Methods used to investigate tone of pelvic floor muscles in pelvic health conditions: A systematic review
Aim:: This study aimed to systematically review which tools and outcome measures have been used to assess increased tone of PFM in pelvic health conditions. Methods:: Databases were searched for papers that studied increased PFM tone in any pelvic health condition. Studies of any design were eligibl...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-06-01
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| Series: | Continence |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2772973723000218 |
| _version_ | 1797803786872291328 |
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| author | Rachel Worman Ryan E. Stafford David Cowley Paul W. Hodges |
| author_facet | Rachel Worman Ryan E. Stafford David Cowley Paul W. Hodges |
| author_sort | Rachel Worman |
| collection | DOAJ |
| description | Aim:: This study aimed to systematically review which tools and outcome measures have been used to assess increased tone of PFM in pelvic health conditions. Methods:: Databases were searched for papers that studied increased PFM tone in any pelvic health condition. Studies of any design were eligible if they included primary data. Data were extracted regarding measurement types, outcome measures and reference to reliability or validity. Eight measurement types were identified (EMG, dynamometry, manometry, digital palpation, MRI, ultrasound, defecography, and other). Outcome measures were considered with respect to the property measured, the measure’s interpretation, repeatability, validity and measurement issues. Results:: Screening of 7910 papers from the search and review of reference lists identified 151 papers that used 103 outcomes measures from eight measurement tools. Most outcome measures indirectly assessed PFM tone without validation. Repeatability was often acceptable, but many measurements were compromised by application issues that preclude accurate interpretation. EMG, dynamometry and manometry at rest and during tasks in which relaxation is expected had face validity and could be interpreted as increased tone if critical measurement issues were considered/controlled. Conclusion:: This systematic review provides foundation to interpret literature that has assessed increased PFM tone and informs selection of measurement tools and design for future studies. |
| first_indexed | 2024-03-13T05:27:14Z |
| format | Article |
| id | doaj.art-406aa05f066d40a8b4580b8914d37983 |
| institution | Directory Open Access Journal |
| issn | 2772-9737 |
| language | English |
| last_indexed | 2024-03-13T05:27:14Z |
| publishDate | 2023-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Continence |
| spelling | doaj.art-406aa05f066d40a8b4580b8914d379832023-06-15T04:57:51ZengElsevierContinence2772-97372023-06-016100593Methods used to investigate tone of pelvic floor muscles in pelvic health conditions: A systematic reviewRachel Worman0Ryan E. Stafford1David Cowley2Paul W. Hodges3The University of Queensland, School of Health and Rehabilitation Sciences, Brisbane, Queensland 4072, AustraliaThe University of Queensland, School of Health and Rehabilitation Sciences, Brisbane, Queensland 4072, Australia; School of Human Sciences (Exercise Science), The University of Western Australia, 35 Stirling Highway, Perth, Western Australia 6009, AustraliaThe University of Queensland, School of Health and Rehabilitation Sciences, Brisbane, Queensland 4072, AustraliaThe University of Queensland, School of Health and Rehabilitation Sciences, Brisbane, Queensland 4072, Australia; Corresponding author.Aim:: This study aimed to systematically review which tools and outcome measures have been used to assess increased tone of PFM in pelvic health conditions. Methods:: Databases were searched for papers that studied increased PFM tone in any pelvic health condition. Studies of any design were eligible if they included primary data. Data were extracted regarding measurement types, outcome measures and reference to reliability or validity. Eight measurement types were identified (EMG, dynamometry, manometry, digital palpation, MRI, ultrasound, defecography, and other). Outcome measures were considered with respect to the property measured, the measure’s interpretation, repeatability, validity and measurement issues. Results:: Screening of 7910 papers from the search and review of reference lists identified 151 papers that used 103 outcomes measures from eight measurement tools. Most outcome measures indirectly assessed PFM tone without validation. Repeatability was often acceptable, but many measurements were compromised by application issues that preclude accurate interpretation. EMG, dynamometry and manometry at rest and during tasks in which relaxation is expected had face validity and could be interpreted as increased tone if critical measurement issues were considered/controlled. Conclusion:: This systematic review provides foundation to interpret literature that has assessed increased PFM tone and informs selection of measurement tools and design for future studies.http://www.sciencedirect.com/science/article/pii/S2772973723000218Pelvic floor muscleOveractivityToneMeasures |
| spellingShingle | Rachel Worman Ryan E. Stafford David Cowley Paul W. Hodges Methods used to investigate tone of pelvic floor muscles in pelvic health conditions: A systematic review Continence Pelvic floor muscle Overactivity Tone Measures |
| title | Methods used to investigate tone of pelvic floor muscles in pelvic health conditions: A systematic review |
| title_full | Methods used to investigate tone of pelvic floor muscles in pelvic health conditions: A systematic review |
| title_fullStr | Methods used to investigate tone of pelvic floor muscles in pelvic health conditions: A systematic review |
| title_full_unstemmed | Methods used to investigate tone of pelvic floor muscles in pelvic health conditions: A systematic review |
| title_short | Methods used to investigate tone of pelvic floor muscles in pelvic health conditions: A systematic review |
| title_sort | methods used to investigate tone of pelvic floor muscles in pelvic health conditions a systematic review |
| topic | Pelvic floor muscle Overactivity Tone Measures |
| url | http://www.sciencedirect.com/science/article/pii/S2772973723000218 |
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