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dc.contributor.authorCrotty, Kay
dc.contributor.authorBartram, Clive I.
dc.contributor.authorPitkin, Joan
dc.contributor.authorCairns, M.C.
dc.contributor.authorTaylor, Paul C.
dc.contributor.authorDorey, Grace
dc.contributor.authorChatoor, Dave
dc.identifier.citationCrotty , K , Bartram , C I , Pitkin , J , Cairns , M C , Taylor , P C , Dorey , G & Chatoor , D 2011 , ' Investigation of optimal cues to instruction for pelvic floor muscle contraction : A pilot study using 2D ultrasound imaging in pre-menopausal, nulliparous, continent women ' , Neurourology and Urodynamics , vol. 30 , no. 8 , pp. 1620-1626 .
dc.identifier.otherPURE: 461453
dc.identifier.otherPURE UUID: 5e7540cc-555b-4434-ad99-483a5b260d8c
dc.identifier.otherWOS: 000296425200045
dc.identifier.otherScopus: 80054820300
dc.descriptionThe definitive version can be found at: Copyright Wiley-Blackwell [Full text of this article is not available in the UHRA]
dc.description.abstractAims: Optimal urethrovesical positioning (UVP) may be important for continence. Pelvic floor muscle contraction (PFMC) influences UVP. PFMC instruction cues vary and often encourage anterior PFM recruitment that may result in sub-maximal posterior facilitation. Study hypothesis: posterior or combined cues are more influential in optimizing UVP during PFMC following a brief practice period than anterior cue. Methods: Seventeen pre-menopausal, nulliparous, continent women were taught selective PFMC using different cues: anterior; posterior; anterior and posterior combined. Perineal ultrasound images of three PFMC for each cue were captured in supine and standing twice, 5 min apart. For reliability two raters measured data using angle of urethral inclination (AUI). Data analysis was undertaken using a customized General Linear Model ANOVA testing for interactions between all variables; subject, cue, posture, and test. Post hoc Bonferroni correction was used with a significance level of 0.05. Results: The ANOVA showed significant differences between variables (P = 0.000). Post hoc analysis indicated significant differences between posterior and anterior cues 4.240 degrees (P = 0.003); combined and anterior 3.756 degrees (P = 0.009) but not between posterior and combined cues -0.484 degrees (P = 1.00). Mean difference in AUI between supine and standing was 9.496 degrees (P = 0.000); however, the interaction of cues and postures was not significant. Conclusions: AUI was significantly more acute/optimal when PFMC instruction included a posterior cue. This may be due to optimal recruitment of puborectalis and other posterior regional muscles which may be sub-maximally recruited with anterior cue. Investigation of the potential impact of these findings and possible usefulness of standardized instructions in PFM training is requireden
dc.relation.ispartofNeurourology and Urodynamics
dc.subjectangle of urethral inclination
dc.titleInvestigation of optimal cues to instruction for pelvic floor muscle contraction : A pilot study using 2D ultrasound imaging in pre-menopausal, nulliparous, continent womenen
dc.contributor.institutionDepartment of Allied Health Professions and Midwifery
dc.contributor.institutionHealth & Human Sciences Research Institute
dc.contributor.institutionSchool of Health and Social Work
dc.contributor.institutionAllied Health Professions
dc.description.statusPeer reviewed
dc.relation.schoolSchool of Health and Social Work
rioxxterms.typeJournal Article/Review

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