Evidence map›Paper›PMID 34366727›Full record

ArticleJournal of women's health physical therapy

Hip and Pelvic Floor Muscle Strength in Women with and without Urgency and Frequency Predominant Lower Urinary Tract Symptoms.

Stefanie N Foster, Theresa M Spitznagle, Lori J Tuttle, Siobhan Sutcliffe, Karen Steger-May, Jerry L Lowder, Melanie R Meister, Chiara Ghetti, Jinli Wang, Michael J Mueller and 1 more

Registry-linked trialAbstract read
In one paragraph

Article in Journal of women's health physical therapy. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07119476 (Does Hip Strength Impact Active Females Rate of Pelvic Floor Dysfunction?), which is not on this map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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.

NCT07119476 completednot on this map

Does Hip Strength Impact Active Females Rate of Pelvic Floor Dysfunction?

Typeobservational_patient_registrySponsorGeorge Fox UniversityRan2024 to 2025Enrolled55ConditionsPelvic Floor Muscle Weakness, Pelvic Floor Disorder, Pelvic Pain, Hip Strength
3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

  1. Trial
  2. Review
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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

11 authors.

Stefanie N FosterProgram in Physical Therapy, Washington University in St. Louis, St Louis, MO.
Theresa M SpitznagleProgram in Physical Therapy, Washington University in St. Louis, St Louis, MO.
Lori J TuttleDoctor of Physical Therapy Program, San Diego State University, San Diego, CA.
Siobhan SutcliffeDepartment of Surgery, Washington University in St. Louis, St Louis, MO.
Karen Steger-MayDivision of Biostatistics, Washington University in St. Louis, St Louis, MO.
Jerry L LowderDepartment Obstetrics and Gynecology, Washington University in St. Louis, St Louis, MO.
Melanie R MeisterDepartment Obstetrics and Gynecology, Washington University in St. Louis, St Louis, MO.
Chiara GhettiDepartment Obstetrics and Gynecology, Washington University in St. Louis, St Louis, MO.
Jinli WangDivision of Biostatistics, Washington University in St. Louis, St Louis, MO.
Michael J MuellerProgram in Physical Therapy, Washington University in St. Louis, St Louis, MO.
Marcie Harris-HayesProgram in Physical Therapy, Washington University in St. Louis, St Louis, MO.

Funding

WU INSTITUTE OF CLINICAL AND TRANSLATIONAL SCIENCESUL1TR002345 · NCATS · WASHINGTON UNIVERSITY · PI William G. Powderly · 2017 to 2026
$97.8M
DOCTORAL TRAINING PROGRAM IN MOVEMENT SCIENCET32HD007434 · NICHD · WASHINGTON UNIVERSITY · PI Michael D Harris, Catherine Lang · 1993 to 2026
$4.2M
NCATS NIH HHS UL1 TR002345NICHD NIH HHS T32 HD007434
6 · The paper itself

Abstract

backgroundUrgency and frequency are common lower urinary tract symptoms (UF-LUTS) in women. There is limited evidence to guide physical therapist-led treatment.

objectivesTo compare hip and pelvic floor muscle strength between women with and without UF-LUTS. We hypothesized women with UF-LUTS would demonstrate 1) diminished hip external rotator and abductor strength and 2) equivalent pelvic floor strength and diminished endurance compared to controls. STUDY

designA matched case-control study.

methodsWomen with UF-LUTS (cases) and controls were matched on age, body mass index (BMI), vaginal parity. Examiner measured participants' 1) hip external rotator and abductor strength via dynamometry (maximum voluntary effort against fixed resistance) and 2) pelvic floor muscle strength (peak squeeze pressure) and endurance (squeeze pressure over a 10 second hold) via vaginal manometry. Values compared between cases and controls with paired-sample t-tests (hip) or Wilcoxon signed rank tests (pelvic floor).

results21 pairs (42 women): Hip external rotation (67.0 ± 19.0 N vs 83.6 ± 21.5 N; P=0.005) and hip abduction strength (163.1 ± 48.1 N vs 190.1 ± 53.1 N; P=0.04) were significantly lower in cases than controls. There was no significant difference in pelvic floor strength (36.8 ± 19.9 cmH

conclusionWomen with UF-LUTS had weaker hip external rotator and abductor muscles, but similar pelvic floor strength and endurance compared to controls. Hip strength may be important to assess in patients with UF-LUTS, further research is needed.

Indexed as

case-control studiesmusculoskeletal systemoveractive bladderurinary frequencyurinary urgency

Identifiers

PMID34366727
PMCPMC8345818

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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.