Evidence map›Paper›PMID 39441343›Full record

Observational studyInternational urogynecology journal2024

The Feasibility of Using an Intravaginal Intra-Abdominal Pressure Sensor During Running to Evaluate Pelvic Floor Loading and Its Association with Running-Induced Stress Urinary Incontinence: An Observational Cohort Study.

Marie-Eve Berube, Stefan Niederauer, Ryan Graham, Robert Hitchcock, Linda McLean

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in International urogynecology journal, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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.

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

4 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
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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

5 authors.

Marie-Eve BerubeSchool of Rehabilitation Sciences, University of Ottawa, 200 Lees Avenue E260C, Ottawa, ON, K1N 6N5, Canada.ORCID 0000-0002-4094-2866
Stefan NiederauerDepartment of Bioengineering, University of Utah, Salt Lake City, UT, USA.ORCID 0000-0001-8292-6947
Ryan GrahamSchool of Human Kinetics, University of Ottawa, Ottawa, ON, Canada.ORCID 0000-0001-7502-8065
Robert HitchcockDepartment of Bioengineering, University of Utah, Salt Lake City, UT, USA.ORCID 0000-0002-6365-0962
Linda McLeanSchool of Rehabilitation Sciences, University of Ottawa, 200 Lees Avenue E260C, Ottawa, ON, K1N 6N5, Canada. linda.mclean@uottawa.ca.ORCID 0000-0003-0343-5168

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and hypothesisThe aim was to investigate the feasibility of using an intravaginal intra-abdominal pressure (IAP) sensor worn by female runners during running to evaluate pelvic floor loading, and the association between IAP and running-induced stress urinary incontinence (RI-SUI).

methodsTwenty-eight female runners participated in this cross-sectional study (15 with RI-SUI and 13 continent). Participants completed a 37-min treadmill running protocol instrumented with an intravaginal sensor measuring IAP, and a skin-mounted accelerometer measuring pelvic accelerations. Linear regression analyses evaluated the relationship between IAP and pelvic acceleration. One-way ANOVAs assessed the impact of running speed on IAP. Sensor dislodgement was recorded, and effect sizes (Cohen's d) were calculated for the comparison of IAP and accelerometry outcomes between runners with and without RI-SUI.

resultsIntra-abdominal pressure showed high variance and the sensor was expelled in almost 15% of participants. Positive associations were found between pelvic acceleration and both absolute peak and normalized IAP but explained only between 12% and 18.6% of the variance in the models. Pelvic acceleration during running was not associated with cumulative IAP. Peak IAP significantly increased with running speed. Although IAP tended to be higher in runners with RI-SUI than in continent runners (Cohen's d between 0.14 and 0.74), pelvic accelerations tended to be lower (Cohen's d between 0.02 and 0.55).

conclusionsThere is high variance in IAP recorded during running using an intravaginal sensor. Faster speeds increase pelvic floor loading. Runners with RI-SUI may experience higher IAP than continent runners, warranting investigation. Recruitment should include a 15% data loss rate owing to sensor expulsion.

Indexed as

Pelvic FloorRunningUrinary Incontinence, StressAccelerometryAdultCross-Sectional StudiesFeasibility StudiesFemaleHumansMiddle AgedPressureVaginaBiomechanicsIntra-abdominal pressurePelvic floorRunningUrinary incontinence

Identifiers

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Registered trials

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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.