Incontinent Women Have Altered Pelvic Floor Muscle Contraction Patterns

Journal of Urology

Volumn 178, Issue 2, 2007, Pages 558-562

  Devreese, A ^a,b   Staes, F ^a,b   Janssens, L ^b   Penninckx, F ^a   Vereecken, R ^a   De Weerdt, W ^b  

^a UNIVERSITY HOSPITALS LEUVEN   (Belgium)

^b UNIVERSITY OF LEUVEN   (Belgium)

Author keywords

bladder; electromyography; muscle contraction; pelvic floor; urinary incontinence

Indexed keywords

ADULT; AGED; ARTICLE; CONTINENCE; CONTROLLED STUDY; ELECTRODE; ELECTROMYOGRAPHY; FEMALE; HUMAN; KAPPA STATISTICS; MAJOR CLINICAL STUDY; MUSCLE CONTRACTION; PELVIC FLOOR MUSCLE TRAINING; PELVIS FLOOR; PRIORITY JOURNAL; TREATMENT OUTCOME; URINE INCONTINENCE;

ADULT; AGED; ELECTRODES; ELECTROMYOGRAPHY; FEMALE; HUMANS; MIDDLE AGED; MUSCLE CONTRACTION; PELVIC FLOOR; REFERENCE VALUES; STATISTICS; URINARY INCONTINENCE;

EID: 34447097266     PISSN: 00225347     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.juro.2007.03.097     Document Type: Article

References (20)

1. Blaivas J.G., Romanzi L.J., and Heritz D.M. Urinary incontinence: pathophysiology, evaluation, treatment overview and nonsurgical management. In: Walsh P.C., Retik A.B., Vaughan Jr. E.D., and Wein A.J. (Eds). Campbell's Urology. 7th ed. (1998), WB Saunders Co, Philadelphia 1007-1043
2. Wein A.J. Pelvic floor muscle training for urinary incontinence in women. J Urol 168 (2002) 2729
3. Miller J.M., Ashton-Miller J.A., and DeLancey J.O. A pelvic muscle precontraction can reduce cough-related urine loss in selected women with mild SUI. J Am Geriatr Soc 46 (1998) 870
4. Sapsford R.R., Hodges P.W., Richardson C.A., Cooper D.H., Markwell S.J., and Jull G.A. Co-activation of the abdominal and pelvic floor muscles during voluntary exercises. Neurourol Urodyn 20 (2001) 31
5. Shafik A. A study of the continence mechanism of the external urethral sphincter with identification of the voluntary urinary inhibition reflex. J Urol 162 (1999) 1967
6. Vereecken R.L., and Verduyn H. The electrical activity of the paraurethral and perineal muscles in normal and pathological conditions. Br J Urol 42 (1970) 457
7. Deindl F.M., Vodusek D.B., Hesse U., and Schussler B. Activity patterns of pubococcygeal muscles in nulliparous continent women. Br J Urol 72 (1993) 46 Jul
8. Peschers U.M., Vodusek D.B., Fanger G., Schaer G.N., DeLancey J.O.L., and Schüssler B. Pelvic muscle activity in nulliparous volunteers. Neurourol Urodyn 20 (2001) 269
9. Kenton K., and Brubaker L. Relationship between levator ani contraction and motor unit activation in the urethral sphincter. Am J Obstet Gynecol 187 (2002) 403
10. Swash M. Electrophysiological investigation of the posterior pelvic floor musculature. In: Pemberton J.H., Swash M., and Henry M.M. (Eds). The Pelvic Floor: Its Function and Disorders. 2nd ed. (2002), Harcourt and Elsevier, New York 213-236 chapt 16
11. Delancey J.O. Anterior pelvic floor in the female. In: Pemberton J.H., Swash M., and Henry M.M. (Eds). The Pelvic Floor: Its Function and Disorders. 2nd ed. (2002), Harcourt and Elsevier, New York 13-28 chapt 2
12. Mayo M.E. Detrusor hyperreflexia: the effect of posture and pelvic floor activity. J Urol 119 (1978) 635
13. Norton P.A., and Baker J.E. Postural changes can reduce leakage in women with stress urinary incontinence. Obstet Gynecol 84 (1994) 770
14. Nguyen J.K., Gunn G.C., and Bhatia N.N. The effect of patient position on leak-point pressure measurements in women with genuine stress incontinence. Int Urogynecol J Pelvic Floor Dysfunct 13 (2002) 9
15. Devreese A., Staes F., De Weerdt W., Feys H., Van Assche A., Penninckx F., et al. Clinical evaluation of pelvic floor muscle function in continent and incontinent women. Neurourol Urodyn 23 (2004) 190
16. Groutz A., Blaivas J.G., Chaikin D.C., Resnick N.M., Engleman K., Anzalone D., et al. Noninvasive outcome measures of urinary incontinence and lower urinary tract symptoms: a multicenter study of micturition diary and pad tests. J Urol 164 (2000) 698
17. Hodges P.W., and Bui B.H. A comparison of computer-based methods for the determination of onset of muscle contraction using electromyography. Electroencephal Clin Neurophysiol 101 (1996) 511
18. Landis R.J., and Koch G.G. A one-way component of variance model for categorical data. Biometrics 33 (1977) 671
19. Thompson J.A., O'Sullivan P.B., Briffa N.K., and Neumann P. Altered muscle activation patterns in symptomatic women during pelvic floor muscle contraction and Valsalva maneuver. Neurourol Urodyn 25 (2006) 268
20. Guaderrama N.M., Nager C.W., Liu J., Pretorius D.H., and Mittal R.K. The vaginal pressure profile. Neurourol Urodyn 24 (2005) 243