Erschienen in:
01.07.2009 | Original Article
Pelvic floor muscle function in women presenting with pelvic floor disorders
verfasst von:
Michael D. Moen, Michael B. Noone, Brett J. Vassallo, Denise M. Elser, for the Urogynecology Network
Erschienen in:
International Urogynecology Journal
|
Ausgabe 7/2009
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Abstract
Introduction and hypothesis
This observational study was undertaken to determine knowledge, prior instruction, frequency of performance, and ability to perform pelvic floor muscle exercises in a group of women presenting for evaluation of pelvic floor disorders.
Methods
Three hundred twenty-five women presenting for evaluation of pelvic floor disorders were questioned concerning knowledge and performance of pelvic floor muscle exercises (PMEs) and then examined to determine pelvic floor muscle contraction strength.
Results
The majority of women (73%) had heard of PMEs, but only 42% had been instructed to perform them and 62.5% stated they received verbal instruction only. Only 23.4% of patients could perform pelvic muscle contractions with Oxford Scale 3, 4, or 5 strengths. Increased age, parity, and stage of prolapse were associated with lower Oxford scores.
Conclusions
Although most women with pelvic floor disorders are familiar with PMEs, less than one fourth could perform adequate contractions at the time of initial evaluation.