The influence of various risk factors on the strength of pelvic floor muscle in women

Background/Aim. Damage of any element of pelvic floor leads to its functional damages, reflected in the occurrence of urinary incontinence, prolapse of pelvic organs, fecal incontinence and sexual dysfunction. Basic aim of our paper was to investigate the influence of various risk factors on pelvic floor muscle strength in women. Methods. The study included 90 female patients and examined how age, job, body weight and height, number of deliveries, sports activities, incontinence occurrence, previous prolapse-caused gynecological surgeries, other gynecological surgeries and other conservatively treated gynecological diseases influence the value of pelvic floor muscle strength. Pelvic floor muscle strength was measured using vaginal dynamometer. Results. Univariate regression analysis showed that parameters such as age, demanding job, body height, number of deliveries, sports activities, prolapse-caused gynecological surgeries, other gynecological surgeries and other gynecological diseases were in positive correlation with the values of pelvic floor muscle strength. In multivariate regression model, incontinence and gynecological operation of prolapse were singled out as independent risk factors. Conclusion. If risk factors that cause damage to pelvic floor muscle are known, it is possible to prevent the damages and improve the quality of women's life. This article has been corrected. Link to the correction <a href="http://dx.doi.org/10.2298/VSP2007765E">10.2298/VSP2007765E</a>

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Risk Factors for Decreased Pelvic Floor Muscle Strength: Which is More Effective?

Gynecology Obstetrics and Reproductive Medicine ◽

10.21613/gorm.2019.947 ◽

2019 ◽

pp. 1

Author(s):

Omer Demir ◽

Cihan Comba

Keyword(s):

Risk Factors ◽

Regression Analysis ◽

Muscle Strength ◽

Cigarette Smoking ◽

Pelvic Floor ◽

Pelvic Floor Muscle ◽

Binary Logistic Regression ◽

Binary Logistic Regression Analysis ◽

Pelvic Floor Muscle Strength ◽

Weak Muscle

Objective: The aim of this study was to assess whether cigarette smoking weakens the pelvic floor and to determine its effective impact relative to other factors.Study Design: Between September 2017 and September 2018, 250 patients admitted to an outpatient gynecology clinic were examined by a single physician and their anamnesis was taken. As a result of the examination, the pelvic floor muscle strength was evaluated according to the Modified Oxford Scale and the patients evaluated as 1/5 and 2/5 were grouped as having weak muscle strength and the rest were grouped as having high muscle strength. The intention was then to compare these two groups. The SPSS 21.0 for Windows program was used to perform statistical evaluations. Comparative analysis was performed with regression analysis.Results: 250 women participated in the study. 4 patients had muscle strength of 1/5; while 40 patients had muscle strength of 2/5 (17.6%). Patients with muscle strength of 1/5 and 2/5 were grouped as weak muscle strength. Advanced age, increased parity, smoking, and obesity are risk factors for a decrease in pelvic floor muscle strength (p < 0.05). Binary logistic regression analysis was performed to determine which of these factors has the greatest impact on pelvic floor muscle strength. Smoking has a 7-fold effect on decreased muscle strength (OR: 7.925) and obesity has a 5-fold impact (OR: 5.374).Conclusion: Although the mechanism of the effect of cigarette smoking on the pelvic floor is not known, it should be remembered that this effect has an adverse impact together with other factors which also have proven detrimental effects.

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The effect of parity on pelvic floor muscle strength and quality of life in women with urinary incontinence: a cross sectional study

Journal of Physical Therapy Science ◽

10.1589/jpts.27.2133 ◽

2015 ◽

Vol 27 (7) ◽

pp. 2133-2137 ◽

Cited By ~ 13

Author(s):

Özlem Çınar Özdemır ◽

Yesim Bakar ◽

Nuriye Özengın ◽

Bülent Duran

Keyword(s):

Quality Of Life ◽

Urinary Incontinence ◽

Muscle Strength ◽

Pelvic Floor ◽

Pelvic Floor Muscle ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Pelvic Floor Muscle Strength

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Management of Stress Urinary Incontinence With Surface Electromyography–Assisted Biofeedback in Women of Reproductive Age

Physical Therapy ◽

10.2522/ptj.20050318 ◽

2007 ◽

Vol 87 (2) ◽

pp. 136-142 ◽

Cited By ~ 30

Author(s):

Mariana T Rett ◽

Jose A Simoes ◽

Viviane Herrmann ◽

Cristina LB Pinto ◽

Andrea A Marques ◽

...

Keyword(s):

Quality Of Life ◽

Urinary Incontinence ◽

Stress Urinary Incontinence ◽

Muscle Strength ◽

Pelvic Floor ◽

Pelvic Floor Muscle ◽

Premenopausal Women ◽

Reproductive Age ◽

Pelvic Floor Muscle Strength

Background and Purpose Although surgery has been widely accepted as the treatment of choice for stress urinary incontinence (SUI), there has recently been an increased interest in the conservative management of this condition. The aims of this study were to test the ability of a biofeedback-assisted pelvic-floor muscle exercise (PFME) program to affect symptoms of SUI in premenopausal women and to evaluate a training program that might lead to successful outcomes in a relatively limited number of sessions. Subjects Twenty-six women with SUI were treated with PFME with surface electromyography (sEMG)–assisted biofeedback. All participants were of reproductive age and were treated individually for 12 sessions. Methods Results were evaluated with a 7-day voiding diary, a 1-hour pad test, pelvic-floor muscle strength measurements, sEMG amplitudes, a leakage index, and a quality-of-life questionnaire. These variables were compared before and after the intervention. Results The frequency of urine loss, the occurrence of nocturia, and the number of pads required decreased significantly after the intervention. Objective cure was found in 61.5% of women. There was a significant improvement in the quality of life, in pelvic-floor muscle strength, and in the sEMG amplitudes of all contractions throughout the intervention. Discussion and Conclusion A relatively short-term intervention of PFME with sEMG-assisted biofeedback appeared to be helpful in relieving symptoms of SUI in premenopausal women and represents a reasonable conservative management option.

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Pelvic floor muscle training with and without biofeedback in treatment of overactive bladder

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20193509 ◽

2019 ◽

Vol 8 (8) ◽

pp. 2997

Author(s):

Preethi Badda ◽

Achla Batra ◽

Sheeba Marwah ◽

Rupali Dewan

Keyword(s):

Muscle Strength ◽

Overactive Bladder ◽

Pelvic Floor ◽

Pelvic Floor Muscle Training ◽

Pelvic Floor Muscle ◽

Controlled Trial ◽

Muscle Training ◽

Pelvic Floor Muscle Strength ◽

Before And After

Background: Overactive bladder (OAB) is a commonly encountered problem in gynaecological practice. It has profound effect on quality of life (QOL), affecting simple daily activities as well. Prevalence rates of OAB in Asians are 53.1%. The first line management of OAB is behaviour modification and pelvic floor muscle training (PFMT). Objective of this study was to comparative assessment of biofeedback assisted PFMT (BAPFMT) versus PFMT alone in treatment of OAB using strength of pelvic floor muscle and QOL before and after treatment.Methods: A prospective comparative randomized controlled trial was conducted to compare the effect of PFMT versus BAPFMT on OAB symptoms over period of 12 weeks. Total of 100 patients fulfilling inclusion and exclusion criteria were selected. Randomization of patients was done into two groups of 50 patients each; half of them were subjected to PFMT and other half to BAPFMT. Appropriate statistical test were applied.Results: At the end of 12 weeks of intervention, there was a significant improvement in pelvic floor muscle strength and QOL in both groups (p<0.001). The improvement in pelvic floor muscle strength was more with BAPFMT; however there was no difference in improvement of QOL between the groups.Conclusions: Addition of biofeedback to PFMT may be a useful adjunct in OAB patients.

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