Correlation between maximum voluntary contraction and endurance measured by digital palpation and manometry: An observational study

Correlação entre contração voluntária máxima e endurance avaliados por palpação digital e manometria: um estudo observacional

Fátima Faní Fitz Liliana Stüpp Thaís Fonseca Costa Marair Gracio Ferreira Sartori Manoel João Batista Castello Girão Rodrigo Aquino Castro About the authors

Summary

Introduction:

Digital palpation and manometry are methods that can provide information regarding maximum voluntary contraction (MVC) and endurance of the pelvic floor muscles (PFM), and a strong correlation between these variables can be expected.

Objective:

To investigate the correlation between MVC and endurance, measured by digital palpation and manometry.

Method:

Forty-two women, with mean age of 58.1 years (±10.2), and predominant symptoms of stress urinary incontinence (SUI), were included. Examination was firstly conducted by digital palpation and subsequently using a Peritron manometer. MVC was measured using a 0-5 score, based on the Oxford Grading Scale. Endurance was assessed based on the PERFECT scheme.

Results:

We found a significant positive correlation between the MVC measured by digital palpation and the peak manometric pressure (r=0.579, p<0.001), and between the measurements of the endurance by Peritron manometer and the PERFECT assessment scheme (r=0.559, P<0.001).

Conclusion:

Our results revealed a positive and significant correlation between the capacity and maintenance of PFM contraction using digital and manometer evaluations in women with predominant symptoms of SUI.

Keywords:
pelvic floor; stress urinary incontinence; palpation/methods; vaginal squeeze pressure; manometry

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