Pelvic floor muscle function in women with and without breast cancer: A cross-sectional study

Introduction:: The aim of this study was to quantify PF muscle function in women with and without breast cancer using pressure manometry, digital palpation and transperineal ultrasound. Methods:: This cross-sectional study included women with and without breast cancer. The primary outcome was PF mus...

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Main Authors: Udari N. Colombage, Sze-Ee Soh, Kuan-Yin Lin, Helena C. Frawley
Format: Article
Language:English
Published: Elsevier 2023-03-01
Series:Continence
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2772973723000085
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author Udari N. Colombage
Sze-Ee Soh
Kuan-Yin Lin
Helena C. Frawley
author_facet Udari N. Colombage
Sze-Ee Soh
Kuan-Yin Lin
Helena C. Frawley
author_sort Udari N. Colombage
collection DOAJ
description Introduction:: The aim of this study was to quantify PF muscle function in women with and without breast cancer using pressure manometry, digital palpation and transperineal ultrasound. Methods:: This cross-sectional study included women with and without breast cancer. The primary outcome was PF muscle strength measured as maximal squeeze pressure (cmH2O). Differences between groups were analysed using independent t-tests or chi-square tests. Results:: The group with breast cancer was older (mean age: 54 years) than the group without breast cancer (mean age: 38 years, p<0.0001). Participants with breast cancer had significantly weaker PF muscles as measured by maximal squeeze pressure (breast cancer group: mean 18 cmH2O, 95% CI 15, 21; control group: mean 29 cmH2O, 95% CI 27, 32; p<0.0001) and digital examination (strength rated as weak: 30% in participants with breast cancer compared to 9% in control group, p=0.0167). Relaxation ability was poorer in participants with breast cancer than control group participants (p=0.0039). Conclusion:: Our cohort of women with breast cancer demonstrated reduced PF muscle strength and poorer relaxation ability compared to those without breast cancer. This finding suggests that therapies such as PF muscle training or relaxation techniques may be therapeutic targets to improve PF muscle function.
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spelling doaj.art-3aa4847213a643ec897c1534f5fe85a02023-03-20T04:05:20ZengElsevierContinence2772-97372023-03-015100580Pelvic floor muscle function in women with and without breast cancer: A cross-sectional studyUdari N. Colombage0Sze-Ee Soh1Kuan-Yin Lin2Helena C. Frawley3Department of Physiotherapy, Melbourne School of Health Sciences, Faculty of Medicine, Dentistry &amp; Health Sciences, The University of Melbourne, Melbourne, Australia; School of Health, Federation University, Churchill, Australia; Department of Physiotherapy, Monash University, Melbourne, Australia; Correspondence to: The University of Melbourne, Melbourne School of Health Sciences, 161 Barry St, Carlton VIC 3053, Australia.Department of Physiotherapy, Monash University, Melbourne, Australia; Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, AustraliaDepartment of Physical Therapy, National Cheng Kung University, Tainan, Taiwan; Institute of Allied Health Sciences, College of Medicine, National Cheng Kung University, Tainan, TaiwanDepartment of Physiotherapy, Melbourne School of Health Sciences, Faculty of Medicine, Dentistry &amp; Health Sciences, The University of Melbourne, Melbourne, Australia; Allied Health Research, Mercy Hospital for Women, Melbourne, Australia; Allied Health Research, Royal Women’s Hospital, Melbourne, AustraliaIntroduction:: The aim of this study was to quantify PF muscle function in women with and without breast cancer using pressure manometry, digital palpation and transperineal ultrasound. Methods:: This cross-sectional study included women with and without breast cancer. The primary outcome was PF muscle strength measured as maximal squeeze pressure (cmH2O). Differences between groups were analysed using independent t-tests or chi-square tests. Results:: The group with breast cancer was older (mean age: 54 years) than the group without breast cancer (mean age: 38 years, p<0.0001). Participants with breast cancer had significantly weaker PF muscles as measured by maximal squeeze pressure (breast cancer group: mean 18 cmH2O, 95% CI 15, 21; control group: mean 29 cmH2O, 95% CI 27, 32; p<0.0001) and digital examination (strength rated as weak: 30% in participants with breast cancer compared to 9% in control group, p=0.0167). Relaxation ability was poorer in participants with breast cancer than control group participants (p=0.0039). Conclusion:: Our cohort of women with breast cancer demonstrated reduced PF muscle strength and poorer relaxation ability compared to those without breast cancer. This finding suggests that therapies such as PF muscle training or relaxation techniques may be therapeutic targets to improve PF muscle function.http://www.sciencedirect.com/science/article/pii/S2772973723000085Breast cancerPelvic floor muscle functionManometry
spellingShingle Udari N. Colombage
Sze-Ee Soh
Kuan-Yin Lin
Helena C. Frawley
Pelvic floor muscle function in women with and without breast cancer: A cross-sectional study
Continence
Breast cancer
Pelvic floor muscle function
Manometry
title Pelvic floor muscle function in women with and without breast cancer: A cross-sectional study
title_full Pelvic floor muscle function in women with and without breast cancer: A cross-sectional study
title_fullStr Pelvic floor muscle function in women with and without breast cancer: A cross-sectional study
title_full_unstemmed Pelvic floor muscle function in women with and without breast cancer: A cross-sectional study
title_short Pelvic floor muscle function in women with and without breast cancer: A cross-sectional study
title_sort pelvic floor muscle function in women with and without breast cancer a cross sectional study
topic Breast cancer
Pelvic floor muscle function
Manometry
url http://www.sciencedirect.com/science/article/pii/S2772973723000085
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AT helenacfrawley pelvicfloormusclefunctioninwomenwithandwithoutbreastcanceracrosssectionalstudy