What is the most effective verbal instruction for correctly contracting the pelvic floor muscles?

Abstract:

AIMS:The purpose of the present study was to compare the effectiveness of four different verbal instructions in correctly contracting pelvic floor muscles (PFMs), examined as a displacement of the pelvic floor by transabdominal ultrasound. METHODS:Fifty-six female undergraduate physiotherapy students, mean age 24.2 ± 2.5 years, participated in the study. A 6 MHz 35-mm curved linear array ultrasound transducer (Mindray M5) was placed in the transverse plane, suprapubically over the lower abdomen and angled at 15-30° from the vertical depending. The participants were randomly divided into two groups: posterior and anterior. Each group received four different verbal instructions as to how to correctly contract the PFMs. Only one verbal instruction differed between the groups: "squeeze the anus" (posterior group) compared with "stop the flow of urine" (anterior group). RESULTS:In the posterior group, 27 participants (90%) performed a correct contraction compared with 17 participants (65%) in the anterior group, thus demonstrating a statistically significant difference in favor of the "anus" instruction (P = 0.025). Forty-seven participants (84%) exhibited a downward movement during the verbal instruction combining transversus abdominis contractions with breathing, that is, "take a moderate breath in, let the breath out then draw in and lift your pelvic floor." CONCLUSIONS:Our findings suggest that the most effective verbal instruction for correctly contracting the PFMs among 56 physiotherapy students was the posterior instruction of "squeezing the anus." The majority (90%) of participants succeeded in correctly contracting the PFMs.

journal_name

Neurourol Urodyn

authors

Ben Ami N,Dar G

doi

10.1002/nau.23810

subject

Has Abstract

pub_date

2018-11-01 00:00:00

pages

2904-2910

issue

8

eissn

0733-2467

issn

1520-6777

journal_volume

37

pub_type

杂志文章
  • Comparative study of pressure-flow parameters.

    abstract::Methods for quantification of bladder outlet obstruction (BOO) are still controversial. Parameters such as detrusor opening pressure (p(det.open)), maximum detrusor pressure (p(det.max)), minimum voiding pressure (p(det.min.void)), and detrusor pressure at maximum flow rate (P(det.Qmax)) separate obstructed from nonob...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章

    doi:10.1002/nau.10018

    authors: Eri LM,Wessel N,Tysland O,Berge V

    更新日期:2002-01-01 00:00:00

  • The penilo-cavernosus reflex: comparison of different stimulation techniques.

    abstract:AIMS:Although several stimulation techniques are available to elicit sacral reflexes, no comparative data on their utility has been published. The aim of the present study was to determine the most sensitive stimulation technique used for neurophysiologic recording of the penilo-cavernosus reflex. METHODS:Neurophysiol...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章

    doi:10.1002/nau.20474

    authors: Podnar S

    更新日期:2008-01-01 00:00:00

  • Bed-wetting in Chinese children: epidemiology and predictive factors.

    abstract:AIMS:To estimate the prevalence and severity of bed-wetting in 1-18-year-old Chinese children. MATERIALS AND METHODS:A cross-sectional study of bed-wetting was performed by using 13,515 self-administered questionnaires distributed to the parents of 1-18-year-old Chinese children in Henan province. The prevalence of be...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章

    doi:10.1002/nau.20373

    authors: Wang QW,Wen JG,Song DK,Su J,Zhu QH,Liu K,Che YY,Du AM,Wei JX

    更新日期:2007-01-01 00:00:00

  • The role of transient receptor potential ankyrin 1 (TRPA1) channel in activation of single unit mechanosensitive bladder afferent activities in the rat.

    abstract:AIMS:We investigated the role of transient receptor potential ankyrin 1 (TRPA1) channel on the single unit mechanosensitive afferent activities (SAAs) primarily originating from the bladder in the rat. METHODS:Female Sprague-Dawley rats were used. Cystometry with continuous saline instillation was performed after intr...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章

    doi:10.1002/nau.22449

    authors: Minagawa T,Aizawa N,Igawa Y,Wyndaele JJ

    更新日期:2014-06-01 00:00:00

  • Dutasteride add-on therapy reduces detrusor mass in patients with benign prostatic enlargement not satisfied with alpha-adrenergic antagonist monotherapy: A single center prospective study.

    abstract:AIMS:The ultrasound assessment of bladder wall thickness (BWT) and intravesical prostatic protrusion (IPP) have emerged as a non-invasive, inexpensive, time-saving alternatives to pressure-flow studies to assess benign prostatic obstruction (BPO). Aim of our study was to evaluate the effect on detrusor mass of dutaster...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章

    doi:10.1002/nau.23247

    authors: De Nunzio C,Brassetti A,Proietti F,Gacci M,Serni S,Esperto F,Tubaro A

    更新日期:2017-11-01 00:00:00

  • Ex vivo pharmacology of surgical samples of the uterosacral ligament. Part I: Effects of carbachol and oxytocin on smooth muscle.

    abstract:AIMS:In a previous study we observed impaired smooth muscle in the uterosacral ligament (USL) of patients with pelvic organ prolapse. The aims of the study were to describe the method of the novel microperfusion system and to determine normal function and pharmacology of smooth muscle in the USL. METHODS:Samples from ...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章

    doi:10.1002/nau.22245

    authors: Drews U,Renz M,Busch C,Reisenauer C

    更新日期:2012-11-01 00:00:00

  • Are patient symptoms predictive of the diagnostic and/or therapeutic value of hydrodistention?

    abstract:INTRODUCTION:Hydrodistention (HD) has been utilized as a diagnostic and therapeutic tool in patients with refractory and diverse pelvic floor symptoms, including bladder pain with or without irritative bladder symptoms such as urinary urgency and urinary frequency. We sought to determine whether we could better define ...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章

    doi:10.1002/nau.20200

    authors: Cole EE,Scarpero HM,Dmochowski RR

    更新日期:2005-01-01 00:00:00

  • Validity of a non-invasive determination of the isovolumetric bladder pressure during voiding in men with LUTS.

    abstract::Invasive pressure flow analysis is the gold standard for discriminating between hypocontractile bladder muscle function and infravesical obstruction in male patients with lower urinary tract symptoms. Here a non-invasive method to determine the isovolumetric bladder pressure to judge contractility is presented. This i...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章

    doi:10.1002/(sici)1520-6777(1999)18:5<477::aid-nau10>3

    authors: Gommer ED,Vanspauwen TJ,Miklosi M,Wen JG,Kinder MV,Janknegt RA,van Waalwijk van Doorn ES

    更新日期:1999-01-01 00:00:00

  • Clinical and neurophysiologic testing of the penilo-cavernosus reflex.

    abstract:AIMS:Both clinical and neurophysiologic testing of the penilo-cavernosus reflex is used in clinical practice. The aim of the present study was to determine the as yet unestablished potential contribution of sacral reflex testing to the diagnostic evaluation of patients with suspected neuropathic sacral lesions. METHOD...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章

    doi:10.1002/nau.20520

    authors: Podnar S

    更新日期:2008-01-01 00:00:00

  • Comparison of urologic and non-urologic presentation in interstitial cystitis/bladder pain syndrome patients with and without Hunner lesions.

    abstract:AIMS:To compare severity and characteristics of urologic pain, other urinary symptoms, sexual pain, psychosocial health, and the distribution and intensity of non-urologic pain between men and women with and without Hunner lesions. METHODS:All cystoscopies were performed and documented by the same clinician to ensure ...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章

    doi:10.1002/nau.23812

    authors: Van Moh F,Vetter J,Lai HH

    更新日期:2018-11-01 00:00:00

  • Clinical efficacy and safety of mirabegron and imidafenacin in women with overactive bladder: A randomized crossover study (the MICRO study).

    abstract:AIMS:We aimed to compare the efficacy and safety of mirabegron, a β3-adrenoceptor agonist, and imidafenacin, an anticholinergic agent, in overactive bladder patients. METHODS:We conducted a multicenter, prospective randomized cross-over study at 5 hospitals in Japan from December 2012 to June 2015. We enrolled female ...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1002/nau.23050

    authors: Torimoto K,Matsushita C,Yamada A,Goto D,Matsumoto Y,Hosokawa Y,Miyake M,Aoki K,Hirayama A,Tanaka N,Fujimoto K

    更新日期:2017-04-01 00:00:00

  • Acute length adaptation and adjustable preload in the human detrusor.

    abstract:AIMS:The biomechanical properties of length adaptation and adjustable preload have been previously identified in detrusor smooth muscle in animal models. This in vitro study aims to show that human detrusor smooth muscle exhibits length adaptation and adjustable preload tension which could play an important role in bot...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章

    doi:10.1002/nau.22820

    authors: Colhoun AF,Speich JE,Dolat MT,Habibi JR,Guruli G,Ratz PH,Barbee RW,Klausner AP

    更新日期:2016-09-01 00:00:00

  • Relationship between urinary profile of the endogenous steroids and postmenopausal women with stress urinary incontinence.

    abstract:AIMS:The aims of this study were to investigate whether endogenous steroid hormones are (1) related to pathogenesis of stress urinary incontinence after menopause, (2) are related to severity of stress urinary incontinence, and (3) are related to prognostic parameters of stress urinary incontinence. METHODS:Twenty pos...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章

    doi:10.1002/nau.10063

    authors: Bai SW,Jung BH,Chung BC,Kim SU,Kim JY,Rha KH,Cho JS,Park YW,Park KH

    更新日期:2003-01-01 00:00:00

  • Incontinence and psychological symptoms in Phelan-McDermid syndrome.

    abstract:AIMS:Phelan-McDermid syndrome (PMD) is a congenital syndrome caused by a deletion on chromosome 22q13.3. About 600 cases have been identified worldwide. PMD is characterized by neonatal hypotonia, moderate/severe intellectual impairment, impaired expressive language, and typical dysmorphic features. Psychological sympt...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章

    doi:10.1002/nau.24197

    authors: Hussong J,Wagner C,Curfs L,von Gontard A

    更新日期:2020-01-01 00:00:00

  • Improvement of severe baseline lower urinary tract symptoms following robotic-assisted laparoscopic prostatectomy.

    abstract:AIMS:This study was designed to assess lower urinary tract symptoms (LUTS) following robotic-assisted laparoscopic prostatectomy. METHODS:In a single surgeon series, 938 patients underwent robotic prostatectomy and completed International Prostate Symptom Score surveys at baseline and 6-month follow-up. Patients preop...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章

    doi:10.1002/nau.23118

    authors: Jazayeri SB,Sebrow D,Lavery H,Hobbs A,Levinson A,Samadi DB

    更新日期:2017-06-01 00:00:00

  • Opening detrusor pressure and the influence of age on success following colposuspension.

    abstract:OBJECTIVE:Women with urodynamic stress incontinence (USI) have lower opening and closing detrusor pressures than women without USI. This study was undertaken to determine whether a change occurs in opening and closing detrusor pressures after colposuspension, whether cure is associated with change, and whether age infl...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章

    doi:10.1002/nau.10165

    authors: Dolan LM,Smith AR,Hosker GL

    更新日期:2004-01-01 00:00:00

  • Do we understand how botulinum toxin works and have we optimized the way it is administered to the bladder? ICI-RS 2014.

    abstract:AIMS:The use of botulinum toxin A (BoNT/A) is commonplace now in the management of refractory overactive bladder and neurogenic detrusor overactivity (NDO). Despite one formulation now having a license, the full mechanism of action is not fully understood. Furthermore practice varies worldwide in the way the toxin is d...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章,评审

    doi:10.1002/nau.22797

    authors: Apostolidis A,Rahnama'i MS,Fry C,Dmochowski R,Sahai A

    更新日期:2016-02-01 00:00:00

  • Diabetes mellitus and female lower urinary tract symptoms: a review.

    abstract::Diabetes mellitus (DM) has reached epidemic proportions world wide. Many chronic complications of DM, including neuropathy, retinopathy and nephropathy, have been well studied and although urologic complications have been recognized since 1935, little is known about DM as a pathophysiological risk factor for developme...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章,评审

    doi:10.1002/nau.20533

    authors: Hill SR,Fayyad AM,Jones GR

    更新日期:2008-01-01 00:00:00

  • Long term safety of sacral nerve modulation in medicare beneficiaries.

    abstract:AIMS:Sacral nerve stimulation (SNS) is FDA approved as second-line therapy for both urinary and bowel control. However, there is limited evidence regarding long term safety. We determined adverse events associated with SNS among Medicare beneficiaries. METHODS:We used the 5% national random sample of Medicare claims f...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章

    doi:10.1002/nau.22618

    authors: Chughtai B,Sedrakyan A,Isaacs A,Lee R,Te A,Kaplan S

    更新日期:2015-09-01 00:00:00

  • The effects of a strong desire to void on gait for incontinent and continent older community-dwelling women at risk of falls.

    abstract:AIMS:The fall rate in urgency urinary incontinence (UUI) and mixed UI (MUI) older women is higher when compared with that of continent women. One hypothesis is that a strong desire to void (SDV) could alter gait parameters and therefore increase the risk of falls. The aim of this study was to investigate and compare th...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章

    doi:10.1002/nau.24234

    authors: Paquin MH,Duclos C,Lapierre N,Dubreucq L,Morin M,Meunier J,Rousseau J,Dumoulin C

    更新日期:2020-02-01 00:00:00

  • Effect of partial urethral obstruction on force development of the guinea pig bladder.

    abstract::We created gradual partial urethral obstruction in 20 guinea pigs using silver jeweler's jump rings. After 4 or 8 weeks obstruction all animals underwent cystometry and were assigned to one of five urodynamic categories: normal, high pressure voiding, unstable, low compliance, or decompensated. After sacrifice, the co...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章

    doi:10.1002/nau.1930120607

    authors: van Koeveringe GA,Mostwin JL,van Mastrigt R,van Koeveringe BJ

    更新日期:1993-01-01 00:00:00

  • Avoid cruising on the uroflowmeter: evaluation of cruising artifact on spinning disc flowmeters in an experimental setup.

    abstract:AIMS:The aim of our study was to access the variability of maximum flow rate (Q(max)), average flow rate (Q(av)) and flow pattern while varying the point of impact of flow on the flowmeter. METHODS:Water was delivered through a motorised tube holder in a standardised experimental set up. Flow was directed in 4 differe...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章

    doi:10.1002/nau.20846

    authors: Addla SK,Marri RR,Daayana SL,Irwin P

    更新日期:2010-09-01 00:00:00

  • Mixed incontinence: comparing definitions in non-surgical patients.

    abstract:PURPOSE:We aimed to explore operational definitions of mixed urinary incontinence (MUI) for use in incontinence outcomes research for non-surgical patient populations. METHODS:A secondary analysis of women with urge incontinence or urge predominant MUI enrolled in the Urinary Incontinence Treatment Network BE-DRI rand...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章

    doi:10.1002/nau.20922

    authors: Brubaker L,Lukacz ES,Burgio K,Zimmern P,Norton P,Leng W,Johnson H,Kraus S,Stoddard A

    更新日期:2011-01-01 00:00:00

  • International Continence Society "Benign Prostatic Hyperplasia" Study: background, aims, and methodology.

    abstract::The International Continence Society Benign Prostatic Hyperplasia Study (ICS-BPH) was devised in response to the perceived underutilization of urodynamics in the diagnosis of benign prostatic obstruction (BPO), together with the apparent reliance on symptoms alone when selecting patients for invasive therapies, despit...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章

    doi:

    authors: Abrams P,Donovan JL,de la Rosette JJ,Schäfer W

    更新日期:1997-01-01 00:00:00

  • A novel, nonopiod-based treatment approach to men with urologic chronic pelvic pain syndrome using ultrasound-guided nerve hydrodissection and pelvic floor musculature trigger point injections.

    abstract:INTRODUCTION:Urological chronic pelvic pain syndrome (UCPPS) represents a group of pain symptoms relating to patients with pelvic pain for which treatment is largely unsatisfactory. The objective of this study is to analyze the effects of a novel treatment strategy in males suffering from UCPPS. METHODS:This retrospec...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章

    doi:10.1002/nau.24242

    authors: Hui J,Seko K,Shrikhande G,Ahmed T,Hill C,Reutter C,Shrikhande A

    更新日期:2020-02-01 00:00:00

  • Nocturia and overnight polysomnography in Parkinson disease.

    abstract:AIM:Characterize clinical factors related to nocturia and sleep disruption in Parkinson disease (PD) using polysomnography (PSG). METHODS:Sixty-three PD patients were recruited regardless of sleep or voiding complaints from a university-based movement disorders clinic for a 48 hr inpatient PSG protocol. Nocturia frequ...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章

    doi:10.1002/nau.22365

    authors: Vaughan CP,Juncos JL,Trotti LM,Johnson TM 2nd,Bliwise DL

    更新日期:2013-11-01 00:00:00

  • Does magnetic stimulation of sacral nerve roots cause contraction or suppression of the bladder?

    abstract:AIMS:The aim of this study was to resolve the paradox as to whether magnetic stimulation of sacral nerve roots results in contraction or suppression of the bladder, in both normal individuals and patients with spinal cord injury (SCI). MATERIALS AND METHODS:Seven males with complete SCI and neurogenic detrusor overact...

    journal_title:Neurourology and urodynamics

    pub_type: 临床试验,杂志文章

    doi:10.1002/nau.20009

    authors: Bycroft JA,Craggs MD,Sheriff M,Knight S,Shah PJ

    更新日期:2004-01-01 00:00:00

  • Treatment validation of the Solomon-Greenwell nomogram for female bladder outlet obstruction.

    abstract:AIM:Bladder outflow in women (bladder outlet obstruction [BOO]) has no well-accepted defining diagnostic criteria. Various nomograms exist based on flow rates, pressure-flow data, and fluoroscopy. We have prospectively evaluated the Solomon-Greenwell bladder outflow obstruction nomogram (SG BOO nomogram) as a measureme...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章

    doi:10.1002/nau.24347

    authors: Lindsay J,Solomon E,Nadeem M,Pakzad M,Hamid R,Ockrim J,Greenwell T

    更新日期:2020-06-01 00:00:00

  • Characterization of voiding function and structural bladder changes in a rat model of neurogenic underactive bladder disease.

    abstract:OBJECTIVES:To create an animal model for neurogenic underactive bladder disease (UAB) and identify markers to describe secondary myogenic changes in the bladder wall. MATERIALS AND METHODS:Male rats underwent either bilateral pelvic nerve injury or sham surgery. Four weeks after surgery functional evaluation was perfo...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章

    doi:10.1002/nau.23517

    authors: Weyne E,Dewulf K,Deruyer Y,Rietjens R,Everaerts W,Bivalacqua TJ,De Ridder D,Van der Aa F,Albersen M

    更新日期:2018-06-01 00:00:00

  • Long-term outcome and symptom improvement in patients with interstitial cystitis/bladder pain syndrome with or without regular follow-up and treatment.

    abstract:AIMS:Interstitial cystitis/bladder pain syndrome (IC/BPS) is a chronic disease, which is difficult to treat. Patients usually seek for new therapies and might not follow-up regularly. This study investigated long-term symptom changes in patients with IC/BPS, especially in those who were lost to follow-up. METHODS:We e...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章

    doi:10.1002/nau.24104

    authors: Yeh HL,Jhang JF,Kuo YC,Kuo HC

    更新日期:2019-09-01 00:00:00