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Distensibility and strength of the pelvic floor muscles of women in the third trimester of pregnancy.

Petricelli CD, Resende AP, Elito Júnior J, Araujo Júnior E, Alexandre SM, Zanetti MR, Nakamura MU - Biomed Res Int (2014)

Bottom Line: It was observed that iparous women had both higher perineal muscle strength (2.53 ± 0.57 versus 2.06 ± 0.64; P = 0.005) and higher electrical activity (45.35 ± 12.24 μV versus 35.79 ± 11.66 μV; P = 0.003), while among the multiparous women, distensibility was higher (19.39 ± 1.92 versus 18.05 ± 2.14; P = 0.013).We observed that there was no correlation between perineal distensibility and electrical activity during maximal voluntary contraction (r = - 0.193; P = 0.140).The electrical activity and muscle strength of the pelvic floor muscles of the multiparous women were damaged, in relation to the iparous women, while the perineal distensibility was lower in the latter group.

View Article: PubMed Central - PubMed

Affiliation: Department of Obstetrics, Federal University of São Paulo (UNIFESP), Rua Carlos Weber, 956 Apartment, 113 Visage, 05303-000 Vila Leopoldina, SP, Brazil.

ABSTRACT

Objective: The objective of this study was to compare the role of the pelvic floor muscles between iparous and multiparous women in the third trimester of pregnancy, by analyzing the relationship between electrical activity (surface electromyography-EMG), vaginal palpation (modified Oxford scale), and perineal distensibility (Epi-no).

Methods: This was an observational cross-sectional study on a sample of 60 healthy pregnant women with no cervical dilation, single fetus, gestational age between 35 and 40 weeks, and maternal age ranging from 15 to 40 years. The methods used were bidigital palpation (modified Oxford scale, graded 0-5), surface EMG (electrical activity during maximal voluntary contraction), and perineal distensibility (Epi-no device). The Pearson correlation coefficient (r) was used to analyze the Epi-no values and the surface EMG findings. The Kruskal-Wallis test was used to compare the median values from surface EMG and Epi-no, using the modified Oxford scale scores.

Results: Among the 60 patients included in this study, 30 were iparous and 30 multiparous. The average maternal age and gestational age were 26.06 (± 5.58) and 36.56 (± 1.23), respectively. It was observed that iparous women had both higher perineal muscle strength (2.53 ± 0.57 versus 2.06 ± 0.64; P = 0.005) and higher electrical activity (45.35 ± 12.24 μV versus 35.79 ± 11.66 μV; P = 0.003), while among the multiparous women, distensibility was higher (19.39 ± 1.92 versus 18.05 ± 2.14; P = 0.013). We observed that there was no correlation between perineal distensibility and electrical activity during maximal voluntary contraction (r = - 0.193; P = 0.140). However, we found a positive relationship between vaginal palpation and surface electromyography (P = 0.008), but none between Epi-no values (P = 0.785).

Conclusion: The electrical activity and muscle strength of the pelvic floor muscles of the multiparous women were damaged, in relation to the iparous women, while the perineal distensibility was lower in the latter group. There was a positive relationship between surface EMG and the modified Oxford scale.

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Related in: MedlinePlus

EMGLab1 software: exemplifying the selection of the best of three maximum voluntary contractions during the electromyography evaluation.
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fig2: EMGLab1 software: exemplifying the selection of the best of three maximum voluntary contractions during the electromyography evaluation.

Mentions: For the EMG recordings, the patient performed three maximum voluntary contractions, followed by relaxation, with 10 seconds of resting between the contractions. The best of the three contractions was selected for the study [2] (Figure 2).


Distensibility and strength of the pelvic floor muscles of women in the third trimester of pregnancy.

Petricelli CD, Resende AP, Elito Júnior J, Araujo Júnior E, Alexandre SM, Zanetti MR, Nakamura MU - Biomed Res Int (2014)

EMGLab1 software: exemplifying the selection of the best of three maximum voluntary contractions during the electromyography evaluation.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4020537&req=5

fig2: EMGLab1 software: exemplifying the selection of the best of three maximum voluntary contractions during the electromyography evaluation.
Mentions: For the EMG recordings, the patient performed three maximum voluntary contractions, followed by relaxation, with 10 seconds of resting between the contractions. The best of the three contractions was selected for the study [2] (Figure 2).

Bottom Line: It was observed that iparous women had both higher perineal muscle strength (2.53 ± 0.57 versus 2.06 ± 0.64; P = 0.005) and higher electrical activity (45.35 ± 12.24 μV versus 35.79 ± 11.66 μV; P = 0.003), while among the multiparous women, distensibility was higher (19.39 ± 1.92 versus 18.05 ± 2.14; P = 0.013).We observed that there was no correlation between perineal distensibility and electrical activity during maximal voluntary contraction (r = - 0.193; P = 0.140).The electrical activity and muscle strength of the pelvic floor muscles of the multiparous women were damaged, in relation to the iparous women, while the perineal distensibility was lower in the latter group.

View Article: PubMed Central - PubMed

Affiliation: Department of Obstetrics, Federal University of São Paulo (UNIFESP), Rua Carlos Weber, 956 Apartment, 113 Visage, 05303-000 Vila Leopoldina, SP, Brazil.

ABSTRACT

Objective: The objective of this study was to compare the role of the pelvic floor muscles between iparous and multiparous women in the third trimester of pregnancy, by analyzing the relationship between electrical activity (surface electromyography-EMG), vaginal palpation (modified Oxford scale), and perineal distensibility (Epi-no).

Methods: This was an observational cross-sectional study on a sample of 60 healthy pregnant women with no cervical dilation, single fetus, gestational age between 35 and 40 weeks, and maternal age ranging from 15 to 40 years. The methods used were bidigital palpation (modified Oxford scale, graded 0-5), surface EMG (electrical activity during maximal voluntary contraction), and perineal distensibility (Epi-no device). The Pearson correlation coefficient (r) was used to analyze the Epi-no values and the surface EMG findings. The Kruskal-Wallis test was used to compare the median values from surface EMG and Epi-no, using the modified Oxford scale scores.

Results: Among the 60 patients included in this study, 30 were iparous and 30 multiparous. The average maternal age and gestational age were 26.06 (± 5.58) and 36.56 (± 1.23), respectively. It was observed that iparous women had both higher perineal muscle strength (2.53 ± 0.57 versus 2.06 ± 0.64; P = 0.005) and higher electrical activity (45.35 ± 12.24 μV versus 35.79 ± 11.66 μV; P = 0.003), while among the multiparous women, distensibility was higher (19.39 ± 1.92 versus 18.05 ± 2.14; P = 0.013). We observed that there was no correlation between perineal distensibility and electrical activity during maximal voluntary contraction (r = - 0.193; P = 0.140). However, we found a positive relationship between vaginal palpation and surface electromyography (P = 0.008), but none between Epi-no values (P = 0.785).

Conclusion: The electrical activity and muscle strength of the pelvic floor muscles of the multiparous women were damaged, in relation to the iparous women, while the perineal distensibility was lower in the latter group. There was a positive relationship between surface EMG and the modified Oxford scale.

Show MeSH
Related in: MedlinePlus