Assessing muscle function of the male pelvic floor using real-time ultrasound...Reprinted from Neurourology and Urodynamics by kind permission of the publishers, Wiley-Liss, Inc.
Following surgical removal of the prostate, there may be compromise to the function of the pelvic floor muscles (PFMs) causing continence problems. Assessing the PFMs of male patients can be an invasive process that causes discomfort, making it worthwhile to evaluate alternatives to the conventional...
| Publicado en: | Journal of the Association of Chartered Physiotherapists in Women's Health no. 110; pp. 17 - 24 |
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| Autores principales: | , , , |
| Formato: | diagnostic images research tables/charts Journal Article |
| Publicado: |
Pelvic Obstetric & Gynaecological Physiotherapy (POGP)
2012 Spring
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=108150294&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 108150294 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 13677845 23J2 jtl: Journal of the Association of Chartered Physiotherapists in Women's Health issn: 13677845 maglogo: N pubinfo: dt: 2012 Spring iid: 110 pid: 29387 pub: Pelvic Obstetric & Gynaecological Physiotherapy (POGP) artinfo: ui: 108150294 108150294 2011674546 108150294 ppf: 17 ppct: 7 formats: tig: atl: Assessing muscle function of the male pelvic floor using real-time ultrasound...Reprinted from Neurourology and Urodynamics by kind permission of the publishers, Wiley-Liss, Inc. aug: au: Nahon, I Waddington, G Adams, R Dorey, G sug: subj: Abdomen Ultrasonography Clinical Assessment Tools Diagnosis, Musculoskeletal Methods Equipment Reliability Instrument Validation Men's Health Muscle Strength Evaluation Pelvic Floor Muscles Physiology Aged Aged, 80 and Over Australia Cicatrix Confidence Intervals Descriptive Statistics Evaluation Research Human Interrater Reliability Intraclass Correlation Coefficient Intrarater Reliability Male Middle Age Noninvasive Procedures Physical Therapists Prostatic Neoplasms Therapy Reliability and Validity Scales Single-Blind Studies T-Tests Urinary Incontinence Validation Studies Aged: 65+ years Aged, 80 & over Middle Aged: 45-64 years Male ab: Following surgical removal of the prostate, there may be compromise to the function of the pelvic floor muscles (PFMs) causing continence problems. Assessing the PFMs of male patients can be an invasive process that causes discomfort, making it worthwhile to evaluate alternatives to the conventional method of digital rectal examination (DRE). Real-time ultrasound (RTUS) has been used with female patients as an alternative to internal assessments. This paper examines the reliability and validity of assessing the male pelvic floor using abdominal RTUS. Twenty-eight men (mean age= 66.2 years) with a history of treatment for prostate cancer were recruited to the study. They were assessed via DRE and RTUS. Findings from the procedures were correlated for evaluation of validity, and the RTUS readings were repeated by different therapists to assess reliability. Measurements on screen correlated moderately with DRE findings (r=0.57, P=0.002), and RTUS was found to have good reliability (intra-class correlation coefficient= 0.90). Continent men had more movement of the bladder wall on RTUS than those who were incontinent (P=0.043). Scar tissue and an inability to maintain a moderately full bladder were found to cause the most difficulty in getting a complete picture of pelvic floor movement. Real-time ultrasound can be used clinically to examine male pelvic floor function, and its use would be enhanced once it has been established by DRE that a true pelvic floor contraction is occurring. Real-time ultrasound can give an indication of pelvic floor function as an alternative measurement method when DRE is contraindicated. pubtype: Academic Journal doctype: diagnostic images research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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