Rai Alisha, Sharma Nidhi, Jain Sanjeev Kumar, Lalwani Astha, Sharma Sonika
Departments of Anatomy, Teerthanker Mahaveer Medical College and Research Centre, Moradabad, Uttar Pradesh, India.
Department of Obs and Gynae, Teerthanker Mahaveer Medical College and Research Centre, Moradabad, Uttar Pradesh, India.
J Pharm Bioallied Sci. 2023 Jul;15(Suppl 2):S856-S861. doi: 10.4103/jpbs.jpbs_241_23. Epub 2023 Jul 11.
There had been various methods employed for the evaluation of pelvic floor muscle (PFM) strength. The aim of the study was to do a systemic review of these methods for a better understanding of these techniques and to find the best appropriate method. A systemic review of the literature was done using three databases that included: PubMed, Scopus and Web of Science using the keywords "pelvic floor anatomy" and "functional anatomy of pelvic floor muscles" from 1985 to 2022. All the studies involved were analyzed for the methodologies used by the researcher, advantages, disadvantages, and the conclusion of the study. A total of 1,876 studies were found, out of which only 64 met the criteria of inclusion. In these studies, seven methods were used for the determination of PFM strength. These methods included: clinical palpation, perineometer, electromyography, dynamometer, ultrasonography, magnetic resonance imaging, and vaginal cones. The PFM cannot be calculated accurately using any one measuring technique. There is therefore no "gold standard" approach to PFM assessment. However, combining these methods will result in the best outcomes. According to the literature review, the most often employed procedures were digital palpation, perineometry, and Ultrasonography (USG).
已经采用了各种方法来评估盆底肌肉（PFM）的力量。本研究的目的是对这些方法进行系统评价，以便更好地理解这些技术，并找到最合适的方法。使用三个数据库对文献进行了系统评价，这三个数据库包括：PubMed、Scopus和Web of Science，使用关键词“盆底解剖学”和“盆底肌肉的功能解剖学”，检索时间范围为1985年至2022年。对所有纳入研究分析了研究人员所使用的方法、优点、缺点以及研究结论。共检索到1876项研究，其中只有64项符合纳入标准。在这些研究中，使用了七种方法来测定PFM力量。这些方法包括：临床触诊、会阴压力计、肌电图、测力计、超声检查、磁共振成像和阴道圆锥。使用任何一种测量技术都无法准确计算PFM。因此，不存在评估PFM的“金标准”方法。然而，将这些方法结合起来将产生最佳结果。根据文献综述，最常采用的程序是指诊、会阴压力测定和超声检查（USG）。
