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Are Fatigue and Disturbances in Pre-programmed Activity of Pelvic Floor Muscles Associated with Female Stress Urinary Incontinence? by M. Verelst; G. Leivseth is a Medicine article available to read on EtoBox.

What is Are Fatigue and Disturbances in Pre-programmed Activity of Pelvic Floor Muscles Associated with Female Stress Urinary Incontinence? about?

## Abstract ## Aims To investigate whether there is a difference between a continent versus a stress urinary incontinent group of women regarding: (i) fatigue in pelvic floor muscles, and (ii) pre‐activation times between pelvic floor and abdominal muscles during coughing. ## Methods Twenty‐six continent and 20 stress urinary incontinent parous women were examined. Fatigue was measured with an intravaginal device. Time to 10% decline of the initial reference force (RF) was defined as time‐to‐fatigue. Simultaneous recordings of force developed in levator ani muscle and electromyographic activity in the external oblique abdominal muscle were performed to determine whether contraction of pelvic floor muscles precedes activity in abdominal muscles during coughing. ## Results Time‐to‐fatigue was identical in the two groups (10.5 sec in the continent and 11.5 sec in the incontinent group, median values). Normalized force was significantly reduced in the incontinent group. The pelvic floor muscles contracted 160 msec before the abdominal muscles in both groups. In 24% of the continent and in 30% of the incontinent women, however, abdominal muscle activity preceded activity of pelvic floor

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Author
M. Verelst; G. Leivseth
Publisher
John Wiley and Sons; Wiley (John Wiley & Sons); John Wiley & Sons Inc.; Wiley (ISSN 0733-2467)
Published
2004
Language
EN
Field
Medicine (Health Sciences)

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