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Assessment of pelvic floor muscle contraction ability in healthy males following brief verbal instruction

Australian and New Zealand Continence Journal, The
Volume 19 Issue 1 (Autumn 2013)

Abstract: This study assessed the ability of healthy men to contract their pelvic floor muscles on request, following standardised, brief, verbal instruction. Associations between self-reported lower urinary tract symptoms and the ability to contract the pelvic floor muscles on request were explored since there is currently no available data related to these topics. The study group, 52 healthy men (mean age of 22.6 years, SD 4.42), received brief, standardised instructions. Each man's starting position was randomised to standing or crook lying. Bladder base elevation was observed and recorded using real-time transabdominal ultrasound imaging to determine muscle activation. Participants then completed a questionnaire recording age, body mass index, presence of chronic respiratory conditions, acute lower back pain and any lower urinary tract symptoms. Univariate logistic regression was applied to assess associations between ability to contract the pelvic floor muscles in each position, participant characteristics and study variables likely to impact upon lower urinary tract symptoms. Six participants (11.5%) were unable to perform the muscle contraction in either standing or crook lying, 17 (32.7%) men could not contract the muscles in crook lying and 14 (26.9%) could not contract the muscles when standing. While results suggest there is no optimal starting position in which to achieve pelvic floor muscle contraction in men, no assumptions should be made that an ability to contract those muscles is present or effective in young, asymptomatic men. This may have implications for interventions aimed at pelvic floor muscle rehabilitation following treatment for management of prostate cancer.

To cite this article: Scott, Olivia M; Osmotherly, Peter G and Chiarelli, Pauline E. Assessment of pelvic floor muscle contraction ability in healthy males following brief verbal instruction [online]. Australian and New Zealand Continence Journal, The, Vol. 19, No. 1, Autumn 2013: 12-17. Availability: <http://search.informit.com.au/documentSummary;dn=210704195002601;res=IELHEA> ISSN: 1448-0131. [cited 29 Sep 16].

Personal Author: Scott, Olivia M; Osmotherly, Peter G; Chiarelli, Pauline E; Source: Australian and New Zealand Continence Journal, The, Vol. 19, No. 1, Autumn 2013: 12-17 Document Type: Journal Article ISSN: 1448-0131 Subject: Pelvic floor; Muscle contraction--Physiological aspects; Urinary incontinence; Therapeutics, Physiological; Diagnostic ultrasonic imaging; Peer Reviewed: Yes Affiliation: (1) School of Health Sciences, The University of Newcastle, Callaghan, NSW, Australia
(2) Lecturer in Physiotherapy, School of Health Sciences, The University of Newcastle, Callaghan, NSW, Australia
(3) Associate Professor of Physiotherapy, School of Health Sciences, The University of Newcastle, Callaghan NSW, Australia, email: Pauline.Chiarelli@newcastle.edu.au

Database: Health Collection