Pelvic floor muscle function and symptoms of dysfunctions in midwifes and nurses of reproductive age with and without pelvic floor dysfunction
Objectives: This study aims to compare pelvic floor muscle (PFM) functions in midwifes and nurses of reproductive age with and without pelvic floor dysfunction (PFD) and investigate the relationship between PFM function and the number, type and symptoms of PFDs. Materials and methods: 82 midwifes an...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2019-07-01
|
| Series: | Taiwanese Journal of Obstetrics & Gynecology |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1028455919301184 |
| _version_ | 1819074096640557056 |
|---|---|
| author | Gökhan Tosun Nuri Peker Özge Çeliker Tosun Özgür Ahmet Yeniel Ahmet Mete Ergenoğlu Ata Elvan Meriç Yıldırım |
| author_facet | Gökhan Tosun Nuri Peker Özge Çeliker Tosun Özgür Ahmet Yeniel Ahmet Mete Ergenoğlu Ata Elvan Meriç Yıldırım |
| author_sort | Gökhan Tosun |
| collection | DOAJ |
| description | Objectives: This study aims to compare pelvic floor muscle (PFM) functions in midwifes and nurses of reproductive age with and without pelvic floor dysfunction (PFD) and investigate the relationship between PFM function and the number, type and symptoms of PFDs. Materials and methods: 82 midwifes and nurses of reproductive age with (n = 51) and without PFD (n = 31) participated in the study. PFM function was assessed by digital palpation using PERFECT scale. Gynecological examination, ultrasonography, disease-specific questionnaires, questions and tests were used to assess symptoms of PFD. PFD was assessed in terms of risk factors, urinary incontinence, fecal incontinence, pelvic organ prolapse (POP), pelvic pain and sexual dysfunctions. Results: Power parameter of PERFECT scheme was significantly lower in subjects with PFD compared to Non-PFD group (p = 0.002). 41% of the subjects with Power 5 PFM strength in PFD group were diagnosed as stage 1 POP, 5.8% as stage 2 POP, 15.7% of urge incontinence, 23.3% of stress incontinence and 10.5% of mixed incontinence. Both urinary incontinence and POP were detected in 15.7% of them. Among all subjects, incontinence symptoms decreased whereas POP and sexual function did not change as PFM increased. PFM strength was negatively correlated with the number of PFD (p = 0.002, r = −0.34). The type of dysfunction did not correlate with PFM strength (p > 0.05). Conclusion: PFM strength only affects of urinary incontinence sypmtoms among all PFDs in midwifes and nurses of reproductive age. PFM strength may not be the main factor in the occurrence of PFDs as pelvic floor does not consist solely of muscle structure. However, it strongly affects the number of dysfunctions. Therefore, PFM training should be performed to prevent the occurrence of extra dysfunctions in addition to the existing ones even if it does not alter the symptoms. Keywords: Pelvic floor dysfunction, Pelvic floor muscle strength, Pelvic floor muscles |
| first_indexed | 2024-12-21T18:04:05Z |
| format | Article |
| id | doaj.art-202988b998cb4122b94f66b02f6ccb32 |
| institution | Directory Open Access Journal |
| issn | 1028-4559 |
| language | English |
| last_indexed | 2024-12-21T18:04:05Z |
| publishDate | 2019-07-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Taiwanese Journal of Obstetrics & Gynecology |
| spelling | doaj.art-202988b998cb4122b94f66b02f6ccb322022-12-21T18:54:58ZengElsevierTaiwanese Journal of Obstetrics & Gynecology1028-45592019-07-01584505513Pelvic floor muscle function and symptoms of dysfunctions in midwifes and nurses of reproductive age with and without pelvic floor dysfunctionGökhan Tosun0Nuri Peker1Özge Çeliker Tosun2Özgür Ahmet Yeniel3Ahmet Mete Ergenoğlu4Ata Elvan5Meriç Yıldırım6Department of Obstetrics and Gynecology, University of Health Sciences, Tepecik Training and Research Hospital, Izmir, TurkeyDepartment of Obstetrics and Gynecology, Uşak University Training and Research Hospital, Uşak, TurkeySchool of Physiotherapy, Dokuz Eylul University, Izmir, TurkeyDepartment of Obstetrics and Gynecology, Ege University, Izmir, TurkeyDepartment of Obstetrics and Gynecology, Ege University, Izmir, TurkeySchool of Physiotherapy, Dokuz Eylul University, Izmir, TurkeySchool of Physiotherapy, Dokuz Eylul University, Izmir, Turkey; Corresponding author. Dokuz Eylul University, School of Physical Therapy and Rehabilitation, 35340, Inciraltı-Izmir, Turkey.Objectives: This study aims to compare pelvic floor muscle (PFM) functions in midwifes and nurses of reproductive age with and without pelvic floor dysfunction (PFD) and investigate the relationship between PFM function and the number, type and symptoms of PFDs. Materials and methods: 82 midwifes and nurses of reproductive age with (n = 51) and without PFD (n = 31) participated in the study. PFM function was assessed by digital palpation using PERFECT scale. Gynecological examination, ultrasonography, disease-specific questionnaires, questions and tests were used to assess symptoms of PFD. PFD was assessed in terms of risk factors, urinary incontinence, fecal incontinence, pelvic organ prolapse (POP), pelvic pain and sexual dysfunctions. Results: Power parameter of PERFECT scheme was significantly lower in subjects with PFD compared to Non-PFD group (p = 0.002). 41% of the subjects with Power 5 PFM strength in PFD group were diagnosed as stage 1 POP, 5.8% as stage 2 POP, 15.7% of urge incontinence, 23.3% of stress incontinence and 10.5% of mixed incontinence. Both urinary incontinence and POP were detected in 15.7% of them. Among all subjects, incontinence symptoms decreased whereas POP and sexual function did not change as PFM increased. PFM strength was negatively correlated with the number of PFD (p = 0.002, r = −0.34). The type of dysfunction did not correlate with PFM strength (p > 0.05). Conclusion: PFM strength only affects of urinary incontinence sypmtoms among all PFDs in midwifes and nurses of reproductive age. PFM strength may not be the main factor in the occurrence of PFDs as pelvic floor does not consist solely of muscle structure. However, it strongly affects the number of dysfunctions. Therefore, PFM training should be performed to prevent the occurrence of extra dysfunctions in addition to the existing ones even if it does not alter the symptoms. Keywords: Pelvic floor dysfunction, Pelvic floor muscle strength, Pelvic floor muscleshttp://www.sciencedirect.com/science/article/pii/S1028455919301184 |
| spellingShingle | Gökhan Tosun Nuri Peker Özge Çeliker Tosun Özgür Ahmet Yeniel Ahmet Mete Ergenoğlu Ata Elvan Meriç Yıldırım Pelvic floor muscle function and symptoms of dysfunctions in midwifes and nurses of reproductive age with and without pelvic floor dysfunction Taiwanese Journal of Obstetrics & Gynecology |
| title | Pelvic floor muscle function and symptoms of dysfunctions in midwifes and nurses of reproductive age with and without pelvic floor dysfunction |
| title_full | Pelvic floor muscle function and symptoms of dysfunctions in midwifes and nurses of reproductive age with and without pelvic floor dysfunction |
| title_fullStr | Pelvic floor muscle function and symptoms of dysfunctions in midwifes and nurses of reproductive age with and without pelvic floor dysfunction |
| title_full_unstemmed | Pelvic floor muscle function and symptoms of dysfunctions in midwifes and nurses of reproductive age with and without pelvic floor dysfunction |
| title_short | Pelvic floor muscle function and symptoms of dysfunctions in midwifes and nurses of reproductive age with and without pelvic floor dysfunction |
| title_sort | pelvic floor muscle function and symptoms of dysfunctions in midwifes and nurses of reproductive age with and without pelvic floor dysfunction |
| url | http://www.sciencedirect.com/science/article/pii/S1028455919301184 |
| work_keys_str_mv | AT gokhantosun pelvicfloormusclefunctionandsymptomsofdysfunctionsinmidwifesandnursesofreproductiveagewithandwithoutpelvicfloordysfunction AT nuripeker pelvicfloormusclefunctionandsymptomsofdysfunctionsinmidwifesandnursesofreproductiveagewithandwithoutpelvicfloordysfunction AT ozgecelikertosun pelvicfloormusclefunctionandsymptomsofdysfunctionsinmidwifesandnursesofreproductiveagewithandwithoutpelvicfloordysfunction AT ozgurahmetyeniel pelvicfloormusclefunctionandsymptomsofdysfunctionsinmidwifesandnursesofreproductiveagewithandwithoutpelvicfloordysfunction AT ahmetmeteergenoglu pelvicfloormusclefunctionandsymptomsofdysfunctionsinmidwifesandnursesofreproductiveagewithandwithoutpelvicfloordysfunction AT ataelvan pelvicfloormusclefunctionandsymptomsofdysfunctionsinmidwifesandnursesofreproductiveagewithandwithoutpelvicfloordysfunction AT mericyıldırım pelvicfloormusclefunctionandsymptomsofdysfunctionsinmidwifesandnursesofreproductiveagewithandwithoutpelvicfloordysfunction |