Comparison of transperineal and transabdominal ultrasound in the assessment of voluntary pelvic floor muscle contractions and functional manoeuvres in continent and incontinent women

Transperineal (TP) and transabdominal (TA) ultrasounds were used to assess bladder neck (TP) and bladder base (TA) movement during voluntary pelvic floor muscle (PFM) contraction and functional tasks. A sonographer assessed 60 asymptomatic (30 nulliparous, 30 parous) and 60 incontinent (30 stress, 3...

Full description

Saved in:
Bibliographic Details
Published in:International Urogynecology Journal 2007-07, Vol.18 (7), p.779-786
Main Authors: Thompson, Judith A., O’Sullivan, Peter B., Briffa, N. Kathryn, Neumann, Patricia
Format: Article
Language:English
Subjects:
Bladder
Urinary incontinence
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
cited_by cdi_FETCH-LOGICAL-c295t-2c9f1d8f288b26b0c6441750ce8ea5cfdac544927fc9f9e8d6b80f063d56059e3
cites cdi_FETCH-LOGICAL-c295t-2c9f1d8f288b26b0c6441750ce8ea5cfdac544927fc9f9e8d6b80f063d56059e3
container_end_page 786
container_issue 7
container_start_page 779
container_title International Urogynecology Journal
container_volume 18
creator Thompson, Judith A.
O’Sullivan, Peter B.
Briffa, N. Kathryn
Neumann, Patricia
description Transperineal (TP) and transabdominal (TA) ultrasounds were used to assess bladder neck (TP) and bladder base (TA) movement during voluntary pelvic floor muscle (PFM) contraction and functional tasks. A sonographer assessed 60 asymptomatic (30 nulliparous, 30 parous) and 60 incontinent (30 stress, 30 urge) women with a mean age of 43 (SD = 7) years, BMI of 24 (SD = 4) kg m2 and a median parity of 2 (range, 0–5), using both ultrasound methods. The mean of three measurements for bladder neck and bladder base (sagittal view) movement for each task was assessed for differences between the groups. There were no differences in bladder neck (p = 0.096) or bladder base (p = 0.112) movement between the four groups during voluntary PFM contraction but significant differences in bladder neck (p 
doi_str_mv 10.1007/s00192-006-0225-4
format article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_journals_881303184</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2418103931</sourcerecordid><originalsourceid>FETCH-LOGICAL-c295t-2c9f1d8f288b26b0c6441750ce8ea5cfdac544927fc9f9e8d6b80f063d56059e3</originalsourceid><addsrcrecordid>eNpFkctOwzAQRS0EEqXwAews9oHxI6mzRBUvqRIbWFuuY4tUiR08SRE_xvfhtEisrLlzfWY0l5BrBrcMYHWHAKzmBUBVAOdlIU_IgkkhCgFcnJIF1GJVCFnxc3KBuAMACSUsyM869oNJLcZAo6djMgEHl9rgTEdNaI6K2Taxb0OWpi4LGKfcaQMdPxw1iA6xd2GcAfvYTWE06ZsOrtu3lvouxkT7CW3nqI0hf7djGwMe6H4KhyqTexOim_bJ4UyenXmJDDWHUf_1V8yzLsmZNx26q793Sd4fH97Wz8Xm9ellfb8pLK_LseC29qxRniu15dUWbCUlW5VgnXKmtL4xtpSy5iufjbVTTbVV4KESTVlBWTuxJDdH7pDi5-Rw1Ls4pbwuaqWYAMGUzCZ2NNkUEZPzekhtn2-gGeg5HX1MR-d09JyOluIX0-qJNg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>881303184</pqid></control><display><type>article</type><title>Comparison of transperineal and transabdominal ultrasound in the assessment of voluntary pelvic floor muscle contractions and functional manoeuvres in continent and incontinent women</title><source>Springer Nature</source><creator>Thompson, Judith A. ; O’Sullivan, Peter B. ; Briffa, N. Kathryn ; Neumann, Patricia</creator><creatorcontrib>Thompson, Judith A. ; O’Sullivan, Peter B. ; Briffa, N. Kathryn ; Neumann, Patricia</creatorcontrib><description>Transperineal (TP) and transabdominal (TA) ultrasounds were used to assess bladder neck (TP) and bladder base (TA) movement during voluntary pelvic floor muscle (PFM) contraction and functional tasks. A sonographer assessed 60 asymptomatic (30 nulliparous, 30 parous) and 60 incontinent (30 stress, 30 urge) women with a mean age of 43 (SD = 7) years, BMI of 24 (SD = 4) kg m2 and a median parity of 2 (range, 0–5), using both ultrasound methods. The mean of three measurements for bladder neck and bladder base (sagittal view) movement for each task was assessed for differences between the groups. There were no differences in bladder neck (p = 0.096) or bladder base (p = 0.112) movement between the four groups during voluntary PFM contraction but significant differences in bladder neck (p &lt; 0.004) and a trend towards differences in bladder base (p = 0.068) movement during Valsalva and abdominal curl manoeuvre. During PFM contraction, there was a strong trend for the continent women to have greater bladder neck elevation (p = 0.051), but no difference in bladder base movement (p = 0.300), when compared to the incontinent women. The incontinent women demonstrated increased bladder neck descent during Valsalva and abdominal curl (p &lt; 0.001) and bladder base descent during Valsalva (p = 0.021). The differences between the groups were more marked during functional activities, suggesting that comprehensive assessment of the PFM should include functional activities as well as voluntary PFM contractions. TP ultrasound was more reliable and takes measures from a bony landmark when compared to TA ultrasound, which lacks a reference point for measurements. TA ultrasound is less suitable for PFM measures during functional manoeuvres and comparisons between subjects. Few subjects were overweight so the results may not be valid in an obese population.</description><identifier>ISSN: 0937-3462</identifier><identifier>EISSN: 1433-3023</identifier><identifier>DOI: 10.1007/s00192-006-0225-4</identifier><language>eng</language><publisher>Guildford: Springer Nature B.V</publisher><subject>Bladder ; Urinary incontinence</subject><ispartof>International Urogynecology Journal, 2007-07, Vol.18 (7), p.779-786</ispartof><rights>International Urogynecology Journal 2006.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c295t-2c9f1d8f288b26b0c6441750ce8ea5cfdac544927fc9f9e8d6b80f063d56059e3</citedby><cites>FETCH-LOGICAL-c295t-2c9f1d8f288b26b0c6441750ce8ea5cfdac544927fc9f9e8d6b80f063d56059e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids></links><search><creatorcontrib>Thompson, Judith A.</creatorcontrib><creatorcontrib>O’Sullivan, Peter B.</creatorcontrib><creatorcontrib>Briffa, N. Kathryn</creatorcontrib><creatorcontrib>Neumann, Patricia</creatorcontrib><title>Comparison of transperineal and transabdominal ultrasound in the assessment of voluntary pelvic floor muscle contractions and functional manoeuvres in continent and incontinent women</title><title>International Urogynecology Journal</title><description>Transperineal (TP) and transabdominal (TA) ultrasounds were used to assess bladder neck (TP) and bladder base (TA) movement during voluntary pelvic floor muscle (PFM) contraction and functional tasks. A sonographer assessed 60 asymptomatic (30 nulliparous, 30 parous) and 60 incontinent (30 stress, 30 urge) women with a mean age of 43 (SD = 7) years, BMI of 24 (SD = 4) kg m2 and a median parity of 2 (range, 0–5), using both ultrasound methods. The mean of three measurements for bladder neck and bladder base (sagittal view) movement for each task was assessed for differences between the groups. There were no differences in bladder neck (p = 0.096) or bladder base (p = 0.112) movement between the four groups during voluntary PFM contraction but significant differences in bladder neck (p &lt; 0.004) and a trend towards differences in bladder base (p = 0.068) movement during Valsalva and abdominal curl manoeuvre. During PFM contraction, there was a strong trend for the continent women to have greater bladder neck elevation (p = 0.051), but no difference in bladder base movement (p = 0.300), when compared to the incontinent women. The incontinent women demonstrated increased bladder neck descent during Valsalva and abdominal curl (p &lt; 0.001) and bladder base descent during Valsalva (p = 0.021). The differences between the groups were more marked during functional activities, suggesting that comprehensive assessment of the PFM should include functional activities as well as voluntary PFM contractions. TP ultrasound was more reliable and takes measures from a bony landmark when compared to TA ultrasound, which lacks a reference point for measurements. TA ultrasound is less suitable for PFM measures during functional manoeuvres and comparisons between subjects. Few subjects were overweight so the results may not be valid in an obese population.</description><subject>Bladder</subject><subject>Urinary incontinence</subject><issn>0937-3462</issn><issn>1433-3023</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><recordid>eNpFkctOwzAQRS0EEqXwAews9oHxI6mzRBUvqRIbWFuuY4tUiR08SRE_xvfhtEisrLlzfWY0l5BrBrcMYHWHAKzmBUBVAOdlIU_IgkkhCgFcnJIF1GJVCFnxc3KBuAMACSUsyM869oNJLcZAo6djMgEHl9rgTEdNaI6K2Taxb0OWpi4LGKfcaQMdPxw1iA6xd2GcAfvYTWE06ZsOrtu3lvouxkT7CW3nqI0hf7djGwMe6H4KhyqTexOim_bJ4UyenXmJDDWHUf_1V8yzLsmZNx26q793Sd4fH97Wz8Xm9ellfb8pLK_LseC29qxRniu15dUWbCUlW5VgnXKmtL4xtpSy5iufjbVTTbVV4KESTVlBWTuxJDdH7pDi5-Rw1Ls4pbwuaqWYAMGUzCZ2NNkUEZPzekhtn2-gGeg5HX1MR-d09JyOluIX0-qJNg</recordid><startdate>20070701</startdate><enddate>20070701</enddate><creator>Thompson, Judith A.</creator><creator>O’Sullivan, Peter B.</creator><creator>Briffa, N. Kathryn</creator><creator>Neumann, Patricia</creator><general>Springer Nature B.V</general><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope></search><sort><creationdate>20070701</creationdate><title>Comparison of transperineal and transabdominal ultrasound in the assessment of voluntary pelvic floor muscle contractions and functional manoeuvres in continent and incontinent women</title><author>Thompson, Judith A. ; O’Sullivan, Peter B. ; Briffa, N. Kathryn ; Neumann, Patricia</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c295t-2c9f1d8f288b26b0c6441750ce8ea5cfdac544927fc9f9e8d6b80f063d56059e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Bladder</topic><topic>Urinary incontinence</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Thompson, Judith A.</creatorcontrib><creatorcontrib>O’Sullivan, Peter B.</creatorcontrib><creatorcontrib>Briffa, N. Kathryn</creatorcontrib><creatorcontrib>Neumann, Patricia</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><jtitle>International Urogynecology Journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Thompson, Judith A.</au><au>O’Sullivan, Peter B.</au><au>Briffa, N. Kathryn</au><au>Neumann, Patricia</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Comparison of transperineal and transabdominal ultrasound in the assessment of voluntary pelvic floor muscle contractions and functional manoeuvres in continent and incontinent women</atitle><jtitle>International Urogynecology Journal</jtitle><date>2007-07-01</date><risdate>2007</risdate><volume>18</volume><issue>7</issue><spage>779</spage><epage>786</epage><pages>779-786</pages><issn>0937-3462</issn><eissn>1433-3023</eissn><abstract>Transperineal (TP) and transabdominal (TA) ultrasounds were used to assess bladder neck (TP) and bladder base (TA) movement during voluntary pelvic floor muscle (PFM) contraction and functional tasks. A sonographer assessed 60 asymptomatic (30 nulliparous, 30 parous) and 60 incontinent (30 stress, 30 urge) women with a mean age of 43 (SD = 7) years, BMI of 24 (SD = 4) kg m2 and a median parity of 2 (range, 0–5), using both ultrasound methods. The mean of three measurements for bladder neck and bladder base (sagittal view) movement for each task was assessed for differences between the groups. There were no differences in bladder neck (p = 0.096) or bladder base (p = 0.112) movement between the four groups during voluntary PFM contraction but significant differences in bladder neck (p &lt; 0.004) and a trend towards differences in bladder base (p = 0.068) movement during Valsalva and abdominal curl manoeuvre. During PFM contraction, there was a strong trend for the continent women to have greater bladder neck elevation (p = 0.051), but no difference in bladder base movement (p = 0.300), when compared to the incontinent women. The incontinent women demonstrated increased bladder neck descent during Valsalva and abdominal curl (p &lt; 0.001) and bladder base descent during Valsalva (p = 0.021). The differences between the groups were more marked during functional activities, suggesting that comprehensive assessment of the PFM should include functional activities as well as voluntary PFM contractions. TP ultrasound was more reliable and takes measures from a bony landmark when compared to TA ultrasound, which lacks a reference point for measurements. TA ultrasound is less suitable for PFM measures during functional manoeuvres and comparisons between subjects. Few subjects were overweight so the results may not be valid in an obese population.</abstract><cop>Guildford</cop><pub>Springer Nature B.V</pub><doi>10.1007/s00192-006-0225-4</doi><tpages>8</tpages></addata></record>
fulltext fulltext
identifier ISSN: 0937-3462
ispartof International Urogynecology Journal, 2007-07, Vol.18 (7), p.779-786
issn 0937-3462
1433-3023
language eng
recordid cdi_proquest_journals_881303184
source Springer Nature
subjects Bladder
Urinary incontinence
title Comparison of transperineal and transabdominal ultrasound in the assessment of voluntary pelvic floor muscle contractions and functional manoeuvres in continent and incontinent women
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-04T12%3A09%3A10IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Comparison%20of%20transperineal%20and%20transabdominal%20ultrasound%20in%20the%20assessment%20of%20voluntary%20pelvic%20floor%20muscle%20contractions%20and%20functional%20manoeuvres%20in%20continent%20and%20incontinent%20women&rft.jtitle=International%20Urogynecology%20Journal&rft.au=Thompson,%20Judith%20A.&rft.date=2007-07-01&rft.volume=18&rft.issue=7&rft.spage=779&rft.epage=786&rft.pages=779-786&rft.issn=0937-3462&rft.eissn=1433-3023&rft_id=info:doi/10.1007/s00192-006-0225-4&rft_dat=%3Cproquest_cross%3E2418103931%3C/proquest_cross%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c295t-2c9f1d8f288b26b0c6441750ce8ea5cfdac544927fc9f9e8d6b80f063d56059e3%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=881303184&rft_id=info:pmid/&rfr_iscdi=true