Is there any difference in measurement of pelvic floor muscle strength in supine and standing position?
Is there any difference in measurement of pelvic floor muscle strength in supine and standing position?
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DOI：
10.1046/j.1600-0412.2003.00240.x
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发表时间：
2003-12-01
影响因子：
4.3
通讯作者：
Finckenhagen, HB
中科院分区：
文献类型：
--
作者：
Bo, K;Finckenhagen, HB
背景。传统上，骨盆底肌肉的功能和力量是在仰卧位测量的。然而，压力性尿失禁最常发生在直立姿势，一个重要的临床问题是，在仰卧位骨盆底肌肉力量的测量是否反映了站立时的力量。本研究的目的是探讨平卧位和站立位骨盆底肌力测量是否有显著的临床差异。18名女性，平均年龄43.4岁（31-64岁），有压力症状和混合性尿失禁，参加骨盆底肌肉训练项目。骨盆底肌肉力量的测量使用光纤微尖传感器连接到插入阴道的球囊导管（Camtech AS, Sandvika, Norway）。测量静息压力，最大挤压压力，以秒为单位进行评估，随机顺序为仰卧位和站立位。仰卧和站立静息压的平均差值为8.6 cmH(2)O (95% CI 4.9-12.3), p
Background. Traditionally, pelvic floor muscle function and strength have been measured in a supine position. However, stress urinary incontinence most often occurs in an upright position, and an important clinical question is whether measurement of pelvic floor muscle strength in the supine position reflects strength in standing. The purpose of the present study was to investigate whether there is a significant and clinical difference in pelvic floor muscle strength measurement in supine and standing position.Methods. Eighteen women, mean age 43.4 years (range 31-64 years), with symptoms of stress and mixed incontinence attending a pelvic floor muscle-training program participated in the study. Measurement of pelvic floor muscle strength was conducted with a fiberoptic microtip transducer connected to a balloon catheter inserted into the vagina (Camtech AS, Sandvika, Norway). Measurement of resting pressure, maximum squeeze pressure, and holding period in seconds, were assessed in random order in supine and standing position.Results. The mean difference between supine and standing resting pressure was 8.6 cmH(2)O (95% CI 4.9-12.3), p