Validating a clinical measure of levator hiatus size.

Abstract:

OBJECTIVE:We evaluate the interrater reliability of levator hiatus (LH) size and correlate size to other measures of muscle function. STUDY DESIGN:Participants were examined independently by 2 examiners. During maximal contraction of the levator ani, the muscle was assessed by using Brink's scale. The LH was measured in the transverse and sagittal dimensions by digital palpation. The paired t test was used to compare continuous variables and Spearman's coefficient was used for correlations. RESULTS:The mean LH transverse was 4.5 cm and the mean LH sagittal was 3 cm. The inter-rater correlation for the LH transverse measurement was 0.6 (P < .01) and 0.8 (P < .01) for the LH sagittal measurement. The correlations between the LH size and Brink's scale were moderate (correlation coefficient -0.4 to -0.5, P < .01). Eighty-three percent of measurements were within 1 cm. CONCLUSION:This technique for clinical measurement of levator hiatus size shows good interrater reliability.

journal_name

Am J Obstet Gynecol

authors

Boyles SH,Edwards SR,Gregory WT,Denman MA,Clark AL

doi

10.1016/j.ajog.2006.08.028

subject

Has Abstract

pub_date

2007-02-01 00:00:00

pages

174.e1-4

issue

2

eissn

0002-9378

issn

1097-6868

pii

S0002-9378(06)01166-5

journal_volume

196

pub_type

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