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Can pelvic floor muscle dysfunction be predicted?

… without performing an internal assessment?

  • Strong urinary urgency predicts tenderness on internal palpation
  • CSI >40 points predicts tenderness on internal palpation
  • Impairments in strength and coordination of the pelvic floor are not predictable

Women with strong or uncontrollable urinary urgency are three times more likely to experience pelvic floor muscle pain on internal palpation than women without urge-incontinence. Moreover, if women score more than forty points on the Central Sensitisation Inventory (CSI), they have a greater chance of experiencing tenderness of the pelvic floor muscles on internal palpation than those who score less than forty points on this outcome measure for central sensitisation. These are the results from a cohort study conducted by Canadian researchers, who investigated whether physiotherapists - using specific questions, questionnaires, or provocative tests of the pelvic floor - are able to predict in which patients with lumbopelvic pain the pelvic floor muscles are involved.

 
 

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