scholarly journals Reliability of Pelvic Floor Muscle Assessment with Transabdominal Ultrasound in Young Nulliparous Women

2021 ◽  
Vol 10 (15) ◽  
pp. 3449
Author(s):  
Bartosz Zając ◽  
Iwona Sulowska-Daszyk ◽  
Anna Mika ◽  
Artur Stolarczyk ◽  
Ewelina Rosłoniec ◽  
...  
Keyword(s):  
Pelvic Floor ◽  
Pelvic Floor Muscle ◽  
Ultrasound Image ◽  
Posterior Wall ◽  
Voluntary Contraction ◽  
Pelvic Floor Muscles ◽  
Quantitative Detection ◽  
Transabdominal Ultrasound ◽  
Nulliparous Women ◽  
The Right

The aim of this study was to assess the reliability of pelvic floor muscles evaluation via transabdominal ultrasonography in young nulliparous women and to present the methodology for quantitative assessment of the ultrasound image of the pelvic floor muscles visible as displacement of the posterior wall of the bladder, caused by action of the pelvic floor muscles. The study comprised 30 young, Caucasian, nulliparous women (age 22–27; 168.6 ± 5.1 cm; 57.1 ± 11.8 kg) without pelvic floor muscle dysfunctions. The intra-rater, test-retest and inter-rater reliability of pelvic floor muscles evaluation was performed using transabdominal ultrasound at rest and during voluntary contraction. The reliability was assessed at three points of the image (at the middle, on the right and left side). The reliability of the three-point measurement of the pelvic floor muscles transabdominal ultrasound is excellent in the case of intra-rater assessments, both at rest (ICC = 0.98–0.99) and during contraction (ICC = 0.97–0.98); moderate at rest (ICC = 0.54–0.62) and poor during contraction (ICC = 0.22–0.50) in the case of test–retest assessment; excellent at rest (ICC = 0.95–0.96), and good during contraction (ICC = 0.81–0.87) in the case of inter-rater assessment. Transabdominal ultrasound is a reliable method of pelvic floor muscle evaluation. The three-points of assessment used in our study allowed for broader and more comprehensive imaging of the pelvic floor muscle, e.g., for quantitative detection contractility imbalances between the left and right side Due to the fact that understanding mechanisms of pelvic floor muscle functioning is crucial in the therapy of pelvic floor dysfunctions, therefore, reliable, valid tests and instruments are important.

scholarly journals Distensibility and Strength of the Pelvic Floor Muscles of Women in the Third Trimester of Pregnancy

2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
Carla Dellabarba Petricelli ◽  
Ana Paula Magalhães Resende ◽  
Julio Elito Júnior ◽  
Edward Araujo Júnior ◽  
Sandra Maria Alexandre ◽  
...  
Keyword(s):  
Pelvic Floor ◽  
Electrical Activity ◽  
Maternal Age ◽  
Surface Emg ◽  
Voluntary Contraction ◽  
Pelvic Floor Muscles ◽  
Third Trimester ◽  
The Third ◽  
Nulliparous Women ◽  
Multiparous Women

Objective.The objective of this study was to compare the role of the pelvic floor muscles between nulliparous and multiparous women in the third trimester of pregnancy, by analyzing the relationship between electrical activity (surface electromyography—EMG), vaginal palpation (modified Oxford scale), and perineal distensibility (Epi-no).Methods.This was an observational cross-sectional study on a sample of 60 healthy pregnant women with no cervical dilation, single fetus, gestational age between 35 and 40 weeks, and maternal age ranging from 15 to 40 years. The methods used were bidigital palpation (modified Oxford scale, graded 0–5), surface EMG (electrical activity during maximal voluntary contraction), and perineal distensibility (Epi-no device). The Pearson correlation coefficient (r) was used to analyze the Epi-no values and the surface EMG findings. The Kruskal-Wallis test was used to compare the median values from surface EMG and Epi-no, using the modified Oxford scale scores.Results.Among the 60 patients included in this study, 30 were nulliparous and 30 multiparous. The average maternal age and gestational age were 26.06 (±5.58) and 36.56 (±1.23), respectively. It was observed that nulliparous women had both higher perineal muscle strength (2.53 ± 0.57versus2.06 ± 0.64;P = 0.005) and higher electrical activity (45.35 ± 12.24 μV versus35.79 ± 11.66 μV;P = 0.003), while among the multiparous women, distensibility was higher (19.39 ± 1.92versus18.05 ± 2.14;P = 0.013). We observed that there was no correlation between perineal distensibility and electrical activity during maximal voluntary contraction (r = -0.193;P = 0.140). However, we found a positive relationship between vaginal palpation and surface electromyography (P = 0.008), but none between Epi-no values (P = 0.785).Conclusion.The electrical activity and muscle strength of the pelvic floor muscles of the multiparous women were damaged, in relation to the nulliparous women, while the perineal distensibility was lower in the latter group. There was a positive relationship between surface EMG and the modified Oxford scale.

scholarly journals Utilising Synergism Between the Transverse Abdominal and Pelvic Floor Muscles at Different Postures in Nulliparous Women: a Randomized Case Control Study

2021 ◽  
Author(s):  
Tímea Molnár ◽  
Andrea Domján ◽  
Mónika Szűcs ◽  
Andrea Surányi ◽  
József Bódis
Keyword(s):  
Pelvic Floor ◽  
Pelvic Floor Muscle ◽  
Abdominal Muscle ◽  
Pelvic Floor Muscles ◽  
The Body ◽  
Rank Test ◽  
Urinary Leakage ◽  
Nulliparous Women ◽  
Dynamic Endurance ◽  
And Control

Abstract Background: To determine the effects of the pelvic floor muscle training (PFM-T) in combination with transverse abdominal muscle (TRA) activation (cPFM-T) in female urinary incontinence.Methods: We enrolled nulliparous women in supine (SUG) (n = 22), sitting (SIG) (n = 19) and control (COG) (n = 14) groups. We performed the 8-week cPFM-T programme. We examined the effect of training on the parameters with the Kruskal–Wallis test, and the pairwise comparisons with the Mann-Whitney U-test and the Wilcoxon-rank test with the Bonferroni correction.Results: Before training, 15 participants reported occasional urinary leakage. After cPFM-T seven participants reported that urinary leakage had disappeared. Maximal isometric contraction of the pelvic floor muscles (PFM) until fatigue improved significantly in the SUG (p < 0.001) and SIG (p = 0.015) and not significantly in the COG (p = 0.499). Holding time increased in the SUG (p = 0.972) and the SIG (p = 0.717), and decreased in the COG (p = 0.132). The dynamic endurance of the PFM improved significantly in the SUG (p < 0.001), but not in the SIG (p = 0.798) and the COG (p = 0.153). The number of maximal fast contractions within 1 minute increased in both the SUG (p < 0.001) and the SIG (p=0.813) and decreased in the COG (p = 0.257). Relaxation improved significantly in the SIG (p = 0.011). TRA thickness increased in both training groups.Conclusions: Slow-twitch fibres of the PFM can be trained effectively with PFM-T in both the body positions.Trial registration: This study was registered in the Hungarian National Healthcare Service Center: 019234/2014/OTIG Registered 07 April 2014 modification: 096623-002/2015/OTIG Registered 11 November 2015 https://www.aeek.huThe study was retrospectively registered in ClincalTrials.gov NCT04577872 Registered 22 September 2020. https:// https://clinicaltrials.gov

scholarly journals High-impact aerobics programme supplemented by pelvic floor muscle training does not impair the function of pelvic floor muscles in active nulliparous women

Medicine ◽  
2021 ◽  
Vol 100 (33) ◽  
pp. e26989
Author(s):  
Magdalena Piernicka ◽  
Monika Błudnicka ◽  
Jakub Kortas ◽  
Barbara Duda-Biernacka ◽  
Anna Szumilewicz
Keyword(s):  
Pelvic Floor ◽  
Pelvic Floor Muscle Training ◽  
Pelvic Floor Muscle ◽  
Pelvic Floor Muscles ◽  
High Impact ◽  
Muscle Training ◽  
Nulliparous Women

Assessment of pelvic floor muscle function in women with and without low back pain using transabdominal ultrasound

2010 ◽  
Vol 15 (3) ◽  
pp. 235-239 ◽  
Author(s):  
Amir Massoud Arab ◽  
Roxana Bazaz Behbahani ◽  
Leila Lorestani ◽  
Afsaneh Azari
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Pelvic Floor ◽  
Muscle Function ◽  
Pelvic Floor Muscle ◽  
Low Back ◽  
Transabdominal Ultrasound ◽  
Pelvic Floor Muscle Function

2. VAGINISMUS, VULVODYNIA AND PELVIC FLOOR MUSCLE ACTIVITY

Sexual Health ◽  
2007 ◽  
Vol 4 (4) ◽  
pp. 285
Author(s):  
R. Sapsford
Keyword(s):  
Pelvic Floor ◽  
Muscle Activity ◽  
Pelvic Floor Muscle ◽  
Normal Function ◽  
Pelvic Floor Muscles ◽  
Abdominal Pressure ◽  
Abdominal Muscles ◽  
Physiological Factors ◽  
Muscle Groups ◽  
Postural Support

The pelvic floor muscles form the base of the abdominal cylinder and work in synergy with other muscles around the cylinder - the abdominal muscles and the diaphragm. Activity in each muscle group affects the others. Coordinated recruitment of these muscle groups is necessary for generation and maintenance of intra-abdominal pressure, postural support of the trunk, and during functional tasks such as lifting, coughing and nose blowing. Coordinated release of these groups is required for micturition, while defaecation may need activity in some muscles and release in others. Vaginismus and vulvodynia both have a component of over activity of the pelvic floor muscles which impairs normal function, though this over activity may only occur at the time of attempted penetration. Some of the physiological factors that contribute to this overactivity come from outside the pelvic floor muscle complex itself and can be ameliorated by understanding and management of these muscle synergies. An EMG study of muscle activity of the abdominal and pelvic floor muscles during a simulated body posturing for female sexual arousal will help to explain how the pelvic floor muscle over activity in vaginismus arises. Treatment programmes that have been used to successfully address these problems will be explained.

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