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Pubococcygeal activity on perineal ultrasound in incontinent women
Introduction and hypothesis The aim of this study was to investigate the applicability and reproducibility of perineal ultrasound (US) in the evaluation of the pubococcygeal muscle (PCM) activity in urinary incontinent women. Methods Thirty women were assessed twice by two examiners who measured the...
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Published in: | International Urogynecology Journal 2011-03, Vol.22 (3), p.315-320 |
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creator | de Abreu Etienne, Mara de Oliveira, André Lima da Silva Carramão, Silvia Macea, José Rafael Aoki, Tsutomu Auge, Antonio Pedro Flores |
description | Introduction and hypothesis
The aim of this study was to investigate the applicability and reproducibility of perineal ultrasound (US) in the evaluation of the pubococcygeal muscle (PCM) activity in urinary incontinent women.
Methods
Thirty women were assessed twice by two examiners who measured the angle between the lateral bundles of the PCM. The 2D US on coronal view evaluated the PCM performance during squeezing, straining, and resting.
Results
There was significant correlation (
p
≤ 0.001) in all measurements to both examiners, except for the contraction on their second assessment. The images showed asymmetries of muscle volume and activity. Five women (16.7%) had difficulty to rest after squeezing or straining, six (20%) first opened the muscle bundles when asked to squeeze them, and eight (26.7%) had no movement during different moments.
Conclusions
The 2D perineal US on coronal view is useful to evaluate PCM activity. It is easily applicable and reproducible. |
doi_str_mv | 10.1007/s00192-010-1251-9 |
format | article |
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The aim of this study was to investigate the applicability and reproducibility of perineal ultrasound (US) in the evaluation of the pubococcygeal muscle (PCM) activity in urinary incontinent women.
Methods
Thirty women were assessed twice by two examiners who measured the angle between the lateral bundles of the PCM. The 2D US on coronal view evaluated the PCM performance during squeezing, straining, and resting.
Results
There was significant correlation (
p
≤ 0.001) in all measurements to both examiners, except for the contraction on their second assessment. The images showed asymmetries of muscle volume and activity. Five women (16.7%) had difficulty to rest after squeezing or straining, six (20%) first opened the muscle bundles when asked to squeeze them, and eight (26.7%) had no movement during different moments.
Conclusions
The 2D perineal US on coronal view is useful to evaluate PCM activity. It is easily applicable and reproducible.</description><identifier>ISSN: 0937-3462</identifier><identifier>EISSN: 1433-3023</identifier><identifier>DOI: 10.1007/s00192-010-1251-9</identifier><identifier>PMID: 20798920</identifier><language>eng</language><publisher>London: Springer-Verlag</publisher><subject>Adult ; Female ; Gynecology ; Humans ; Medicine ; Medicine & Public Health ; Middle Aged ; Muscle Contraction - physiology ; Muscle, Skeletal - diagnostic imaging ; Muscle, Skeletal - physiopathology ; Original Article ; Pelvic Floor - diagnostic imaging ; Pelvic Floor - physiopathology ; Perineum - diagnostic imaging ; Physical Therapy Modalities ; Pilot Projects ; Reproducibility of Results ; Ultrasonography ; Urinary Incontinence - diagnostic imaging ; Urinary Incontinence - physiopathology ; Urinary Incontinence - therapy ; Urology</subject><ispartof>International Urogynecology Journal, 2011-03, Vol.22 (3), p.315-320</ispartof><rights>The International Urogynecological Association 2010</rights><rights>The International Urogynecological Association 2011</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c370t-2f8e8ee121a8a7542842b47bf87e417e8b35f5a401e67a2020d5593bc717c94b3</citedby><cites>FETCH-LOGICAL-c370t-2f8e8ee121a8a7542842b47bf87e417e8b35f5a401e67a2020d5593bc717c94b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20798920$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>de Abreu Etienne, Mara</creatorcontrib><creatorcontrib>de Oliveira, André Lima</creatorcontrib><creatorcontrib>da Silva Carramão, Silvia</creatorcontrib><creatorcontrib>Macea, José Rafael</creatorcontrib><creatorcontrib>Aoki, Tsutomu</creatorcontrib><creatorcontrib>Auge, Antonio Pedro Flores</creatorcontrib><title>Pubococcygeal activity on perineal ultrasound in incontinent women</title><title>International Urogynecology Journal</title><addtitle>Int Urogynecol J</addtitle><addtitle>Int Urogynecol J</addtitle><description>Introduction and hypothesis
The aim of this study was to investigate the applicability and reproducibility of perineal ultrasound (US) in the evaluation of the pubococcygeal muscle (PCM) activity in urinary incontinent women.
Methods
Thirty women were assessed twice by two examiners who measured the angle between the lateral bundles of the PCM. The 2D US on coronal view evaluated the PCM performance during squeezing, straining, and resting.
Results
There was significant correlation (
p
≤ 0.001) in all measurements to both examiners, except for the contraction on their second assessment. The images showed asymmetries of muscle volume and activity. Five women (16.7%) had difficulty to rest after squeezing or straining, six (20%) first opened the muscle bundles when asked to squeeze them, and eight (26.7%) had no movement during different moments.
Conclusions
The 2D perineal US on coronal view is useful to evaluate PCM activity. It is easily applicable and reproducible.</description><subject>Adult</subject><subject>Female</subject><subject>Gynecology</subject><subject>Humans</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Muscle Contraction - physiology</subject><subject>Muscle, Skeletal - diagnostic imaging</subject><subject>Muscle, Skeletal - physiopathology</subject><subject>Original Article</subject><subject>Pelvic Floor - diagnostic imaging</subject><subject>Pelvic Floor - physiopathology</subject><subject>Perineum - diagnostic imaging</subject><subject>Physical Therapy Modalities</subject><subject>Pilot Projects</subject><subject>Reproducibility of Results</subject><subject>Ultrasonography</subject><subject>Urinary Incontinence - diagnostic imaging</subject><subject>Urinary Incontinence - physiopathology</subject><subject>Urinary Incontinence - therapy</subject><subject>Urology</subject><issn>0937-3462</issn><issn>1433-3023</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><recordid>eNp1kE1LAzEQhoMotlZ_gBdZvHiKTr6a5KjFLyjoQc9LNs2WLdukJrtK_70p6wcIwsAwM8-8M7wInRK4JADyKgEQTTEQwIQKgvUeGhPOGGZA2T4ag2YSMz6lI3SU0goAOAg4RCMKUitNYYxunvsq2GDtdulMWxjbNe9Nty2CLzYuNn7X7NsumhR6vygan8MG3-WJ74qPsHb-GB3Upk3u5CtP0Ovd7cvsAc-f7h9n13NsmYQO01o55RyhxCgjBaeK04rLqlbScSKdqpioheFA3FQaChQWQmhWWUmk1bxiE3Qx6G5ieOtd6sp1k6xrW-Nd6FOpBOFSCEUyef6HXIU--vxchkADpUxmiAyQjSGl6OpyE5u1iduSQLmztxzsLWFXZ3tLnXfOvoT7au0WPxvffmaADkDKI7908ffy_6qfTOOEEw</recordid><startdate>20110301</startdate><enddate>20110301</enddate><creator>de Abreu Etienne, Mara</creator><creator>de Oliveira, André Lima</creator><creator>da Silva Carramão, Silvia</creator><creator>Macea, José Rafael</creator><creator>Aoki, Tsutomu</creator><creator>Auge, Antonio Pedro Flores</creator><general>Springer-Verlag</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><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><scope>7X8</scope></search><sort><creationdate>20110301</creationdate><title>Pubococcygeal activity on perineal ultrasound in incontinent women</title><author>de Abreu Etienne, Mara ; de Oliveira, André Lima ; da Silva Carramão, Silvia ; Macea, José Rafael ; Aoki, Tsutomu ; Auge, Antonio Pedro Flores</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c370t-2f8e8ee121a8a7542842b47bf87e417e8b35f5a401e67a2020d5593bc717c94b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Adult</topic><topic>Female</topic><topic>Gynecology</topic><topic>Humans</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Muscle Contraction - physiology</topic><topic>Muscle, Skeletal - diagnostic imaging</topic><topic>Muscle, Skeletal - physiopathology</topic><topic>Original Article</topic><topic>Pelvic Floor - diagnostic imaging</topic><topic>Pelvic Floor - physiopathology</topic><topic>Perineum - diagnostic imaging</topic><topic>Physical Therapy Modalities</topic><topic>Pilot Projects</topic><topic>Reproducibility of Results</topic><topic>Ultrasonography</topic><topic>Urinary Incontinence - diagnostic imaging</topic><topic>Urinary Incontinence - physiopathology</topic><topic>Urinary Incontinence - therapy</topic><topic>Urology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>de Abreu Etienne, Mara</creatorcontrib><creatorcontrib>de Oliveira, André Lima</creatorcontrib><creatorcontrib>da Silva Carramão, Silvia</creatorcontrib><creatorcontrib>Macea, José Rafael</creatorcontrib><creatorcontrib>Aoki, Tsutomu</creatorcontrib><creatorcontrib>Auge, Antonio Pedro Flores</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & 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 Edition)</collection><collection>ProQuest Central UK/Ireland</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 & Medical Complete (Alumni)</collection><collection>Health & 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><collection>MEDLINE - Academic</collection><jtitle>International Urogynecology Journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>de Abreu Etienne, Mara</au><au>de Oliveira, André Lima</au><au>da Silva Carramão, Silvia</au><au>Macea, José Rafael</au><au>Aoki, Tsutomu</au><au>Auge, Antonio Pedro Flores</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Pubococcygeal activity on perineal ultrasound in incontinent women</atitle><jtitle>International Urogynecology Journal</jtitle><stitle>Int Urogynecol J</stitle><addtitle>Int Urogynecol J</addtitle><date>2011-03-01</date><risdate>2011</risdate><volume>22</volume><issue>3</issue><spage>315</spage><epage>320</epage><pages>315-320</pages><issn>0937-3462</issn><eissn>1433-3023</eissn><abstract>Introduction and hypothesis
The aim of this study was to investigate the applicability and reproducibility of perineal ultrasound (US) in the evaluation of the pubococcygeal muscle (PCM) activity in urinary incontinent women.
Methods
Thirty women were assessed twice by two examiners who measured the angle between the lateral bundles of the PCM. The 2D US on coronal view evaluated the PCM performance during squeezing, straining, and resting.
Results
There was significant correlation (
p
≤ 0.001) in all measurements to both examiners, except for the contraction on their second assessment. The images showed asymmetries of muscle volume and activity. Five women (16.7%) had difficulty to rest after squeezing or straining, six (20%) first opened the muscle bundles when asked to squeeze them, and eight (26.7%) had no movement during different moments.
Conclusions
The 2D perineal US on coronal view is useful to evaluate PCM activity. It is easily applicable and reproducible.</abstract><cop>London</cop><pub>Springer-Verlag</pub><pmid>20798920</pmid><doi>10.1007/s00192-010-1251-9</doi><tpages>6</tpages></addata></record> |
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subjects | Adult Female Gynecology Humans Medicine Medicine & Public Health Middle Aged Muscle Contraction - physiology Muscle, Skeletal - diagnostic imaging Muscle, Skeletal - physiopathology Original Article Pelvic Floor - diagnostic imaging Pelvic Floor - physiopathology Perineum - diagnostic imaging Physical Therapy Modalities Pilot Projects Reproducibility of Results Ultrasonography Urinary Incontinence - diagnostic imaging Urinary Incontinence - physiopathology Urinary Incontinence - therapy Urology |
title | Pubococcygeal activity on perineal ultrasound in incontinent women |
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