Do women have an accurate perception of their pelvic floor muscle contraction? A cross-sectional study

Autor(es)

Uechi, Natalia ^[1] ; Fernandes, Ana C. N. L. ^[1] ; Bo, Kari ^{[2, 3, 4]} ; de Freitas, Leticia M. ^[1] ; de la Ossa, Aura M. P. ^[1] ; Bueno, Sabrina M. ^[1] ; Ferreira, Cristine H. J. ^[1]

Afiliação do(s) autor(es)

^[1] Univ Sao Paulo, Ribeirao Preto Med Sch, Dept Hlth Sci, Ave Bandeirantes 3900, BR-14049900 Ribeirao Preto, SP - Brazil

^[2] Norwegian Sch Sport Sci, Dept Sports Med, Lorenskog - Norway

^[3] Norwegian Sch Sport Sci, Dept Obstet & Gynecol, Lorenskog - Norway

^[4] Akershus Univ Hosp, Lorenskog - Norway

• Tipo de documento: Artigo Científico
• Fonte: NEUROUROLOGY AND URODYNAMICS; v. 39, n. 1 NOV 2019.
• Citações Web of Science: 0

Resumo

Aims To assess women's self-perception of their pelvic floor muscle (PFM) contraction and its agreement with an assessed PFM contraction. Further, to assess a possible correlation between women's self-perception and reports of urinary incontinence (UI) and between PFM contraction and severity of UI. Methods A cross-sectional observational study including 82 women. The study was conducted in a basic healthcare unit in Brazil. PFM contraction was assessed by a physiotherapist and estimated by women using the Modified Oxford Scale (MOS). UI symptoms were assessed using a validated questionnaire (ICIQ-UI-SF). A descriptive analysis of the data was performed. The weighted kappa coefficient, Spearman's correlation coefficient, and Fisher's exact test were used to analyze data. Results Eighty-two women with a mean age of 46.83 (+/- 17.94) were analyzed. The majority (98.8%) believed they were able to voluntarily contract their PFM, but only 33% correctly estimated their PFM considering the examiner assessment as reference. No agreement (kappa = 0.139, P = .087) was found between the examiner's classification and the women's estimation of their PFM contraction. Women's self-perception did not correlate with the ICIQ-IU-SF (r's = .011, P = .922). A moderate negative correlation was found between the assessed PFM contraction and the ICIQ-UI-SF score (r's = -.406, P = .00). Conclusion Most of the women did not show an accurate self-perception of PFM contraction. No correlation between women's self-perception and the ICIQ-UI-SF score was found, but a negative correlation was found between the assessed PFM contraction and the ICIQ-UI-SF score. (AU)

• Processo FAPESP: 17/16262-5 - Colaboração científica em projetos de pesquisa e artigos relacionados a pesquisa voltada a reabilitação do assoalho pélvico feminino
• Beneficiário: Cristine Homsi Jorge
• Modalidade de apoio: Auxílio à Pesquisa - Pesquisador Visitante - Internacional