The Effect Of Pelvic Muscle Exercise On Pelvic Muscles In Women With And Without Pelvic Muscle Dysfunction

2.50
Hdl Handle:
http://hdl.handle.net/10755/166109
Category:
Abstract
Type:
Presentation
Title:
The Effect Of Pelvic Muscle Exercise On Pelvic Muscles In Women With And Without Pelvic Muscle Dysfunction
Author(s):
Boyington, Alice
Author Details:
Alice Boyington, RN, PhD, Moffitt Cancer Center, Tampa, FL, email: DeeDee.Boyington@moffitt.org
Abstract:
Many aging women are at risk for health problems related to pelvic muscle (PM) dysfunction. The PM are a skeletal muscle group that is important to maintenance of urinary and fecal continence mechanisms and urogenital support. One clinical sign of PM dysfunction is stress urinary incontinence (5th). This secondary analysis of pelvic muscle (PM) voluntary contractions obtained from I 04 women was conducted to determine the differences in PM pressures in women with and without PM dysfunction before and following 12 weeks of pelvic muscle exercise (PME). This retrospective research also investigated the extent to which PM pressure and health related characteristics can help discriminate women with and without a clinical sign of PM dysfunction. Within a framework of skeletal muscle fitness, outcome measures indicative of strength, endurance, and contractibility were defined and compared for 52 women with a clinical sign of PM dysfunction (mean age 51.54 years) and 52 women without a clinical sign of PM dysfunction (mean age 52.56 years). PM voluntary contraction pressures used for secondary analysis were obtained in the original studies using the intravaginal balloon device (IVBD) and saved as pressure-time waveform data in computer files. Using interactive graphic and analysis features of Viewdac(, PM contraction characteristics not previously studied were retrieved from the pressure-time waveforms and analyzed. The use of multivariate analysis of covariance revealed no significant difference in the baseline (e = 0.0875) and post-PME (P = 0.6312) strength, endurance, and contractibility of women with and without clinical signs of PM dysfunction. The two groups did differ significantly on change scores (P = 0.0462) following the PME with the hold strength pressure (HSP) (E = 0.0058) contributing to this finding. A greater improvement in strength for women without a clinical sign of dysfunction was demonstrated. Logistic regression analysis determined that there was a probability of 91% that those women with a history of gynecological surgery belonged to the group of women with a clinical sign of PM dysfunction. This study suggested that assessment of the PM and PME programs may be beneficial for aging women. Pelvic muscle exercise improves PM voluntary contraction characteristics in women with and without a clinical sign of dysfunction. Lastly, there is a need for further investigation of pelvic muscles following gynecological surgery.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Host:
Southern Nursing Research Society
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleThe Effect Of Pelvic Muscle Exercise On Pelvic Muscles In Women With And Without Pelvic Muscle Dysfunctionen_GB
dc.contributor.authorBoyington, Aliceen_US
dc.author.detailsAlice Boyington, RN, PhD, Moffitt Cancer Center, Tampa, FL, email: DeeDee.Boyington@moffitt.orgen_US
dc.identifier.urihttp://hdl.handle.net/10755/166109-
dc.description.abstractMany aging women are at risk for health problems related to pelvic muscle (PM) dysfunction. The PM are a skeletal muscle group that is important to maintenance of urinary and fecal continence mechanisms and urogenital support. One clinical sign of PM dysfunction is stress urinary incontinence (5th). This secondary analysis of pelvic muscle (PM) voluntary contractions obtained from I 04 women was conducted to determine the differences in PM pressures in women with and without PM dysfunction before and following 12 weeks of pelvic muscle exercise (PME). This retrospective research also investigated the extent to which PM pressure and health related characteristics can help discriminate women with and without a clinical sign of PM dysfunction. Within a framework of skeletal muscle fitness, outcome measures indicative of strength, endurance, and contractibility were defined and compared for 52 women with a clinical sign of PM dysfunction (mean age 51.54 years) and 52 women without a clinical sign of PM dysfunction (mean age 52.56 years). PM voluntary contraction pressures used for secondary analysis were obtained in the original studies using the intravaginal balloon device (IVBD) and saved as pressure-time waveform data in computer files. Using interactive graphic and analysis features of Viewdac(, PM contraction characteristics not previously studied were retrieved from the pressure-time waveforms and analyzed. The use of multivariate analysis of covariance revealed no significant difference in the baseline (e = 0.0875) and post-PME (P = 0.6312) strength, endurance, and contractibility of women with and without clinical signs of PM dysfunction. The two groups did differ significantly on change scores (P = 0.0462) following the PME with the hold strength pressure (HSP) (E = 0.0058) contributing to this finding. A greater improvement in strength for women without a clinical sign of dysfunction was demonstrated. Logistic regression analysis determined that there was a probability of 91% that those women with a history of gynecological surgery belonged to the group of women with a clinical sign of PM dysfunction. This study suggested that assessment of the PM and PME programs may be beneficial for aging women. Pelvic muscle exercise improves PM voluntary contraction characteristics in women with and without a clinical sign of dysfunction. Lastly, there is a need for further investigation of pelvic muscles following gynecological surgery.en_GB
dc.date.available2011-10-27T14:40:22Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T14:40:22Z-
dc.conference.hostSouthern Nursing Research Societyen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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