Evidence map›Paper›PMID 28905083›Full record

ArticleInternational urogynecology journal2018

Assessing exercises recommended for women at risk of pelvic floor disorders using multivariate statistical techniques.

Tania Tian, Stephanie Budgett, Jackie Smalldridge, Lynsey Hayward, James Stinear, Jennifer Kruger

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In one paragraph

Article in International urogynecology journal, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 21% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Pooled it
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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

6 authors at 2 institutions in 1 country.

Tania TianAuckland Bioengineering Institute, Auckland, New Zealand.
Stephanie BudgettDepartment of Statistics, University of Auckland, Auckland, New Zealand.
Jackie SmalldridgeUniversity of Auckland, Auckland, New Zealand.
Lynsey HaywardMiddlemore Hospital CMDHB, University of Auckland, Auckland, New Zealand.
James StinearDepartment of Exercise Sciences, University of Auckland, Auckland, New Zealand.
Jennifer KrugerAuckland Bioengineering Institute, Auckland, New Zealand. j.kruger@auckland.ac.nz.
University of Auckland · NZAuckland Institute of Studies · NZ

Funding

Robertson Foundation - Aotearoa Foundation Bioengineering Postdoctoral Fellowship 3701297
6 · The paper itself

Abstract

introduction and hypothesisThere is a widely held, but untested, belief that certain exercises and activities generate intraabdominal pressure (IAP) that may compromise the function of the pelvic floor muscles. Women with, or at risk of, pelvic floor disorders are advised therefore to refrain from these exercises and activities in order to theoretically protect their pelvic floor. The aim of this study was to compare IAPs generated during exercises of different types that are recommended to women as pelvic floor "safe" with those generated during the corresponding conventional exercises that women are typically cautioned against.

methodsThis was a cross-sectional cohort study. All participants were guided by a trained exercise practitioner through a series of ten exercise pairs, one version recommended to women as pelvic floor "safe" and one conventional version which women are cautioned against. IAP components were extracted from the pressure traces from a wireless intravaginal pressure sensor and used in multivariate linear regression modelling, canonical discriminant analysis, and linear mixed modelling.

resultsA total of 53 participants were recruited. After adjusting for age, body mass index and parity, there was an exercise type-version effect (p < 0.01). After taking into account all pressure components of the IAP trace, there was a significant difference in IAP between the recommended and discouraged versions of the same exercise for five of the ten exercise types. Coughing and the Valsalva manoeuvre generated IAPs that were distinct from those generated by the exercises.

conclusionsNo differences in IAPs were found between the recommended and discouraged versions of the same exercise for all exercise types. In particular, the IAPs generated during the two versions of ball rotations, lunges, core, push-ups and squats did not differ significantly. Performing the recommended pelvic floor "safe" version instead of the discouraged conventional version of these exercises may not necessarily protect the pelvic floor and vice versa.

Indexed as

AdultBody Mass IndexCoughCross-Sectional StudiesExerciseExercise TherapyFemaleHumansLinear ModelsMiddle AgedMultivariate AnalysisParityPelvic FloorPelvic Floor DisordersPregnancyPressureExerciseIntraabdominal pressurePelvic floor disorders

Identifiers

PMID28905083
OpenAlexW2756340818

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.