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年轻女性对其盆底肌收缩有准确的感知吗?一项关于 PERFECT 方案中自我感知和盆底肌肉收缩的物理评估的一致性研究。

Do young women have an accurate perception about their pelvic floor muscle contraction? An agreement study about self-perception and physical evaluation of the pelvic muscles contraction by the PERFECT scheme.

机构信息

Women's Health Research Laboratory, Physical Therapy Department, Federal University of São Carlos, São Carlos, São Paulo, Brazil.

Department of Health Science, Graduation Program in Rehabilitation and Functional Performance, Pelvic Floor Assessment Laboratory, Ribeirão Preto Medical School, Universidade de São Paulo (USP), São Paulo, Brazil.

出版信息

J Bodyw Mov Ther. 2024 Oct;40:411-416. doi: 10.1016/j.jbmt.2024.04.054. Epub 2024 Apr 28.

Abstract

BACKGROUND

Many women have difficulty in activating the pelvic floor muscles (PFM). This is a concerning factor for health professionals and public government institutions, as an unhealthy PFM could be associated with the presence of PFM dysfunctions. Therefore, the aim of the study was to analyze the agreement between the perception of young women about their PFM contraction and the results of a physical assessment, according to the strength, endurance, and contraction repetitions.

METHOD

Cross-sectional study with 43 university students between 18 and 35 years old. Examiner A filled out a semi-structured questionnaire to assess the self-perception about the ability to contract the PFM. The physical exam was performed by bidigital vaginal palpation, conducted by Examiner B, blinded to the answers of the previous stage, and according to the PERFECT scheme (P = power; E = endurance; R = repetitions of item "E; " F = fast contractions). Data was assessed by the Cohen's linear weighted kappa (K).

RESULTS

The agreement between the self-perception and the physical evaluation of the PFM function presented a very poor agreement for all the items of the PERFECT scheme (P = 0.12; E = 0.07; R = 0.09; F = 0.04).

CONCLUSION

Young women do not have sufficient knowledge about PFM contraction and function. It should concern health government and institutions, as a poor PFM awareness might increase the difficulty to identify signs and symptoms related to PFM dysfunctions and reduces demand for and adherence to PFM treatment programs.

摘要

背景

许多女性难以激活盆底肌(PFM)。这是健康专业人士和公共政府机构关注的一个因素,因为不健康的 PFM 可能与 PFM 功能障碍的存在有关。因此,本研究的目的是分析年轻女性对 PFM 收缩的感知与物理评估结果之间的一致性,根据力量、耐力和收缩重复次数进行评估。

方法

横断面研究,纳入 43 名年龄在 18 至 35 岁之间的大学生。评估员 A 通过半结构化问卷评估对收缩 PFM 能力的自我感知。物理检查由双指阴道触诊进行,由评估员 B 进行,对前一阶段的答案进行盲法评估,并根据 PERFECT 方案(P=力量;E=耐力;R=项目“E”的重复次数;F=快速收缩)进行。数据由 Cohen 的线性加权 kappa(K)评估。

结果

自我感知与 PFM 功能的物理评估之间的一致性,对于 PERFECT 方案的所有项目均表现出非常差的一致性(P=0.12;E=0.07;R=0.09;F=0.04)。

结论

年轻女性对 PFM 收缩和功能的了解不足。这应该引起政府和卫生机构的关注,因为对 PFM 的认识不足可能会增加识别与 PFM 功能障碍相关的体征和症状的难度,并降低对 PFM 治疗计划的需求和依从性。

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