The authors declare that they have no competing interests.
DVBS: Data collection, management and analysis; manuscript writing. MOG: Protocol development; data analysis. HY: Manuscript review. PRK: Manuscript review and editing. RG: Manuscript review and editing. CRP: Other (statistical analysis). JLA: Protocol development; data analysis; review of manuscript. All authors read and approved the final manuscript.
The aim of this study was to compare pelvic floor muscle (PFM) strength using transvaginal digital palpation in healthy continent women in different age groups, and to compare the inter- and intra-rater reliability of examiners performing anterior and posterior vaginal assessments.
We prospectively studied 150 healthy multiparous women. They were distributed into four different groups, according to age range: G1 (n = 37), 30–40 years-old; G2 (n = 39), 41–50 years-old; G3 (n = 39), 51–60 years-old; and G4 (n = 35), older than 60 years-old. PFM strength was evaluated using transvaginal digital palpation in the anterior and posterior areas, by 3 different examiners, and graded using a 5-point Amaro’s scale.
There was no statistical difference among the different age ranges, for each grade of PFM strength. There was good intra-rater concordance between anterior and posterior PFM assessment, being 64.7%, 63.3%, and 66.7% for examiners A, B, and C, respectively. The intra-rater concordance level was good for each examiner. However, the inter-rater reliability for two examiners varied from moderate to good.
Age has no effect on PFM strength profiles, in multiparous continent women. There is good concordance between anterior and posterior vaginal PFM strength assessments, but only moderate to good inter-rater reliability of the measurements between two examiners.
Bo K, Sherburn M. Evaluation of female pelvic-floor muscle function and strength. Phys Ther. 2005;85:269–82. PubMed
Incontinence LJ. Pelvic floor re-education. Nursing. 1991;4:15–7.
Slieker-ten Hove MC, Pool-Goudzwaard AL, Eijkemans MJ, Steegers-Theunissen RP, Burger CW, Vierhout ME. Face validity and reliability of the first digital assessment scheme of pelvic floor muscle function conform the new standardized terminology of the International Continence Society. Neurourol Urodyn. 2009;28:295.
World Health Organization [homepage on the Internet]. BMI Classification. 2006. Geneva: WHO [cited 2008 nov1 12]. Available from: www.who.int/bmi.
Norman GR, Streiner DL. Biostatistics: the bare essentials. 3rd ed. St. Louis: Mosby Year Book; 2008. p. 393.
Cronbach LJ. Coefficient alpha and the internal structure of tests. Psychometrika. 1951;16:297–334. CrossRef
Panatopoulos G, Raison J, Ruiz JC, Guy-Grand B, Basdevant A. Weight gain at the time of menopause. Hum Reprod. 1997;12:126–33. CrossRef
Lins APM, Sichieri R, Coutinho WF, Ramos EG, Peixoto MVM, Fonseca VM. Healthy eating, schooling and being overweight among low-income women.Cien Saude Colet. 2013;18:357–66.
Abrams P, Cardozo L, Fall M, Griffiths D, Rosier P, Ulmsten U, et al. The standardization of terminology of lower urinary tract function: report from the standardization sub-committee of International Continence Society. NeurourolUrodyn. 2002;21:167–78.
Messelink B, Benson T, Berghmans B, Bø K, Corcos J, Fowler C, et al. Standardization of Terminology of Pelvic Floor muscle function and dysfunction: report from the pelvic floor clinical assessment group of the International Continence Society. NeurourolUrodyn. 2005;24:374–80.
Laycock J, Jerwood D. Pelvic floor muscle assessment: The PERFECT Scheme. Physiotherapy. 2001;87:631–42. CrossRef
Thompson LV, O’Sullivan PB, Briffa NK, Neumann P. Assessment of voluntary pelvic floor muscle contraction in continent and incontinent women using transperineal ultrasound, manual muscle testing and vaginal squeeze pressure measurements. Int Urogynecol J Pelvic Floor Dysfunc. 2006;17:624–30. CrossRef
Bø K, Finckenhagen HB. Is there any difference in measurement of pelvic floor muscle strength in supine and standing position. Acta ObstetGynecol Scand. 2003;82:1120–4. CrossRef
Frawley H, Galea M, Phillips B, Sherburn M, Bø K. Effect of test position on pelvic floor muscle assessment. Int Urogynecol J. 2006;17:365–71. CrossRef
Morin M, Dumoulin C, Bourbonnais D, Gravel D, Lemieux MC. Pelvic floor maximal strength using vaginal digital assessment compared to dynamometric measurements. Neurourol Urodynamics. 2004;23:336–41. CrossRef
Slieker-ten Hove MC, Pool-Goudzwaard AL, Eijkemans MJ, Steegers-Theunissen RP, Burger CW, Vierhout ME. Face validity and reliability of the first digital assessment scheme of pelvic floor muscle function conform the new standardized terminology of the International Continence Society. Neurourol Urodyn. 2009;28:295–300. CrossRefPubMed
McArdle WD, Katch FI, Katch VL. Fisiologia do exercícioEnergia, nutrição e desempenho do corpo humano. 5th ed. Rio de Janeiro: Guanabara Koogan; 2008. cap. 31:p.902-3.
- Reliability of pelvic floor muscle strength assessment in healthy continent women
Dulcegleika VB Sartori
Monica O Gameiro
Hamilto A Yamamoto
Paulo R Kawano
Carlos R Padovani
João L Amaro
- BioMed Central
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