Department of Physical Therapy for Women's Health, Faculty of Physiotherapy, Deraya University, EL-Minia, Egypt.
Department of Computer Science, Faculty of Science, Minia University, EL-Minia, Egypt.
Sci Rep. 2023 Oct 20;13(1):17940. doi: 10.1038/s41598-023-44964-0.
Urinary incontinence (UI) is defined as any uncontrolled urine leakage. Pelvic floor muscles (PFM) appear to be a crucial aspect of trunk and lumbo-pelvic stability, and UI is one indication of pelvic floor dysfunction. The evaluation of pelvic tilt and lumbar angle is critical in assessing the alignment and posture of the spine in the lower back region and pelvis, and both of these variables are directly related to female dysfunction in the pelvic floor. UI affects a significant number of women worldwide and can have a major impact on their quality of life. However, traditional methods of assessing these parameters involve manual measurements, which are time-consuming and prone to variability. The rehabilitation programs for pelvic floor dysfunction (FSD) in physical therapy often focus on pelvic floor muscles (PFMs), while other core muscles are overlooked. Therefore, this study aimed to predict the activity of various core muscles in multiparous women with FSD using multiple scales instead of relying on Ultrasound imaging. Decision tree, SVM, random forest, and AdaBoost models were applied to predict pelvic tilt and lumbar angle using the train set. Performance was evaluated on the test set using MSE, RMSE, MAE, and R. Pelvic tilt prediction achieved R values > 0.9, with AdaBoost (R = 0.944) performing best. Lumbar angle prediction performed slightly lower with decision tree achieving the highest R of 0.976. Developing a machine learning model to predict pelvic tilt and lumbar angle has the potential to revolutionize the assessment and management of this condition, providing faster, more accurate, and more objective assessments than traditional methods.
尿失禁(UI)被定义为任何不受控制的尿液泄漏。盆底肌(PFM)似乎是躯干和腰骨盆稳定性的关键方面,UI 是盆底功能障碍的一个指征。评估骨盆倾斜和腰椎角度对于评估下背部和骨盆脊柱的对齐和姿势至关重要,这两个变量都与女性盆底功能障碍直接相关。UI 影响全球大量女性,会对其生活质量产生重大影响。然而,评估这些参数的传统方法涉及手动测量,既耗时又容易出现变异性。物理治疗中对盆底功能障碍(FSD)的康复计划通常侧重于盆底肌肉(PFMs),而忽略了其他核心肌肉。因此,本研究旨在使用多种量表预测 FSD 的多产妇的各种核心肌肉的活动,而不是依赖于超声成像。决策树、SVM、随机森林和 AdaBoost 模型被应用于使用训练集预测骨盆倾斜和腰椎角度。使用测试集评估性能,使用 MSE、RMSE、MAE 和 R 评估。骨盆倾斜预测的 R 值>0.9,AdaBoost(R=0.944)表现最佳。腰椎角度预测的性能略低,决策树的 R 值最高为 0.976。开发一种机器学习模型来预测骨盆倾斜和腰椎角度有可能彻底改变对这种情况的评估和管理,提供比传统方法更快、更准确、更客观的评估。