Evidence map›Paper›PMID 26445533›Full record

Observational studyClinical interventions in aging2015

Assessment of bioelectrical activity of synergistic muscles during pelvic floor muscles activation in postmenopausal women with and without stress urinary incontinence: a preliminary observational study.

Kuba Ptaszkowski, Małgorzata Paprocka-Borowicz, Lucyna Słupska, Janusz Bartnicki, Robert Dymarek, Joanna Rosińczuk, Jerzy Heimrath, Janusz Dembowski, Romuald Zdrojowy

Registry-linked trialAbstract readObservational Study
In one paragraph

Observational study in Clinical interventions in aging, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06988683 (Investigation of Posture, Core Stabilization, Respiratory Muscle Strength and Function, and Quality of Life in Women With Urinary Incontinence), which is not on this map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
–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.

NCT06988683 completednot on this mapstarted 2024, after this paper: background citation

Investigation of Posture, Core Stabilization, Respiratory Muscle Strength and Function, and Quality of Life in Women With Urinary Incontinence

TypeobservationalSponsorIzmir Democracy UniversityRan2024 to 2024Enrolled62ConditionsUrinary Incontinence (UI)
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
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  6. Article
  7. Article
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  12. Investigation of Electromyographic Activity of Pelvic Floor Muscles in Different Body Positions to Prevent Urinary Incontinence.Medical science monitor : international medical journal of experimental and clinical research · 2019
    Article
  13. Article
  14. Article
  15. Morphological changes in rat rectus abdominis muscle induced by diabetes and pregnancy.Brazilian journal of medical and biological research = Revista brasileira de pesquisas medicas e biologica · 2018
    Article
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

9 authors.

Kuba PtaszkowskiDepartment of Obstetrics, Wroclaw Medical University, Wroclaw, Poland.
Małgorzata Paprocka-BorowiczDepartment of Clinical Biomechanics and Physiotherapy in Motor System Disorders, Wroclaw Medical University, Wroclaw, Poland.
Lucyna SłupskaDepartment of Clinical Biomechanics and Physiotherapy in Motor System Disorders, Wroclaw Medical University, Wroclaw, Poland.
Janusz BartnickiDepartment of Obstetrics, Wroclaw Medical University, Wroclaw, Poland ; Department of Obstetrics and Gynecology, Health Center Bitterfeld/Wolfen gGmbH, Bitterfeld-Wolfen, Germany.
Robert DymarekDepartment of Nervous System Diseases, Wroclaw Medical University, Wroclaw, Poland.
Joanna RosińczukDepartment of Nervous System Diseases, Wroclaw Medical University, Wroclaw, Poland.
Jerzy HeimrathDepartment of Gynaecology and Obstetrics, Faculty of Health Science, Wroclaw Medical University, Wroclaw, Poland.
Janusz DembowskiDepartment and Clinic of Urology, Faculty of Postgraduate Medical Training, Wroclaw Medical University, Wroclaw, Poland.
Romuald ZdrojowyDepartment and Clinic of Urology, Faculty of Postgraduate Medical Training, Wroclaw Medical University, Wroclaw, Poland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveMuscles such as adductor magnus (AM), gluteus maximus (GM), rectus abdominis (RA), and abdominal external and internal oblique muscles are considered to play an important role in the treatment of stress urinary incontinence (SUI), and the relationship between contraction of these muscles and pelvic floor muscles (PFM) has been established in previous studies. Synergistic muscle activation intensifies a woman's ability to contract the PFM. In some cases, even for continent women, it is not possible to fully contract their PFM without involving the synergistic muscles. The primary aim of this study was to assess the surface electromyographic activity of synergistic muscles to PFM (SPFM) during resting and functional PFM activation in postmenopausal women with and without SUI. MATERIALS AND

methodsThis study was a preliminary, prospective, cross-sectional observational study and included volunteers and patients who visited the Department and Clinic of Urology, University Hospital in Wroclaw, Poland. Forty-two patients participated in the study and were screened for eligibility criteria. Thirty participants satisfied the criteria and were categorized into two groups: women with SUI (n=16) and continent women (n=14). The bioelectrical activity of PFM and SPFM (AM, RA, GM) was recorded with a surface electromyographic instrument in a standing position during resting and functional PFM activity.

resultsBioelectrical activity of RA was significantly higher in the incontinent group than in the continent group. These results concern the RA activity during resting and functional PFM activity. The results for other muscles showed no significant difference in bioelectrical activity between groups.

conclusionIn women with SUI, during the isolated activation of PFM, an increased synergistic activity of RA muscle was observed; however, this activity was not observed in asymptomatic women. This may indicate the important accessory contribution of these muscles in the mechanism of continence.

Indexed as

AgedCross-Sectional StudiesElectromyographyFemaleHumansMiddle AgedMuscle ContractionMuscle, SkeletalPelvic FloorPolandPostmenopausePostureProspective StudiesRestUrinary Incontinence, Stresspelvic floor musclespostmenopausal periodstress urinary incontinencesurface electromyographysynergistic muscle

Identifiers

PMID26445533
PMCPMC4590414

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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.