Reliability and diagnostic accuracy of a new vaginal dynamometer to measure pelvic floor muscle strength

Aims: Assess the intrarater and interrater reliabilities and diagnostic accuracy of a new vaginal dynamometer to measure pelvic floor muscle (PFM) strength in incontinent and continent women. Methods: A test-retest reliability study including 152 female patients. Exclusion criteria: history of urge...

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Bibliographic Details
Authors: Romero Cullerés, Georgia; Peña Pitarch, Esteve|||0000-0001-5986-5728; Jané Feixas, Cecília; Vilaseca Grané, Ana; Montesinos Muñoz, Jesús; Arnau, Anna
Format: Article
Publication date:2020
Country:España
Institution:Universitat Politècnica de Catalunya (UPC)
Repository:UPCommons. Portal del coneixement obert de la UPC
Language:English
OAI Identifier:oai:upcommons.upc.edu:2117/175442
Online Access:https://hdl.handle.net/2117/175442
https://dx.doi.org/10.1097/SPV.0000000000000796
Access Level:Open access
Keyword:Dynamometer
Pelvic floor
Urinary incontinence
Muscle strength
Rehabilitation
Pelvic floor muscle strength
Dinamòmetre
Sòl pelvià
Incontinència urinària
Àrees temàtiques de la UPC::Enginyeria biomèdica::Aparells mèdics
Description
Summary:Aims: Assess the intrarater and interrater reliabilities and diagnostic accuracy of a new vaginal dynamometer to measure pelvic floor muscle (PFM) strength in incontinent and continent women. Methods: A test-retest reliability study including 152 female patients. Exclusion criteria: history of urge urinary incontinence, prolapse of pelvic organ, pregnancy, previous urogynecological surgery, severe vaginal atrophy, or neurological conditions. The examination comprised digital assessment using the modified Oxford scale (MOS) and dynamometry measurements with a new prototype hand-held dynamometer. The MOS score ranges from 0 to 5: 0, no contraction; 1, flicker; 2, weak; 3, moderate; 4, good; 5, strong. Examinations were performed by a physiatrist, a physiotherapist and a midwife. The rest period between each rater measurement was 5 minutes. Assessment of intrarater and interrater reliability was calculated with the intraclass correlation coefficient.