Wyndaele J J, Van Eetvelde B
Centre for the Study of the Pelvic Floor, University of Antwerp, Belgium.
Arch Phys Med Rehabil. 1996 Nov;77(11):1179-81. doi: 10.1016/s0003-9993(96)90144-6.
To validate the digital testing of pelvic floor muscles in men by evaluating its applicability and the reproducibility of test-retest.
Prospective survey on volunteer sample. Blinded between investigators.
University study group with experienced physiotherapists working in a university hospital.
39 young healthy male volunteers.
Digital testing of the bulbocavernous muscles, the sphincter ani externus, the puborectal muscles.
Each muscle or muscle group was allocated a tripartite valuation score corresponding with muscle strength, endurance, and exhaustion. The muscle testing was repeated by the same investigator with short (10 seconds), medium (2 hours), and long (> 4 hours) intervals. In 9 patients, blinded testing was performed by two independent investigators separately. The results from the different evaluations were statistically compared.
Digital testing proved easy to perform and was well tolerated in all patients. Test-retest showed reproducible results with short and long intervals, except for the parameter exhaustion of external anal sphincter and puborectalis muscle as determined with an interval of 2 hours. Between investigators no difference was found between scores except for strength of the bulbocavernous muscle.
Digital testing of the pelvic floor muscles, when done by an experienced investigator and with full cooperation of the patient, is reliable and useful for clinical practice in male patients. Intracorporal muscle testing is more reliable than evaluation of superficial muscles.
通过评估盆底肌肉数字测试的适用性和重测的可重复性，验证男性盆底肌肉的数字测试。
对志愿者样本进行前瞻性调查。研究者之间采用盲法。
大学研究组，有经验丰富的物理治疗师在大学医院工作。
39名年轻健康男性志愿者。
对球海绵体肌、肛门外括约肌、耻骨直肠肌进行数字测试。
每个肌肉或肌肉群被分配一个与肌肉力量、耐力和疲劳程度相对应的三方评估分数。由同一名研究者分别在短（10秒）、中（2小时）、长（>4小时）间隔后重复进行肌肉测试。在9名患者中，由两名独立研究者分别进行盲法测试。对不同评估结果进行统计学比较。
数字测试证明易于实施，所有患者耐受性良好。除了间隔2小时测定的肛门外括约肌和耻骨直肠肌的疲劳参数外，短间隔和长间隔的重测结果具有可重复性。除球海绵体肌力量外，研究者之间的分数没有差异。
当由经验丰富的研究者进行且患者充分配合时，男性盆底肌肉的数字测试对临床实践是可靠且有用的。体内肌肉测试比浅表肌肉评估更可靠。
