Abstract
Introduction and hypothesis
This observational study was undertaken to determine knowledge, prior instruction, frequency of performance, and ability to perform pelvic floor muscle exercises in a group of women presenting for evaluation of pelvic floor disorders.
Methods
Three hundred twenty-five women presenting for evaluation of pelvic floor disorders were questioned concerning knowledge and performance of pelvic floor muscle exercises (PMEs) and then examined to determine pelvic floor muscle contraction strength.
Results
The majority of women (73%) had heard of PMEs, but only 42% had been instructed to perform them and 62.5% stated they received verbal instruction only. Only 23.4% of patients could perform pelvic muscle contractions with Oxford Scale 3, 4, or 5 strengths. Increased age, parity, and stage of prolapse were associated with lower Oxford scores.
Conclusions
Although most women with pelvic floor disorders are familiar with PMEs, less than one fourth could perform adequate contractions at the time of initial evaluation.
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References
Kegel AH (1948) Progressive resistance exercise in the functional restoration of the perineal muscles. Am J Obstet Gynecol 56:238–248
Wilson PD, Samarrai T, Deakin M, Kolbe E, Brown ADG (1987) An objective assessment of physiotherapy for female genuine stress incontinence. Br J Obstet Gynecol 94:575–582
Elia G, Bergman A (1993) Pelvic muscle exercises: When do they work? Obstet Gynecol 81:283–286
Dougherty M, Bishop K, Mooney R, Gimotty P, Williams B (1993) Graded pelvic muscle exercise: Effect on stress urinary incontinence. J Reprod Med 38:684–691
McIntosh LJ, Frahm JD, Mallett VT, Richardson DA (1993) Pelvic floor rehabilitation in the treatment of incontinence. J Reprod Med 38:662–666
Bo K, Talseth T (1996) Long-term effect of pelvic floor muscle exercise 5 years after cessation of organized training. Obstet Gynecol 87:261–265
Nygaard IE, Kreder KJ, Lepic MM, Fountain KA, Rhomberg AT (1996) Efficacy of pelvic floor muscle exercises in women with stress, urge, and mixed urinary incontinence. Am J Obstet Gynecol 174:120–125
Cammu H, Van Nylen M, Blockeel C, Kaufman L, Amy JJ (2004) Who will benefit from pelvic floor muscle training for stress urinary incontinence. Am J Obstet Gynecol 191:1152–1157
Chiarelli P, Murphy B, Cockburn J (2004) Promoting urinary continence in postpartum women: 12-month follow-up data from a randomised controlled trial. Int Urogynecol J 15:99–105
Dumoulin C, Lemieux MC, Bourbonnais D, Gravel D, Bravo G, Morin M (2004) Physiotherapy for persistent postnatal stress urinary incontinence: A randomized controlled trial. Obstet Gynecol 104:504–510
Laycock J (2002) Clinical evaluation of the pelvic floor. In: Schussler B, Laycock J, Norton P, Stanton S (eds) Pelvic floor re-education principles and practice. Springer, London, pp 42–48
Moen M, Noone M, Vassallo B, Lopata R, Nash M, Sum B et al (2007) Knowledge and performance of pelvic muscle exercises in women. J Pelvic Med Surg 13:113–117
Talasz H, Himmer-Perschak G, Marth E, Fischer-Colbrie J, Hoefner E, Lechleitner No Initials (2008) Evaluation of pelvic floor muscle function in a random group of adult women in Austria. Int Urogynecol J 19:131–135
Thompson JA, O’Sullivan PB, Briffa NK, Neumann P (2006) Assessment of voluntary pelvic floor muscle contraction in continent and incontinent women using transperineal ultrasound, manual muscle testing and vaginal squeeze pressure measurements. Int Urogynecol J 17:624–630
Borello-France DF, Handa VL, Brown MB, Goode P, Kreder K, Scheufele LL et al (2007) Pelvic floor muscle function in women with pelvic organ prolapse. Phys Ther 87:399–407
Bump RC, Hurt WG, Fantl JA, Wyman JF (1991) Assessment of Kegel pelvic muscle exercise performance after brief verbal instruction. Am J Obstet Gynecol 165:322–329
Acknowledgement
The authors wish to acknowledge Nancy Davis for her assistance with statistical analysis.
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Moen, M.D., Noone, M.B., Vassallo, B.J. et al. Pelvic floor muscle function in women presenting with pelvic floor disorders. Int Urogynecol J 20, 843–846 (2009). https://doi.org/10.1007/s00192-009-0853-6
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DOI: https://doi.org/10.1007/s00192-009-0853-6