scholarly journals Arabic Translation, Cultural Adaptation, and Validation of Australian Pelvic Floor Questionnaire in a Saudi Population

2020 ◽  
Author(s):  
Haifaa Malaekah ◽  
Haifaa Saud Almedbal ◽  
Sameerah Almuwallad ◽  
Zahra Al asiri ◽  
Alhanouf Albadrani ◽  
...  
Keyword(s):  
Pelvic Floor ◽  
Cultural Adaptation ◽  
Pelvic Floor Dysfunction ◽  
Bowel Function ◽  
Internal Consistency Reliability ◽  
Bladder Function ◽  
Arabic Version ◽  
Saudi Population ◽  
Prolapse Symptoms ◽  
Pelvic Floor Questionnaire

Abstract Introduction and hypothesis: The aims of the study were the translation, cultural adaptation, and validation of self-administered Australian Pelvic Floor Questionnaire (APFQ) on a Saudi population. Methods: The translation and cultural adaptation was performed in 854 women over 18 and not pregnant who agreed to answer the Arabic version of the questionnaire. The content/face validity, internal consistency (reliability), and construct validity (factor analysis) were assessed. Statistical analysis was carried out using SPSS 24.0 statistical software.Results: The Cronbach’s alpha results were above 0.8 for the questionnaire’s overall reliability (bladder function: 0.877, bowel function: 0.834, prolapse symptoms: 0.784, sexual function: 0.762) showing adequate internal consistency reliability and high statistical significance. A statistically significant correlation was observed among the 40 items of the questionnaire. The issue of multicollinearity was not found, and the determinant of the correlation matrix was 0.001. A value of >0.5 was achieved when the Kaiser–Meyer–Olkin (KMO) and Bartlett’s tests measured 0.806 and the Bartlett’s test of sphericity was statistically significant χ2 (780)=4150.46 (P<0.001). The values of loading indicate that all 4 factors (bladder function, bowel function, prolapse symptoms, sexual function) contributed to each of their items.Conclusions: This study provides the Arabic version of the self-administered APFQ as a reliable and valid instrument for evaluating symptom severity and impact of pelvic floor dysfunction on the quality of life (QOL) of Arabic women. It also will enable the researchers from Arab countries to use this instrument to assess pelvic floor dysfunction (PFD) prevalence in their settings.

scholarly journals Arabic translation, cultural adaptation, and validation of Australian Pelvic Floor Questionnaire in a Saudi population

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Haifaa Malaekah ◽  
Haifaa Saud Al Medbel ◽  
Sameerah Al Mowallad ◽  
Zahra Al Asiri ◽  
Alhanouf Albadrani ◽  
...  
Keyword(s):  
Pelvic Floor ◽  
Cultural Adaptation ◽  
Pelvic Floor Dysfunction ◽  
Bowel Function ◽  
Internal Consistency Reliability ◽  
Bladder Function ◽  
Arabic Version ◽  
Saudi Population ◽  
Prolapse Symptoms ◽  
Pelvic Floor Questionnaire

Abstract Introduction and hypothesis The aims of the study were the translation, cultural adaptation, and validation of self-administered Australian Pelvic Floor Questionnaire (APFQ) on a Saudi population. Methods The translation and cultural adaptation was performed in 854 women over 18 and not pregnant who agreed to answer the Arabic version of the questionnaire. The content/face validity, internal consistency (reliability), and construct validity (factor analysis) were assessed. Statistical analysis was carried out using SPSS 24.0 statistical software. Results The Cronbach’s alpha results were above 0.8 for the questionnaire’s overall reliability (bladder function: 0.877, bowel function: 0.834, prolapse symptoms: 0.784, sexual function: 0.762) showing adequate internal consistency reliability and high statistical significance. A statistically significant correlation was observed among the 40 items of the questionnaire. The issue of multicollinearity was not found, and the determinant of the correlation matrix was 0.001. A value of > 0.5 was achieved when the Kaiser–Meyer–Olkin and Bartlett’s tests measured 0.806 and the Bartlett’s test of sphericity was statistically significant χ2 (780) = 4150.46 (p < 0.001). The values of loading indicate that all 4 factors (bladder function, bowel function, prolapse symptoms, sexual function) contributed to each of their items. Conclusions This study provides the Arabic version of the self-administered APFQ as a reliable and valid instrument for evaluating symptom severity and impact of pelvic floor dysfunction on the quality of life of Arabic women. It also will enable the researchers from Arab countries to use this instrument to assess pelvic floor dysfunction prevalence in their settings.

Mindfulness in Pelvic Floor Dysfunction

Biofeedback ◽  
2018 ◽  
Vol 46 (1) ◽  
pp. 21-24 ◽  
Author(s):  
Debbie Callif
Keyword(s):  
Pelvic Floor ◽  
Pelvic Pain ◽  
Stress Reduction ◽  
Case Reports ◽  
Pelvic Floor Dysfunction ◽  
Urge Urinary Incontinence ◽  
Bowel Dysfunction ◽  
Bladder Function ◽  
Present Moment ◽  
Mindfulness Based Stress Reduction

Biofeedback is recommended as the first line of treatment for patients with stress or urge urinary incontinence (Fantl et al., 1996). Research supports the use of biofeedback for bowel dysfunction (Bartlett, Sloots, Nowak, & Ho, 2011). There is mounting evidence for the use of Mindfulness-Based Stress Reduction for the use of bladder and bowel dysfunction and pelvic pain (Fox, Flynn, & Allen, 2011; Paiva & Carneiro, 2013). The following case reports demonstrate the utility of Mindfulness-Based Stress Reduction in helping patients who suffer from bowel, bladder, and pelvic pain syndromes. Mindfulness training can be used to bring attention to how emotions and food choices have a direct impact on the gastrointestinal tract. Present moment awareness of the urinary tract functioning also improves bladder function. Noticing tension in the pelvic floor muscles helps to improve pelvic pain symptoms (Anderson, Wise, Sawyer, Glove, & Orenberg, 2011; Fox et al., 2011; Paiva & Carneiro, 2011).

Biofeedback for Pelvic Muscle Dysfunction

Biofeedback ◽  
2016 ◽  
Vol 44 (2) ◽  
pp. 55-57
Author(s):  
Debbie Callif
Keyword(s):  
Pelvic Floor ◽  
Pelvic Pain ◽  
Control Strategies ◽  
Pelvic Floor Muscle ◽  
Pelvic Floor Dysfunction ◽  
Bowel Function ◽  
Pelvic Floor Muscles ◽  
Muscle Dysfunction ◽  
Reduction Techniques ◽  
Obturator Internus

Biofeedback for pelvic floor muscle dysfunction provides a practical and effective intervention for elimination disorders. Dysfunction in the pelvic floor muscles can affect bladder and bowel function and can cause pelvic pain. According to the National Association of Continence, there are 25 million Americans affected by bladder or bowel incontinence. Surface electromyographic (sEMG) sensors monitor the electrical activity of the pelvic floor muscles. Additional muscle co-contractions of the obturator internus, hip adductors, and transverse abdominis can facilitate improvements in symptoms affected by pelvic floor dysfunction. Pelvic floor therapy incorporates urge reduction techniques and functional control strategies. Dietary and lifestyle recommendations are also provided. The Biofeedback Certification International Alliance (BCIA) is the primary certifying body in the fields of biofeedback and neurofeedback. BCIA has a Blueprint of Knowledge specific for certification in pelvic muscle dysfunction biofeedback (PMDB). The Blueprint outlines the fundamental science, history, and theory of sEMG biofeedback as used for elimination disorders and chronic pelvic pain. You can find more information on PMDB at www.bcia.org.

Electronic Personal Assessment Questionnaire–Pelvic Floor: Italian cultural adaptation and face validity

2019 ◽  
Vol 86 (2) ◽  
pp. 86-92 ◽  
Author(s):  
Marco Soligo ◽  
Umberto Leone Roberti Maggiore ◽  
Nadia C Oprandi ◽  
Leonardo Nelva Stellio ◽  
Elena De Ponti ◽  
...  
Keyword(s):  
Pelvic Floor ◽  
Cultural Adaptation ◽  
Pelvic Floor Dysfunction ◽  
Face Validity ◽  
Italian Version ◽  
Cronbach's Alpha ◽  
Paper Questionnaire ◽  
Culturally Adapted ◽  
Personal Assessment ◽  
Assessment Questionnaire

Introduction: Electronic questionnaires offer invaluable advantages over paper-based ones. The aims of this study were to make available to Italian clinicians a culturally adapted version of the multidimensional electronic Personal Assessment Questionnaire–Pelvic Floor and to test face validity and factorial analysis for the Urinary section. Methods: The original English-language version of electronic Personal Assessment Questionnaire–Pelvic Floor was cross-culturally adapted to the Italian language. At the Urogynaecology Unit of Buzzi Hospital in Milan, the Urinary section of the Italian version was completed by women symptomatic for pelvic floor dysfunction. Time to questionnaire completion was recorded, and a nine-item paper questionnaire about the questionnaire was completed. Descriptive analysis to define patient population characteristics and nine-item paper questionnaire analysis were performed. Factorial analyses on the Urinary section of the questionnaire and on the nine-item paper questionnaire were performed, and internal reliability was assessed using Cronbach’s alpha. Results: A culturally adapted Italian version of electronic Personal Assessment Questionnaire–Pelvic Floor was provided. In total, 95 women complaining of pelvic floor dysfunction took part in the study. Mean time to electronic questionnaire completion was 9 min (range: 5–17), with 95% of patients completing within 15 min. More than 95% of women considered the Italian version of electronic Personal Assessment Questionnaire–Pelvic Floor helpful, relevant, easy to use and comprehensive and would be happy to use it again. The questionnaire being overly long was an issue for 17% of women. The internal consistency of items in the nine-item paper questionnaire was confirmed with Cronbach’s alpha scores > 0.8 for both the ‘Value’ and ‘Burden’ domains. Discussion: Our Italian cultural adaptation of electronic Personal Assessment Questionnaire–Pelvic Floor was well accepted by an appropriate target population. A full psychometric validation is now warranted.

scholarly journals Cultural adaptation of the female pelvic floor questionnaire (FPFQ) into French

2015 ◽  
Vol 36 (2) ◽  
pp. 253-258 ◽  
Author(s):  
Julia Deparis ◽  
Véronique Bonniaud ◽  
David Desseauve ◽  
Joëlle Guilhot ◽  
Margot Masanovic ◽  
...  
Keyword(s):  
Pelvic Floor ◽  
Cultural Adaptation ◽  
Female Pelvic Floor ◽  
Pelvic Floor Questionnaire

Cross-cultural adaptation and validation of the Serbian version of the Australian pelvic floor questionnaire

2014 ◽  
Vol 26 (1) ◽  
pp. 131-138
Author(s):  
Aleksandar Argirović ◽  
Cane Tulić ◽  
Saša Kadija ◽  
Ivan Soldatović ◽  
Uroš Babić ◽  
...  
Keyword(s):  
Pelvic Floor ◽  
Cultural Adaptation ◽  
Cross Cultural ◽  
Cross Cultural Adaptation ◽  
Serbian Version ◽  
Pelvic Floor Questionnaire

scholarly journals Identifying the Pathway to Conservative Pelvic Floor Physiotherapy in a Tertiary Public Hospital in Australia: A Retrospective Audit

2017 ◽  
Author(s):  
Tara Beaumont ◽  
Kate Goode
Keyword(s):  
Pelvic Organ Prolapse ◽  
Pelvic Floor ◽  
Healthcare Provider ◽  
Best Practice ◽  
Conservative Therapy ◽  
Pelvic Floor Dysfunction ◽  
Pelvic Organ ◽  
Prolapse Symptoms ◽  
Tertiary Healthcare ◽  
Local Healthcare

Introduction: Incontinence and/or pelvic organ prolapse symptoms are prevalent in women in Australia and the estimated healthcare cost is considerable. Internationally accepted best practice evidence supports a trial of conservative Physiotherapy treatment with a Physiotherapist trained in the management of pelvic floor dysfunction before surgical options should be considered. Existing referral pathways in the tertiary healthcare system to access conservative Physiotherapy treatment require direct referral from Gynaecology staff. Objective: To identify the pathway to conservative pelvic floor physiotherapy for women referred to a tertiary hospital in Australia with incontinence and/or pelvic organ prolapse symptoms following existing referral pathways. Results: Attendance data for the period January to June 2015 identified 63 women as being primarily referred for incontinence and/or pelvic organ prolapse by their local healthcare provider. Half of these 63 women (n = 31) were referred on to Physiotherapy for conservative management; the other half were not. The time between local healthcare provider referral to specialist Gynaecology appointment ranged from 49 days to 351 days (average 169.6 days). Of the 31 women referred to Physiotherapy, the majority (n = 22, 70.9%) were referred on the day of their initial Gynaecology consultation, the 9 remaining women waited between 2 to 126 days for Physiotherapy referral. The shortest pathway from local healthcare provider referral to Physiotherapy consultation was 64 days; the longest pathway was 402 days. Of the 31 women who were not referred to Physiotherapy, 18 (58%) proceeded directly to surgery. Conclusion: This audit demonstrates that existing referral pathways for women referred with incontinence and/or pelvic organ prolapse create lengthy delays between local healthcare provider referral and access to Physiotherapy services. Only half of those women who would be appropriate for a trial of conservative therapy are being referred to Physiotherapy which is in direct contrast to the widely accepted best practice guidelines for the management of pelvic floor dysfunction mandating conservative therapy as a first line approach for these conditions. The opportunity to implement an advanced scope model of care that promotes more timely access and earlier commencement of conservative Physiotherapy for these women would significantly improve the clinical care pathway for this cohort of patients in the tertiary healthcare setting.

Női kismedencei funkciózavarok keresztmetszeti vizsgálata magyarországi populáción

2021 ◽  
Vol 162 (43) ◽  
pp. 1724-1731
Author(s):  
Eszter Ambrus ◽  
Alexandra Makai ◽  
Viktória Prémusz ◽  
Julianna Boros-Balint ◽  
Péter Tardi ◽  
...  
Keyword(s):  
Adverse Effect ◽  
Pelvic Floor ◽  
Pelvic Floor Dysfunction ◽  
Statistical Significance ◽  
Pelvic Organ ◽  
Chi Square ◽  
Pop Surgery ◽  
Significant Difference ◽  
Study Population ◽  
Pelvic Floor Questionnaire

Összefoglaló. Bevezetés és célkitűzés: A női kismedencei funkciózavarok változatos tünetekkel jelentkezhetnek, és jelentősen befolyásolják az érintettek életminőségét. Vizsgálatunk célja volt felmérni a medencefenék-diszfunkciós tüneteket és azok hatását az egyén életminőségére. Módszer: Vizsgálatunkba 203 nőt vontunk be. Az adatgyűjtést két kérdőív, egy általunk összeállított és az Australian Pelvic Floor Questionnaire segítségével végeztük. Az adatok statisztikai elemzéséhez SPSS 20.0 rendszert használtunk. Spearman-korrelációt, khi-négyzet-próbát, Mann–Whitney-féle U-tesztet, Kruskal–Wallis-próbát és többváltozós lineáris regressziót alkalmaztunk. A szignifikanciaszintet p≤0,05 határnál állapítottuk meg. Eredmények: A hólyagdiszfunkciók gyakorisága (56,2%) szignifikáns kapcsolatot mutatott az életkor növekedésével (p<0,001), az obesitassal (p<0,001), a szülésszámmal és -móddal (p<0,001; p<0,001), az episiotomiával (p<0,001) és a prolapsusműtétekkel (p = 0,010). A süllyedéses kismedencei kórképek gyakorisága (27,1%) szignifikáns kapcsolatot mutatott az életkor növekedésével (p = 0,002), a szülésszámmal és -móddal (p<0,001; p<0,001) és a korábbi episiotomiával (p<0,001). Az analis incontinentia gyakorisága (58,9%) a magasabb testtömegindexszel (p = 0,029) volt szignifikáns kapcsolatban. Szexuális diszfunkciót (53,2%) allergia és tüdőbetegségek (p = 0,048) jelenlétével kapcsolatban találtunk. A többes diszfunkció előfordulási gyakorisága az életkor növekedésével (p<0,001), az obesitassal (p = 0,043), a korábbi hysterectomiával (p = 0,046) és prolapsusműtétekkel (p<0,001) mutatott szignifikáns kapcsolatot. Minden diszfunkció esetén kimutatható volt az életminőség-romlás (hólyagfunkciók: p<0,001; bél- és székletürítési funkciók: p<0,001, hüvelyfali süllyedés: p<0,001, szexuális funkciók: p<0,001). Következtetés: Az általunk vizsgált női populációban nagy arányban találtunk kismedencei funkciózavarokat, melyek kedvezőtlen hatással voltak az érintettek életminőségére. Orv Hetil. 2021; 162(43): 1724–1731. Summary. Introduction and objective: Pelvic floor dysfunction (PFD) can cause several complaints in women and has an adverse effect on the quality of life (Qol). The aim of our study was to evaluate the prevalence of pelvic floor dysfunction and its effect on Qol. Method: 203 women were included. We used two questionnaires, a self-constructed and the Australian Pelvic Floor Questionnaire. Statistical analysis was performed by SPSS 20.0. Spearman’s correlation, chi-square, Mann–Whitney U, Kruskal–Wallis tests and multivariate linear regression were used. Statistical significance was set at p≤0.05. Results: There was a significant association between the prevalence of urinary incontinence (56.2%) and age (p<0.001), obesity (p<0.001), number and mode of deliveries (p<0.001; p<0.001), episiotomy (p<0.001) and pelvic organ prolapse (POP) surgery (p = 0.010); between the occurrence of POP (27.1%) and age (p = 0.002), the number and mode of deliveries (p<0.001; p<0.001) and episiotomy (p<0.001); between the prevalence of anal incontinence (58.9%) and obesity (p = 0.029); between sexual dysfunction (SD) (53.2%) and respiratory disease and allergy (p = 0.048). Multiple PFD was significantly associated with age (p<0.001), obesity (p = 0.043), hysterectomy (p = 0.046) and POP surgery (p = 0.010). There was a significant difference between women having more severe PFD than milder complaints regarding Qol (bladder p<0.001; bowel p<0.001; SD p<0.001 and POP p<0.001). Conclusion: Pelvic floor dysfunction was common in our study population and had a great adverse effect on Qol. Orv Hetil. 2021; 162(43): 1724–1731.

290: The Prevalence of Abuse in Women with Interstitial Cystitis and Pelvic Floor Dysfunction

2006 ◽  
Vol 175 (4S) ◽  
pp. 96-97
Author(s):  
Donna J. Carrico ◽  
Ananias C. Diokno ◽  
Kenneth M. Peters
Keyword(s):  
Pelvic Floor ◽  
Interstitial Cystitis ◽  
Pelvic Floor Dysfunction
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