An automated intravaginal dynamometer: Reliability metrics and the impact of testing protocol on active and passive forces measured from the pelvic floor muscles

作者：Berube Marie Eve; Czyrnyj Catriona S; McLean Linda^*

来源：Neurourology and Urodynamics, 2018, 37(6): 1875-1888.

DOI：10.1002/nau.23575

• biomechanics
• dynamometer
• muscle strength (MESH unique ID=D053581)
• maximal voluntary contraction
• pelvic floor (MESH unique ID=D017773)

Aims(1) To determine the reliability of an automated dynamometer designed to assess pelvic floor muscle (PFM) strength and resistance to passive elongation. (2) To evaluate the impact of PFM length and rate of tissue elongation on dynamometric outcomes.
MethodsAt each of two sessions, twenty nulliparous women performed three maximum voluntary contractions (MVC) of their PFMs with the dynamometer set to two different anteroposterior (AP) diameters (25mm, 35mm). Next, with PFMs relaxed, the arms of the dynamometer opened three times to 40mm at two speeds (25mm/s, 50mm/s). Outcomes included baseline force, peak force, relative peak force, rate of force development (RFD), stiffness and stress relaxation. Repeated-measures ANOVAs were used to test trial, day, and task effects (=0.05), and intra-class correlation coefficients (ICCs) were computed.
ResultsForces measured on MVC were higher with the larger AP diameter, and passive resistance was higher for the faster rate of tissue elongation. The between-trial reliability of all outcomes was excellent (0.82ConclusionsThe reliability of the dynamometer is adequate for both clinical and research applications. Relative forces were more reliable than absolute forces. Dimensions and rate of tissue elongation should be controlled and reported with all pelvic floor muscle assessments as these parameters impact outcomes.

• 出版日期2018-8