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Published online: 2024-02-23
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Quantitative tools to assess pelvic floor muscle function — systematic review

Dominika Michalik12, Urszula Herman2, Klaudia Stangel-Wojcikiewicz3
DOI: 10.5603/gpl.90873
·
Pubmed: 38506479
Affiliations
  1. Doctoral School of Medical and Health Sciences, Jagiellonian University Medical College, Cracow, Poland
  2. PelviFly, Warsaw, Poland
  3. Jagiellonian University Medical College, Department of Gynecology and Oncology, Cracow, Poland

open access

Ahead of Print
REVIEW PAPERS Gynecology
Published online: 2024-02-23

Abstract

Objectives: Urinary incontinence is pelvic floor muscles dysfunction, most often caused by a weakening of their strength. There are no guidelines on how to evaluate pelvic floor muscle function. Palpation is the most popular method of assessing pelvic floor muscle function, but it is subjective. The aim of the study was to review the objective methods used in the assessment of pelvic floor muscle function in women with urinary incontinence.

Material and methods: A systematic literature review of the PubMed database was performed using the following keywords: [“Pelvic Floor” (mh)] AND [(“Pelvic Floor Disorders” (mh)] OR [“Urinary Incontinence” (mh)]. The search was limited to English-language works published from 2011 to 2021. The inclusion criteria were interventional studies in which the pelvic floor muscle function of women with urinary incontinence was assessed using quantitative tools. Methods that cannot be used in the clinic were excluded from the analysis.

Results: Fifty-two articles were included in the analysis and five methods assessing the function of pelvic floor muscle were distinguished: manometry, electromyography (EMG), ultrasonography (USG), dynamometry, accelerometry.

Conclusions: Manometry, EMG and USG are the most common objective methods of assessing pelvic floor muscle function. When taking measurements, it is important to choose the right position of the patient. The use of objective tools to assess the function of the pelvic floor muscle and obtaining quantitative and/or qualitative data allows us to precisely diagnose and monitor the treatment and rehabilitation progress.

Abstract

Objectives: Urinary incontinence is pelvic floor muscles dysfunction, most often caused by a weakening of their strength. There are no guidelines on how to evaluate pelvic floor muscle function. Palpation is the most popular method of assessing pelvic floor muscle function, but it is subjective. The aim of the study was to review the objective methods used in the assessment of pelvic floor muscle function in women with urinary incontinence.

Material and methods: A systematic literature review of the PubMed database was performed using the following keywords: [“Pelvic Floor” (mh)] AND [(“Pelvic Floor Disorders” (mh)] OR [“Urinary Incontinence” (mh)]. The search was limited to English-language works published from 2011 to 2021. The inclusion criteria were interventional studies in which the pelvic floor muscle function of women with urinary incontinence was assessed using quantitative tools. Methods that cannot be used in the clinic were excluded from the analysis.

Results: Fifty-two articles were included in the analysis and five methods assessing the function of pelvic floor muscle were distinguished: manometry, electromyography (EMG), ultrasonography (USG), dynamometry, accelerometry.

Conclusions: Manometry, EMG and USG are the most common objective methods of assessing pelvic floor muscle function. When taking measurements, it is important to choose the right position of the patient. The use of objective tools to assess the function of the pelvic floor muscle and obtaining quantitative and/or qualitative data allows us to precisely diagnose and monitor the treatment and rehabilitation progress.

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Keywords

manometry; electromyography; ultrasonography; accelerometry; dynamometry; pelvic floor muscle

About this article
Title

Quantitative tools to assess pelvic floor muscle function — systematic review

Journal

Ginekologia Polska

Issue

Ahead of Print

Article type

Review paper

Published online

2024-02-23

Page views

160

Article views/downloads

112

DOI

10.5603/gpl.90873

Pubmed

38506479

Keywords

manometry
electromyography
ultrasonography
accelerometry
dynamometry
pelvic floor muscle

Authors

Dominika Michalik
Urszula Herman
Klaudia Stangel-Wojcikiewicz

References (100)
  1. Milsom I, Altman D, Cartwright R. Epidemiology of urinary incontinence (UI) and other lower urinary tract symptoms (LUTS), pelvic organ prolapse (POP) and anal (AI) incontinence. In: Abrams P, Cardozo L, Wagg A, Wein A. ed. Incontinence. 6th ed. Health Publications Ltd, Paris 2016: 17–24.
  2. Woodley SJ, Lawrenson P, Boyle R, et al. Pelvic floor muscle training for preventing and treating urinary and faecal incontinence in antenatal and postnatal women. Cochrane Database Syst Rev. 2020; 5(5): CD007471.
    CrossRefPubMed
  3. Milsom I, Gyhagen M. The prevalence of urinary incontinence. Climacteric. 2019; 22(3): 217–222.
    CrossRefPubMed
  4. Aoki Y, Brown HW, Brubaker L, et al. Urinary incontinence in women. Nat Rev Dis Primers. 2017; 3: 17042.
    CrossRefPubMed
  5. EAU Guidelines. Edn. presented at the EAU Annual Congress Amsterdam, 2020. ISBN 978-94-92671-07-3.
  6. Stangel-Wojcikiewicz K, Rogowski A, Rechberger T, et al. Urogynecology section of the polish society of gynecologists and obstetricians guidelines on the management of stress urinary incontinence in women. Ginekol Pol. 2021; 92(11): 822–828.
    CrossRefPubMed
  7. Albrich S, Steetskamp J, Knoechel SL, et al. Assessment of pelvic floor muscle contractility: digital palpation versus 2D and 3D perineal ultrasound. Arch Gynecol Obstet. 2016; 293(4): 839–843.
    CrossRefPubMed
  8. Vesting S, Olsen MF, Gutke A, et al. Clinical assessment of pelvic floor and abdominal muscles 3 months post partum: an inter-rater reliability study. BMJ Open. 2021; 11(9): e049082.
    CrossRefPubMed
  9. Pena CC, Bø K, de la Ossa AMP, et al. Are visual inspection and digital palpation reliable methods to assess ability to perform a pelvic floor muscle contraction? An intra-rater study. Neurourol Urodyn. 2021; 40(2): 680–687.
    CrossRefPubMed
  10. Laycock J, Jerwood D. Pelvic floor muscle assessment: the PERFECT scheme. Physiotherapy. 2001; 87(12): 631–642.
    CrossRef
  11. Navarro Brazález B, Torres Lacomba M, de la Villa P, et al. The evaluation of pelvic floor muscle strength in women with pelvic floor dysfunction: a reliability and correlation study. Neurourol Urodyn. 2018; 37(1): 269–277.
    CrossRefPubMed
  12. Silva JB, Sato TO, Rocha APR, et al. "Comparative intra- and inter-rater reliability of maximal voluntary contraction with unidigital and bidigital vaginal palpation and construct validity with Peritron manometer". Neurourol Urodyn. 2019; 39(2): 721–731.
    CrossRefPubMed
  13. Ferreira CH, Barbosa PB, de Oliveira Souza F, et al. Inter-rater reliability study of the modified Oxford Grading Scale and the Peritron manometer. Physiotherapy. 2011; 97(2): 132–138.
    CrossRefPubMed
  14. Barbosa PB, Franco MM, Souza Fd, et al. Comparison between measurements obtained with three different perineometers. Clinics (Sao Paulo). 2009; 64(6): 527–533.
    CrossRefPubMed
  15. Riesco ML, Caroci Ad, de Oliveira SM, et al. Perineal muscle strength during pregnancy and postpartum: the correlation between perineometry and digital vaginal palpation. Rev Lat Am Enfermagem. 2010; 18(6): 1138–1144.
    CrossRefPubMed
  16. Frawley H, Shelly B, Morin M, et al. An international continence society (ICS) report on the terminology for pelvic floor muscle assessment. Neurourol Urodyn. 2021; 40(5): 1217–1260.
    CrossRefPubMed
  17. El Sayed RF. Magnetic resonance imaging of the female pelvic floor: anatomy overview, indications, and imaging protocols. Radiol Clin North Am. 2020; 58(2): 291–303.
    CrossRefPubMed
  18. Moher D, Liberati A, Tetzlaff J, et al. PRISMA Group. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med. 2009; 6(7): e1000097.
    CrossRefPubMed
  19. Angelo PH, Varella LR, de Oliveira MC, et al. A manometry classification to assess pelvic floor muscle function in women. PLoS One. 2017; 12(10): e0187045.
    CrossRefPubMed
  20. Bø KL, Sherburn M, et al. Evaluation of female pelvic-floor muscle function and strength. Phys Ther. 2005; 85(3): 269–282.
    PubMed
  21. Kerschan-Schindl K, Uher E, Wiesinger G, et al. Reliability of pelvic floor muscle strength measurement in elderly incontinent women. Neurourol Urodyn. 2002; 21(1): 42–47.
    CrossRefPubMed
  22. Hundley AF, Wu JM, Visco AG. A comparison of perineometer to brink score for assessment of pelvic floor muscle strength. Am J Obstet Gynecol. 2005; 192(5): 1583–1591.
    CrossRefPubMed
  23. Savage A. Handheld biofeedback devices to enhance pelvic floor muscle training. J Pelvic Obst Gynaecol Physio. 2021; 128: 54–67.
  24. Herman UA. Prevention and therapy of pelvic floor muscle dysfunction in women using telemedicine. [Doctoral thesis], Cracow 2019.
  25. Deegan EG, Stothers L, Kavanagh A, et al. Quantification of pelvic floor muscle strength in female urinary incontinence: A systematic review and comparison of contemporary methodologies. Neurourol Urodyn. 2018; 37(1): 33–45.
    CrossRefPubMed
  26. Keshwani N, McLean L. A differential suction electrode for recording electromyographic activity from the pelvic floor muscles: crosstalk evaluation. J Electromyogr Kinesiol. 2013; 23(2): 311–318.
    CrossRefPubMed
  27. Brækken IH, Stuge B, Tveter AT, et al. Reliability, validity and responsiveness of pelvic floor muscle surface electromyography and manometry. Int Urogynecol J. 2021; 32(12): 3267–3274.
    CrossRefPubMed
  28. Martinho NM, Marques J, Silva VR, et al. Intra and inter-rater reliability study of pelvic floor muscle dynamometric measurements. Braz J Phys Ther. 2015; 19(2): 97–104.
    CrossRefPubMed
  29. Nunes FR, Martins CC, Guirro EC, et al. Reliability of bidirectional and variable-opening equipment for the measurement of pelvic floor muscle strength. PMR. 2011; 3(1): 21–26.
    CrossRefPubMed
  30. Morin M, Gravel D, Ouellet S, et al. Influence of intraabdominal pressure on the validity of pelvic floor dynamometric measurements. Neurourol Urodyn. 2006; 25: 530–1.
  31. Kam HA, Yagel S, Eisenberg VH. Ultrasonography in pelvic floor dysfunction. Obstet Gynecol Clin North Am. 2019; 46(4): 715–732.
    CrossRefPubMed
  32. Dietz HP. Pelvic floor ultrasound: a review. Clin Obstet Gynecol. 2017; 60(1): 58–81.
    CrossRefPubMed
  33. Frawley H, Galea M. Even weak pelvic floor muscles lift. Neurourol Urodyn. 2005; 24: 21.
  34. Rosenblatt P, McKinney J, Rosenberg RA, et al. Evaluation of an accelerometer-based digital health system for the treatment of female urinary incontinence: a pilot study. Neurourol Urodyn. 2019; 38(7): 1944–1952.
    CrossRefPubMed
  35. Pereira VS, Correia GN, Driusso P. Individual and group pelvic floor muscle training versus no treatment in female stress urinary incontinence: a randomized controlled pilot study. Eur J Obstet Gynecol Reprod Biol. 2011; 159(2): 465–471.
    CrossRefPubMed
  36. Pereira VS, de Melo MV, Correia GN, et al. Vaginal cone for postmenopausal women with stress urinary incontinence: randomized, controlled trial. Climacteric. 2012; 15(1): 45–51.
    CrossRefPubMed
  37. Lee HaNa, Lee SY, Lee YS, et al. Pelvic floor muscle training using an extracorporeal biofeedback device for female stress urinary incontinence. Int Urogynecol J. 2013; 24(5): 831–838.
    CrossRefPubMed
  38. Gameiro MO, Moreira EC, Ferrari RS, et al. A comparative analysis of pelvic floor muscle strength in women with stress and urge urinary incontinence. Int Braz J Urol. 2012; 38(5): 661–666.
    CrossRefPubMed
  39. Vural M, Capan N, Karan A, et al. Vaginal cone therapy in patients with stress urinary incontinence. Arch Gynecol Obstet. 2013; 288(1): 99–103.
    CrossRefPubMed
  40. Hirakawa T, Suzuki S, Kato K, et al. Randomized controlled trial of pelvic floor muscle training with or without biofeedback for urinary incontinence. Int Urogynecol J. 2013; 24(8): 1347–1354.
    CrossRefPubMed
  41. Ahlund S, Nordgren B, Wilander EL, et al. Is home-based pelvic floor muscle training effective in treatment of urinary incontinence after birth in primiparous women? A randomized controlled trial. Acta Obstet Gynecol Scand. 2013; 92(8): 909–915.
    CrossRefPubMed
  42. Kaya S, Akbayrak T, Gursen C, et al. Short-term effect of adding pelvic floor muscle training to bladder training for female urinary incontinence: a randomized controlled trial. Int Urogynecol J. 2015; 26(2): 285–293.
    CrossRefPubMed
  43. Kim GS, Kim EG, Shin KiY, et al. Combined pelvic muscle exercise and yoga program for urinary incontinence in middle-aged women. Jpn J Nurs Sci. 2015; 12(4): 330–339.
    CrossRefPubMed
  44. Fitz FF, Stüpp L, da Costa TF, et al. Outpatient biofeedback in addition to home pelvic floor muscle training for stress urinary incontinence: a randomized controlled trial. Neurourol Urodyn. 2017; 36(8): 2034–2043.
    CrossRefPubMed
  45. Özlü A, Yıldız N, Öztekin Ö. Comparison of the efficacy of perineal and intravaginal biofeedback assisted pelvic floor muscle exercises in women with urodynamic stress urinary incontinence. Neurourol Urodyn. 2017; 36(8): 2132–2141.
    CrossRefPubMed
  46. Figueiredo VB, Nascimento SL, Martínez RFL, et al. Effects of individual pelvic floor muscle training vs individual training progressing to group training vs group training alone in women with stress urinary incontinence: a randomized clinical trial. Neurourol Urodyn. 2020; 39(5): 1447–1455.
    CrossRefPubMed
  47. Al Belushi ZI, Al Kiyumi MH, Al-Mazrui AA, et al. Effects of home-based pelvic floor muscle training on decreasing symptoms of stress urinary incontinence and improving the quality of life of urban adult Omani women: A randomized controlled single-blind study. Neurourol Urodyn. 2020; 39(5): 1557–1566.
    CrossRefPubMed
  48. Jose-Vaz LA, Andrade CL, Cardoso LC, et al. Can abdominal hypropressive technique improve stress urinary incontinence? an assessor-blinded randomized controlled trial. Neurourol Urodyn. 2020; 39(8): 2314–2321.
    CrossRefPubMed
  49. Orhan C, Akbayrak T, Özgül S, et al. Effects of vaginal tampon training added to pelvic floor muscle training in women with stress urinary incontinence: randomized controlled trial. Int Urogynecol J. 2019; 30(2): 219–229.
    CrossRefPubMed
  50. Bezerra LO, de Oliveira MC, da Silva Filho EM, et al. Impact of pelvic floor muscle training isolated and associated with game therapy on mixed urinary incontinence: a randomized controlled trial. Games Health J. 2021; 10(1): 43–49.
    CrossRefPubMed
  51. Marques SAA, Silveira SR, Pássaro AC, et al. Effect of pelvic floor and hip muscle strengthening in the treatment of stress urinary incontinence: a randomized clinical trial. J Manipulative Physiol Ther. 2020; 43(3): 247–256.
    CrossRefPubMed
  52. Hwang UJ, Lee MS, Jung SH, et al. Which pelvic floor muscle functions are associated with improved subjective and objective symptoms after 8 weeks of surface electrical stimulation in women with stress urinary incontinence? Eur J Obstet Gynecol Reprod Biol. 2020; 247: 16–21.
    CrossRefPubMed
  53. Celiker Tosun O, Kaya Mutlu E, Ergenoglu AM, et al. Does pelvic floor muscle training abolish symptoms of urinary incontinence? A randomized controlled trial. Clin Rehabil. 2015; 29(6): 525–537.
    CrossRefPubMed
  54. Knorst MR, Resende TL, Santos TG, et al. The effect of outpatient physical therapy intervention on pelvic floor muscles in women with urinary incontinence. Braz J Phys Ther. 2013; 17(5): 442–449.
    CrossRefPubMed
  55. Huebner M, Riegel K, Hinninghofen H, et al. Pelvic floor muscle training for stress urinary incontinence: a randomized, controlled trial comparing different conservative therapies. Physiother Res Int. 2011; 16(3): 133–140.
    CrossRefPubMed
  56. Bakar Y, Cinar Özdemir O, Ozengin N, et al. The use of extracorporeal magnetic innervation for the treatment of stress urinary incontinence in older women: a pilot study. Arch Gynecol Obstet. 2011; 284(5): 1163–1168.
    CrossRefPubMed
  57. Luginbuehl H, Lehmann C, Gerber R, et al. Continuous versus intermittent stochastic resonance whole body vibration and its effect on pelvic floor muscle activity. Neurourol Urodyn. 2012; 31(5): 683–687.
    CrossRefPubMed
  58. Burti JS, Hacad CR, Zambon JP, et al. Is there any difference in pelvic floor muscles performance between continent and incontinent women? Neurourol Urodyn. 2015; 34(6): 544–548.
    CrossRefPubMed
  59. Chmielewska D, Stania M, Kucab-Klich K, et al. Electromyographic characteristics of pelvic floor muscles in women with stress urinary incontinence following sEMG-assisted biofeedback training and pilates exercises. PLoS One. 2019; 14(12): e0225647.
    CrossRefPubMed
  60. Bertotto A, Schvartzman R, Uchôa S, et al. Effect of electromyographic biofeedback as an add-on to pelvic floor muscle exercises on neuromuscular outcomes and quality of life in postmenopausal women with stress urinary incontinence: A randomized controlled trial. Neurourol Urodyn. 2017; 36(8): 2142–2147.
    CrossRefPubMed
  61. Pintos-Díaz MZ, Parás-Bravo P, Alonso-Blanco C, et al. The use of disposable tampons as visual biofeedback in pelvic floor muscle training. Int J Environ Res Public Health. 2019; 16(12).
    CrossRefPubMed
  62. Ballmer C, Eichelberger P, Leitner M, et al. Electromyography of pelvic floor muscles with true differential versus faux differential electrode configuration. Int Urogynecol J. 2020; 31(10): 2051–2059.
    CrossRefPubMed
  63. Junginger B, Vollhaber H, Baessler K. Submaximal pelvic floor muscle contractions: similar bladder-neck elevation, longer duration, less intra-abdominal pressure. Int Urogynecol J. 2018; 29(11): 1681–1687.
    CrossRefPubMed
  64. Alves FK, Riccetto C, Adami DBV, et al. A pelvic floor muscle training program in postmenopausal women: A randomized controlled trial. Maturitas. 2015; 81(2): 300–305.
    CrossRefPubMed
  65. Romero-Cullerés G, Peña-Pitarch E, Jané-Feixas C, et al. Intra-rater reliability and diagnostic accuracy of a new vaginal dynamometer to measure pelvic floor muscle strength in women with urinary incontinence. Neurourol Urodyn. 2017; 36(2): 333–337.
    CrossRefPubMed
  66. Mercier J, Morin M, Lemieux MC, et al. Pelvic floor muscles training to reduce symptoms and signs of vulvovaginal atrophy: a case study. Menopause. 2016; 23(7): 816–820.
    CrossRefPubMed
  67. Romero-Cullerés G, Peña-Pitarch E, Jané-Feixas C, et al. Reliability and diagnostic accuracy of a new vaginal dynamometer to measure pelvic floor muscle strength. Female Pelvic Med Reconstr Surg. 2020; 26(8): 514–519.
    CrossRefPubMed
  68. Mercier J, Morin M, Tang A, et al. Pelvic floor muscle training: mechanisms of action for the improvement of genitourinary syndrome of menopause. Climacteric. 2020; 23(5): 468–473.
    CrossRefPubMed
  69. Chamochumbi CCM, Nunes FR, Guirro RRJ, et al. Comparison of active and passive forces of the pelvic floor muscles in women with and without stress urinary incontinence. Rev Bras Fisioter. 2012; 16(4): 314–319.
    CrossRefPubMed
  70. de Abreu Etienne M, de Oliveira AL, da Silva Carramão S, et al. Pubococcygeal activity on perineal ultrasound in incontinent women. Int Urogynecol J. 2011; 22(3): 315–320.
    CrossRefPubMed
  71. Chen R, Song Y, Jiang Li, et al. The assessment of voluntary pelvic floor muscle contraction by three-dimensional transperineal ultrasonography. Arch Gynecol Obstet. 2011; 284(4): 931–936.
    CrossRefPubMed
  72. Maher RM, Caulfield B. A novel externally applied neuromuscular stimulator for the treatment of stress urinary incontinence in women — a pilot study. Neuromodulation. 2013; 16(6): 590–594; discussion 594.
    CrossRefPubMed
  73. McLean L, Varette K, Gentilcore-Saulnier E, et al. Pelvic floor muscle training in women with stress urinary incontinence causes hypertrophy of the urethral sphincters and reduces bladder neck mobility during coughing. Neurourol Urodyn. 2013; 32(8): 1096–1102.
    CrossRefPubMed
  74. Kim S, Wong V, Moore KH. Why are some women with pelvic floor dysfunction unable to contract their pelvic floor muscles? Aust N Z J Obstet Gynaecol. 2013; 53(6): 574–579.
    CrossRefPubMed
  75. Czyrnyj CS, Labrosse MR, Graham RB, et al. UROKIN: a software to enhance our understanding of urogenital motion. Ann Biomed Eng. 2018; 46(5): 726–735.
    CrossRefPubMed
  76. Yang E, Yang SH, Huang WC, et al. Association of baseline pelvic floor muscle activities with sexual and urinary functions in female stress urinary incontinence. J Sex Med. 2021; 18(10): 1698–1704.
    CrossRefPubMed
  77. Legendre G, Gonzalves A, Levaillant JM, et al. Impact of at-home self-rehabilitation of the perineum on pelvic floor function in patients with stress urinary incontinence: Results from a prospective study using three-dimensional ultrasound. J Gynecol Obstet Biol Reprod (Paris). 2016; 45(2): 139–146.
    CrossRefPubMed
  78. Junginger B, Seibt E, Baessler K. Bladder-neck effective, integrative pelvic floor rehabilitation program: follow-up investigation. Eur J Obstet Gynecol Reprod Biol. 2014; 174: 150–153.
    CrossRefPubMed
  79. Yang JM, Yang SH, Huang WC, et al. Impact of two reflex pelvic floor muscle contraction patterns on female stress urinary incontinence. Ultraschall Med. 2013; 34(4): 335–339.
    CrossRefPubMed
  80. Hung HC, Hsiao SM, Chih SY, et al. Effect of pelvic-floor muscle strengthening on bladder neck mobility: a clinical trial. Phys Ther. 2011; 91(7): 1030–1038.
    CrossRefPubMed
  81. Tosun ÖÇ, Mutlu EK, Tosun G, et al. Do stages of menopause affect the outcomes of pelvic floor muscle training? Menopause. 2015; 22(2): 175–184.
    CrossRefPubMed
  82. Shin DC, Shin SHo, Lee MMo, et al. Pelvic floor muscle training for urinary incontinence in female stroke patients: a randomized, controlled and blinded trial. Clin Rehabil. 2016; 30(3): 259–267.
    CrossRefPubMed
  83. Baessler K, Metz M, Junginger B. Valsalva versus straining: There is a distinct difference in resulting bladder neck and puborectalis muscle position. Neurourol Urodyn. 2017; 36(7): 1860–1866.
    CrossRefPubMed
  84. Cacciari LP, Morin M, Mayrand MH, et al. Pelvic floor morphometrical and functional changes immediately after pelvic floor muscle training and at 1-year follow-up, in older incontinent women. Neurourol Urodyn. 2021; 40(1): 245–255.
    CrossRefPubMed
  85. Wang X, Xu X, Luo J, et al. Effect of app-based audio guidance pelvic floor muscle training on treatment of stress urinary incontinence in primiparas: A randomized controlled trial. Int J Nurs Stud. 2020; 104: 103527.
    CrossRefPubMed
  86. Herschorn S. Female pelvic floor anatomy: the pelvic floor, supporting structures, and pelvic organs. Rev Urol. 2004; 6(Suppl 5): S2–SS10.
    PubMed
  87. Abrams P, Cardozo L, Wagg A, Wein A. Incontinence 6th Edition. ICI-ICS. International Continence Society, Bristol UK 2017.
  88. Frawley HC, Galea MP, Phillips BA, et al. Reliability of pelvic floor muscle strength assessment using different test positions and tools. Neurourol Urodyn. 2006; 25(3): 236–242.
    CrossRefPubMed
  89. Da Roza T, Mascarenhas T, Araujo M, et al. Oxford Grading Scale vs manometer for assessment of pelvic floor strength in nulliparous sports students. Physiotherapy. 2013; 99(3): 207–211.
    CrossRefPubMed
  90. Ferreira CH, Barbosa PB, de Oliveira Souza F, et al. Inter-rater reliability study of the modified Oxford Grading Scale and the Peritron manometer. Physiotherapy. 2011; 97(2): 132–138.
    CrossRefPubMed
  91. Angelo PH, Varella LR, de Oliveira MC, et al. A manometry classification to assess pelvic floor muscle function in women. PLoS One. 2017; 12(10): e0187045.
    CrossRefPubMed
  92. Adamiak-Godlewska A, Rechberger T. Nowoczesne techniki oceny anatomii i funkcji dna miednicy u kobiet. Prz Menopauzalny. 2012; 4: 259–263.
    CrossRef
  93. Ribeiro A, Mateus-Vasconcelos E, Silva T, et al. Functional assessment of the pelvic floor muscles by electromyography: is there a normalization in data analysis? A systematic review. Fisioterapia e Pesquisa. 2018; 25(1): 88–99.
    CrossRef
  94. Sherburn M, Murphy CA, Carroll S, et al. Investigation of transabdominal real-time ultrasound to visualise the muscles of the pelvic floor. Aust J Physiother. 2005; 51(3): 167–170.
    CrossRefPubMed
  95. Bø K, Sherburn M, Allen T. Transabdominal ultrasound measurement of pelvic floor muscle activity when activated directly or via a transversus abdominis muscle contraction. Neurourol Urodyn. 2003; 22(6): 582–588.
    CrossRefPubMed
  96. Kelly M, Tan BK, Thompson J, et al. Healthy adults can more easily elevate the pelvic floor in standing than in crook-lying: an experimental study. Aust J Physiother. 2007; 53(3): 187–191.
    CrossRefPubMed
  97. van Reijn-Baggen DA, Han-Geurts IJM, Voorham-van der Zalm PJ, et al. Pelvic floor physical therapy for pelvic floor hypertonicity: a systematic review of treatment efficacy. Sex Med Rev. 2022; 10(2): 209–230.
    CrossRefPubMed
  98. Naess I, Bø K. Can maximal voluntary pelvic floor muscle contraction reduce vaginal resting pressure and resting EMG activity? Int Urogynecol J. 2018; 29(11): 1623–1627.
    CrossRefPubMed
  99. Deegan EG, Stothers L, Kavanagh A, et al. Quantification of pelvic floor muscle strength in female urinary incontinence: A systematic review and comparison of contemporary methodologies. Neurourol Urodyn. 2018; 37(1): 33–45.
    CrossRefPubMed
  100. Bø K, Raastad R, Finckenhagen HB. Does the size of the vaginal probe affect measurement of pelvic floor muscle strength? Acta Obstet Gynecol Scand. 2005; 84(2): 129–133.
    CrossRefPubMed

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