All Levels of Providers Can Effectively and Efficiently Teach Pelvic Floor Strength Assessment at Time of Pelvic Examination

Female Pelvic Medicine & Reconstructive Surgery
Abigail A ArmstrongChristopher M Tarnay

Abstract

In women who undergo provider-guided vaginal biofeedback of pelvic floor muscle strength, we sought to determine whether the level of the provider correlates with the patient's ability to achieve adequate pelvic floor muscle contractions (PFMCs). From August 2017 to April 2018, patients from 2 urogynecology clinics were recruited to participate in an institutional review board-approved, prospective study examining PFMCs. Pelvic examination and teaching session were done by providers who had specific training on how to assess pelvic floor muscle strength using the validated, modified Oxford scale. Patients were asked to perform a baseline PFMC during a 2-digit pelvic examination. Thereafter, patients were counseled to relax their muscles, identify the levator ani muscles during provider teaching, and perform 3 consecutive provider-guided PFMCs. The strength of each PFMC was measured, and the time-to-teach (TTT) was recorded. The level of provider and TTT were correlated with PFMC1 to PFMC3 using Spearman correlation coefficient. One hundred women participated. Obstetrics/gynecology (OB/GYN) residents (post-graduate years 1-4) evaluated 20 patients; female pelvic medicine and reconstructive surgery fellowship trainees (post-gradu...Continue Reading

References

Jun 21, 2011·The Journal of Urology·Kamran P SajadiFarzeen Firoozi
Feb 23, 2013·Physical Therapy·Diane Borello-FranceUNKNOWN Pelvic Floor Disorders Network
Sep 30, 2014·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·S CavkaytarM Doğanay
Oct 29, 2014·Female Pelvic Medicine & Reconstructive Surgery·Padma KandadaiJyot Saini
Oct 20, 2015·International Urogynecology Journal·Suzanne HagenIsla Dougall
Feb 2, 2017·Female Pelvic Medicine & Reconstructive Surgery·Dani ZoorobErin Carey

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