Correlation between maximum voluntary contraction and endurance measured by digital palpation and manometry: An observational study

Digital palpation and manometry are methods that can provide information regarding maximum voluntary contraction (MVC) and endurance of the pelvic floor muscles (PFM), and a strong correlation between these variables can be expected.

To investigate the correlation between MVC and endurance, measured by digital palpation and manometry.

Forty-two women, with mean age of 58.1 years (±10.2), and predominant symptoms of stress urinary incontinence (SUI), were included. Examination was firstly conducted by digital palpation and subsequently using a Peritron manometer. MVC was measured using a 0-5 score, based on the Oxford Grading Scale. Endurance was assessed based on the PERFECT scheme.

We found a significant positive correlation between the MVC measured by digital palpation and the peak manometric pressure (r=0.579, p<0.001), and between the measurements of the endurance by Peritron manometer and the PERFECT assessment scheme (r=0.559, P<0.001).

Our results revealed a positive and significant correlation between the capacity and maintenance of PFM contraction using digital and manometer evaluations in women with predominant symptoms of SUI.

Revista da Associacao Medica Brasileira (1992). 2016 Oct [Epub]

Fátima Faní Fitz, Liliana Stüpp, Thaís Fonseca Costa, Marair Gracio Ferreira Sartori, Manoel João Batista Castello Girão, Rodrigo Aquino Castro

PT, MSc, Department of Gynecology, Universidade Federal de São Paulo (Unifesp), São Paulo, SP, Brazil., PT, PhD, Department of Gynecology, Unifesp, São Paulo, SP, Brazil., PT, Department of Gynecology, Unifesp, São Paulo, SP, Brazil., MD, PhD, Department of Gynecology, Unifesp, São Paulo, SP, Brazil.