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01.12.2015 | Research article | Ausgabe 1/2015 Open Access

BMC Urology 1/2015

Reliability of pelvic floor muscle strength assessment in healthy continent women

Zeitschrift:
BMC Urology > Ausgabe 1/2015
Autoren:
Dulcegleika VB Sartori, Monica O Gameiro, Hamilto A Yamamoto, Paulo R Kawano, Rodrigo Guerra, Carlos R Padovani, João L Amaro
Wichtige Hinweise

Competing interest

The authors declare that they have no competing interests.

Authors’ contributions

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.

Abstract

Background

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.

Methods

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.

Results

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.

Conclusions

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.
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