Pelvic Floor Muscle Weakness Clinical Trial
Official title:
What is the Best Verbal Instruction for Contraction the Pelvic Floor Muscles?
The aim of this study is to T to compare the effectiveness of producing a pelvic floor muscle contraction by different verbal instruction. Pelvic floor muscle contraction will be measured displacement of the pelvic floor when imaged on ultrasound.
This study will examine pelvic floor muscle contraction following different verbal
instructions. This is a cross-sectional exploratory study. Physical-therapy students will be
recruited to complete a survey and non-invasive transabdominal ultrasound assessment.
A bladder filling protocol will be implemented to ensure subjects will have sufficient fluid
in their bladders to allow clear ultrasound imaging. This protocol involved subjects
consuming 600-750 ml of water in a 1 hr. period. The participants will be tested in a
crook-lying supine position with a pillow under their heads for comfort.
The participants will be divided into 2 groups randomly. Both groups will be given three
different verbal instructions to contract pelvic floor muscles. Each contraction will be
performed 3 time with rests of 10 sec between contractions. While the first 2 contractions
for each verbal instruction will be held for 3 sec. the last contraction will be held as long
as the participant can conduct and the time of contraction will be measured as well. The
pelvic floor contraction will be measured by assessing bladder displacement via diagnostic
ultrasound.
To image the pelvic floor a 5 MHz curved linear array transducer (Mindray M5) will be placed
in the transverse plane immediately suprapubically over the lower abdomen angled at 15-30
degrees from the vertical. An on screen caliper and measurement tool will be used to measure
bladder displacement.
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