Assessment of pelvic floor muscle contraction in stress urinary incontinent women: comparison between transabdominal ultrasound and perineometry.
OBJECTIVE
Transabdominal (TA) ultrasound and perineometry have been currently used to assess lifting aspect and squeezing action of pelvic floor muscles (PFM) function, respectively, in women with stress urinary incontinence (SUI). However, no study has directly compared these measurements. The purpose of this study was to investigate the reliability and correlation between perineometry and TA ultrasound as measurements of different aspect of PFM function.


METHODS
A total of 28 women with SUI participated in the study. Vaginal squeeze pressure using a perineometer and bladder base movement on TA ultrasound was measured. Scattergram was depicted to determine the correlation between variables. Intraclass correlation coefficient and Bland-Altman plot were used to assess reliability.


RESULTS
Scatter diagram depicted significant correlation of TA ultrasound with vaginal squeeze pressure (r = 0.72, R (2) = 0.52, p < 0.0001). High reliability was found for measurements.


CONCLUSIONS
TA ultrasound measurement may be an alternative measurement to perineometry when assessing PFM function.
Chehrehrazi
Mahshid
M
University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Arab
Amir Massoud
AM
Karimi
Noureddin
N
Zargham
Mahtab
M
D000328:Adult; D003950:Diagnostic Techniques, Urological; D005260:Female; D006801:Humans; D008875:Middle Aged; D009119:Muscle Contraction; D017773:Pelvic Floor / Q000000981:diagnostic imaging* / Q000503:physiopathology; D014463:Ultrasonography; D014550:Urinary Incontinence, Stress / Q000000981:diagnostic imaging* / Q000503:physiopathology
Int Urogynecol J Pelvic Floor Dysfunct. 2001;12(1):27-30
11294527
Am J Obstet Gynecol. 2005 May;192(5):1583-91
15902162
BJOG. 2000 Aug;107(8):1007-11
10955433
Am J Obstet Gynecol. 1948 Aug;56(2):238-48
18877152
Int J Gynaecol Obstet. 2007 Jul;98(1):64-5
17466302
Am J Obstet Gynecol. 1996 Jul;175(1):10-7
8694033
Eur J Phys Rehabil Med. 2008 Mar;44(1):47-63
18385628
Int Urogynecol J Pelvic Floor Dysfunct. 2007 Jul;18(7):779-86
17043739
Neurourol Urodyn. 2004;23(4):336-41
15227651
J Urol. 2006 Jul;176(1):337-41
16753438
Int Urogynecol J Pelvic Floor Dysfunct. 2006 Nov;17(6):624-30
16532264
Arch Phys Med Rehabil. 2001 Aug;82(8):1081-8
11494188
Urology. 2003 Jan;61(1):37-49
12559262
Neurourol Urodyn. 2003;22(7):654-8
14595609
Int Urogynecol J Pelvic Floor Dysfunct. 2002;13(3):156-9; discussion 159
12140708
Int Urogynecol J Pelvic Floor Dysfunct. 2003 Aug;14(3):204-8; discussion 208
12955344
Int Urogynecol J Pelvic Floor Dysfunct. 2006 Jun;17(4):365-71
16205845
Int Urogynecol J Pelvic Floor Dysfunct. 2005 Jul-Aug;16(4):285-92
15782286
Int J Gynaecol Obstet. 2000 Feb;68(2):131-7
10717817
Acta Obstet Gynecol Scand. 2001 Oct;80(10):883-7
11580731
Phys Ther. 2005 Mar;85(3):269-82
15733051
Aust J Physiother. 2007;53(3):187-91
17725476
Aust J Physiother. 2005;51(3):167-70
16137242
Neurourol Urodyn. 2003;22(6):582-8
12951667