| Yang JM |
------>authors3_c=??? ------>paper_class1=1 ------>Impact_Factor=3.952 ------>paper_class3=2 ------>paper_class2=1 ------>vol=182 ------>confirm_bywho=tzengcr ------>insert_bywho=yangjm ------>Jurnal_Rank=15.8 ------>authors4_c=??? ------>comm_author= ------>patent_EDate=None ------>authors5_c=??? ------>publish_day=30 ------>paper_class2Letter=0 ------>page2=2396 ------>medlineContent= ------>unit=E0111 ------>insert_date=20091115 ------>iam=1 ------>update_date=None ------>author=??? ------>change_event=4 ------>ISSN=1527-3792 ------>authors_c=??? ------>score=500 ------>journal_name=J Urology ------>paper_name=Reliability of real-time ultrasound to detect pelvic floor muscle contraction in urinary incontinent women ------>confirm_date=20091116 ------>tch_id=089161 ------>pmid=19781720 ------>page1=2392 ------>fullAbstract=PURPOSE: We determined the reliability of real-time ultrasound for detecting involuntary or reflex pelvic floor muscle contraction. MATERIALS AND METHODS: A total of 118 women with the symptomatic and urodynamic evidence of stress urinary incontinence were recruited in a 3-year period from tertiary referral urogynecology clinics. Under the oral instruction of strong coughing involuntary pelvic floor muscle contraction was detected using introital ultrasound in real-time and cine loop modes. Two dynamic imaging features were considered involuntary pelvic floor muscle contraction, including an inward clitoral motion and a superior-anterior anorectal lift before or during coughing. RESULTS: Real-time ultrasound had good reliability to detect involuntary pelvic floor muscle contraction. For interobserver and intra-observer reliability Cohen~s kappa was 0.645 to 0.679. Of the 118 women real-time ultrasound before or during coughing showed an inward clitoral motion in 100 (93%) and an anorectal lift in 108 (92%). Neither type of contraction during coughing was identified in 2 women. Although the 2 contraction patterns were synchronized in 88% of women, for this synchronization kappa was only 0.159, indicating poor coordination between these 2 involuntary activities. CONCLUSIONS: Real-time ultrasound is a reliable tool for detecting involuntary pelvic floor muscle contraction. ------>tmu_sno=None ------>sno=23052 ------>authors2=Yang SH ------>authors3=Yang SY ------>authors4=Yang E ------>authors5=Huang WC ------>authors6= ------>authors6_c= ------>authors=Yang JM ------>delete_flag=0 ------>SCI_JNo=77192 ------>authors2_c=??? ------>publish_area=0 ------>updateTitle=Reliability of real-time ultrasound to detect pelvic floor muscle contraction in urinary incontinent women. ------>language=2 ------>check_flag=None ------>submit_date=None ------>country=None ------>no=5 ------>patent_SDate=None ------>update_bywho=None ------>publish_year=2009 ------>submit_flag=None ------>publish_month=10 |