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Absolute and Relative Reliability of the Assessment of the Muscle Mechanical Properties of Pelvic Floor Muscles in Women with and without Urinary Incontinence
An analysis of the muscle mechanical properties (MMPs) of the pelvic floor muscles (PFMs) is relevant for understanding the physiopathology of urinary incontinence (UI). However, there is no objective and reliable methodology currently available for quantifying the MMPs of PFMs. Thus, the objective...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8700723/ https://www.ncbi.nlm.nih.gov/pubmed/34943552 http://dx.doi.org/10.3390/diagnostics11122315 |
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author | Rodrigues-de-Souza, Daiana Priscila Alcaraz-Clariana, Sandra García-Luque, Lourdes Carmona-Pérez, Cristina Garrido-Castro, Juan Luis Cruz-Medel, Inés Camargo, Paula R. Alburquerque-Sendín, Francisco |
author_facet | Rodrigues-de-Souza, Daiana Priscila Alcaraz-Clariana, Sandra García-Luque, Lourdes Carmona-Pérez, Cristina Garrido-Castro, Juan Luis Cruz-Medel, Inés Camargo, Paula R. Alburquerque-Sendín, Francisco |
author_sort | Rodrigues-de-Souza, Daiana Priscila |
collection | PubMed |
description | An analysis of the muscle mechanical properties (MMPs) of the pelvic floor muscles (PFMs) is relevant for understanding the physiopathology of urinary incontinence (UI). However, there is no objective and reliable methodology currently available for quantifying the MMPs of PFMs. Thus, the objective was to determine the intra-rater and inter-rater reliability of the MMPs of PFM assessment with a hand-held tonometer device, called the MyotonPRO, in young women with and without UI. Sociodemographic and pelvic floor questionnaires, plus MMPs of PFMs were assessed in 38 nulliparous women with UI and 40 matched healthy women by two trained physiotherapists on two different occasions, 48–72 h apart. Good to excellent absolute reliability was found for tone, stiffness, and decrement of both intra- and inter-rater analyses in both study groups (Intraclass Correlation Coefficient ranged from 0.75 to 0.92), with a trend of lower values for relaxation and creep. The standard error of measurement (SEM) did not achieve 10% of the mean values for any MMPs. The minimum detectable change (MDC) values were also provided for clinical applications. In conclusion, the relative reliability of tone, stiffness, and the assessment of the decrement of PFMs with MyotonPRO is good to excellent for UI and healthy women. The SEM and MDC values were acceptable for their application in clinical settings. |
format | Online Article Text |
id | pubmed-8700723 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-87007232021-12-24 Absolute and Relative Reliability of the Assessment of the Muscle Mechanical Properties of Pelvic Floor Muscles in Women with and without Urinary Incontinence Rodrigues-de-Souza, Daiana Priscila Alcaraz-Clariana, Sandra García-Luque, Lourdes Carmona-Pérez, Cristina Garrido-Castro, Juan Luis Cruz-Medel, Inés Camargo, Paula R. Alburquerque-Sendín, Francisco Diagnostics (Basel) Article An analysis of the muscle mechanical properties (MMPs) of the pelvic floor muscles (PFMs) is relevant for understanding the physiopathology of urinary incontinence (UI). However, there is no objective and reliable methodology currently available for quantifying the MMPs of PFMs. Thus, the objective was to determine the intra-rater and inter-rater reliability of the MMPs of PFM assessment with a hand-held tonometer device, called the MyotonPRO, in young women with and without UI. Sociodemographic and pelvic floor questionnaires, plus MMPs of PFMs were assessed in 38 nulliparous women with UI and 40 matched healthy women by two trained physiotherapists on two different occasions, 48–72 h apart. Good to excellent absolute reliability was found for tone, stiffness, and decrement of both intra- and inter-rater analyses in both study groups (Intraclass Correlation Coefficient ranged from 0.75 to 0.92), with a trend of lower values for relaxation and creep. The standard error of measurement (SEM) did not achieve 10% of the mean values for any MMPs. The minimum detectable change (MDC) values were also provided for clinical applications. In conclusion, the relative reliability of tone, stiffness, and the assessment of the decrement of PFMs with MyotonPRO is good to excellent for UI and healthy women. The SEM and MDC values were acceptable for their application in clinical settings. MDPI 2021-12-09 /pmc/articles/PMC8700723/ /pubmed/34943552 http://dx.doi.org/10.3390/diagnostics11122315 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Rodrigues-de-Souza, Daiana Priscila Alcaraz-Clariana, Sandra García-Luque, Lourdes Carmona-Pérez, Cristina Garrido-Castro, Juan Luis Cruz-Medel, Inés Camargo, Paula R. Alburquerque-Sendín, Francisco Absolute and Relative Reliability of the Assessment of the Muscle Mechanical Properties of Pelvic Floor Muscles in Women with and without Urinary Incontinence |
title | Absolute and Relative Reliability of the Assessment of the Muscle Mechanical Properties of Pelvic Floor Muscles in Women with and without Urinary Incontinence |
title_full | Absolute and Relative Reliability of the Assessment of the Muscle Mechanical Properties of Pelvic Floor Muscles in Women with and without Urinary Incontinence |
title_fullStr | Absolute and Relative Reliability of the Assessment of the Muscle Mechanical Properties of Pelvic Floor Muscles in Women with and without Urinary Incontinence |
title_full_unstemmed | Absolute and Relative Reliability of the Assessment of the Muscle Mechanical Properties of Pelvic Floor Muscles in Women with and without Urinary Incontinence |
title_short | Absolute and Relative Reliability of the Assessment of the Muscle Mechanical Properties of Pelvic Floor Muscles in Women with and without Urinary Incontinence |
title_sort | absolute and relative reliability of the assessment of the muscle mechanical properties of pelvic floor muscles in women with and without urinary incontinence |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8700723/ https://www.ncbi.nlm.nih.gov/pubmed/34943552 http://dx.doi.org/10.3390/diagnostics11122315 |
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