Evidence map›Paper›PMID 24877094›Full record

Trial reportBioMed research international2014

Distensibility and strength of the pelvic floor muscles of women in the third trimester of pregnancy.

Carla Dellabarba Petricelli, Ana Paula Magalhães Resende, Julio Elito Júnior, Edward Araujo Júnior, Sandra Maria Alexandre, Miriam Raquel Diniz Zanetti, Mary Uchiyama Nakamura

Registry-linked trialAbstract readClinical Trial
In one paragraph

Trial report in BioMed research international, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03041246 (The Influence of Manual Fascial Manipulation on the Function of the Pelvic Floor in Pregnant Women), which is not on this map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03041246 nacompletednot on this mapstarted 2018, after this paper: background citation

The Influence of Manual Fascial Manipulation on the Function of the Pelvic Floor in Pregnant Women

TypeinterventionalSponsorSheba Medical CenterRan2018 to 2020Enrolled80ConditionsPelvic Floor DisordersArmsPelvic floor fascial mobilization
3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Observational
  5. Is the function of the core muscles affected during pregnancy?International urogynecology journal · 2023
    Article
  6. Defining "Normal" in Pig Parturition.Animals : an open access journal from MDPI · 2022
    Review
  7. Pelvic Floor Muscle Strength in the First Trimester of Primipara: A Cross-Sectional Study.International journal of environmental research and public health · 2022
    Article
  8. Article
  9. Article
  10. Article
  11. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Carla Dellabarba PetricelliDepartment of Obstetrics, Federal University of São Paulo (UNIFESP), Rua Carlos Weber, 956 Apartment, 113 Visage, 05303-000 Vila Leopoldina, SP, Brazil.
Ana Paula Magalhães ResendeFaculty of Physical Education and Physiotherapy, Federal University of Uberlândia (UFU), Uberlândia, MG, Brazil.
Julio Elito JúniorDepartment of Obstetrics, Federal University of São Paulo (UNIFESP), Rua Carlos Weber, 956 Apartment, 113 Visage, 05303-000 Vila Leopoldina, SP, Brazil.
Edward Araujo JúniorDepartment of Obstetrics, Federal University of São Paulo (UNIFESP), Rua Carlos Weber, 956 Apartment, 113 Visage, 05303-000 Vila Leopoldina, SP, Brazil.
Sandra Maria AlexandreDepartment of Obstetrics, Federal University of São Paulo (UNIFESP), Rua Carlos Weber, 956 Apartment, 113 Visage, 05303-000 Vila Leopoldina, SP, Brazil.
Miriam Raquel Diniz ZanettiDepartment of Obstetrics, Federal University of São Paulo (UNIFESP), Rua Carlos Weber, 956 Apartment, 113 Visage, 05303-000 Vila Leopoldina, SP, Brazil.
Mary Uchiyama NakamuraDepartment of Obstetrics, Federal University of São Paulo (UNIFESP), Rua Carlos Weber, 956 Apartment, 113 Visage, 05303-000 Vila Leopoldina, SP, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe objective of this study was to compare the role of the pelvic floor muscles between nulliparous and multiparous women in the third trimester of pregnancy, by analyzing the relationship between electrical activity (surface electromyography-EMG), vaginal palpation (modified Oxford scale), and perineal distensibility (Epi-no).

methodsThis was an observational cross-sectional study on a sample of 60 healthy pregnant women with no cervical dilation, single fetus, gestational age between 35 and 40 weeks, and maternal age ranging from 15 to 40 years. The methods used were bidigital palpation (modified Oxford scale, graded 0-5), surface EMG (electrical activity during maximal voluntary contraction), and perineal distensibility (Epi-no device). The Pearson correlation coefficient (r) was used to analyze the Epi-no values and the surface EMG findings. The Kruskal-Wallis test was used to compare the median values from surface EMG and Epi-no, using the modified Oxford scale scores.

resultsAmong the 60 patients included in this study, 30 were nulliparous and 30 multiparous. The average maternal age and gestational age were 26.06 (± 5.58) and 36.56 (± 1.23), respectively. It was observed that nulliparous women had both higher perineal muscle strength (2.53 ± 0.57 versus 2.06 ± 0.64; P = 0.005) and higher electrical activity (45.35 ± 12.24 μV versus 35.79 ± 11.66 μV; P = 0.003), while among the multiparous women, distensibility was higher (19.39 ± 1.92 versus 18.05 ± 2.14; P = 0.013). We observed that there was no correlation between perineal distensibility and electrical activity during maximal voluntary contraction (r = - 0.193; P = 0.140). However, we found a positive relationship between vaginal palpation and surface electromyography (P = 0.008), but none between Epi-no values (P = 0.785).

conclusionThe electrical activity and muscle strength of the pelvic floor muscles of the multiparous women were damaged, in relation to the nulliparous women, while the perineal distensibility was lower in the latter group. There was a positive relationship between surface EMG and the modified Oxford scale.

Indexed as

AdolescentAdultElectromyographyFemaleGravidityHumansMuscle StrengthPelvic FloorPregnancyPregnancy Trimester, Third

Identifiers

PMID24877094
PMCPMC4020537

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.