunction (PFD) in these women and to find the association of PFD with pelvic floor muscle strength (PFMS).Methods: A total of 100 women were recruited in the cross-sectional study which included 28 nulliparous and 72 primiparous women 6 months after delivery. The assessment included general physical examination (GPE), POP-Q and assessment of pelvic floor muscle strength by modified oxford score and perineometer.Results: Endurance of PFMS measured by duration of contraction and number of contractions/min was higher in nulliparous. Mean of the duration of contraction was significantly higher in nulliparous group as compared to primipara i.e., 28.61 seconds and 23.9 seconds in nulliparous and primiparous group respectively (p=0.005). Mean of the number of contractions performed in one minute was significantly higher in nulliparous group as compared to primipara i.e., 31.04 and 19.97 in nulliparous and primiparous group respectively (p<0.0001). None of the nulliparous women had any PFD symptoms, while 4.17% of the primiparous patients had PFD in the form of bladder symptoms and 1.39% of them had PFD in the form bowel symptoms. Vaginal squeeze pressure was found to be affected by mode of delivery. It was lowest in instrumental delivery. It was 39.78±13.33 cmH20 in vaginal delivery, 51.42±12.88 cmH2O in Caesarean section and 31.67±14.36 cmH2O in instrumental delivery (p-0.039).Conclusions: Endurance of PFMS measured by duration of contraction and number of contractions/min was higher in nulliparous. Vaginal squeeze pressure was found to be affected by mode of delivery. It was lowest in instrumental delivery.

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