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Female striated urogenital sphincter contraction measured by shear wave elastography during pelvic floor muscle activation: Proof of concept and validation.

Identifieur interne : 000C34 ( PubMed/Checkpoint ); précédent : 000C33; suivant : 000C35

Female striated urogenital sphincter contraction measured by shear wave elastography during pelvic floor muscle activation: Proof of concept and validation.

Auteurs : Rafeef Aljuraifani [Australie] ; Ryan E. Stafford [Australie] ; François Hug [Australie] ; Paul W. Hodges [Australie]

Source :

RBID : pubmed:28407305

Abstract

Investigation of the function of the striated urogenital sphincter (SUS) is challenging because it is difficult to access and requires invasive measures. Ultrasound shear wave elastography (SWE) is a non-invasive real-time technique used to estimate tissue stiffness. As muscle stiffness can be used as an estimate of muscle force, SWE provides an opportunity to study contraction of the peri-urethral musculature. Validation of SWE to study SUS during functional tasks, such as pelvic floor muscle contractions, is required prior to application in clinical populations.

DOI: 10.1002/nau.23275
PubMed: 28407305


Affiliations:


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pubmed:28407305

Le document en format XML

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<name sortKey="Aljuraifani, Rafeef" sort="Aljuraifani, Rafeef" uniqKey="Aljuraifani R" first="Rafeef" last="Aljuraifani">Rafeef Aljuraifani</name>
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<nlm:affiliation>The University of Queensland, Centre for Clinical Research Excellence in Spinal Pain, Injury and Health, School of Health and Rehabilitation Sciences, Brisbane, Australia.</nlm:affiliation>
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<name sortKey="Stafford, Ryan E" sort="Stafford, Ryan E" uniqKey="Stafford R" first="Ryan E" last="Stafford">Ryan E. Stafford</name>
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<div type="abstract" xml:lang="en">Investigation of the function of the striated urogenital sphincter (SUS) is challenging because it is difficult to access and requires invasive measures. Ultrasound shear wave elastography (SWE) is a non-invasive real-time technique used to estimate tissue stiffness. As muscle stiffness can be used as an estimate of muscle force, SWE provides an opportunity to study contraction of the peri-urethral musculature. Validation of SWE to study SUS during functional tasks, such as pelvic floor muscle contractions, is required prior to application in clinical populations.</div>
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<Title>Neurourology and urodynamics</Title>
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<ArticleTitle>Female striated urogenital sphincter contraction measured by shear wave elastography during pelvic floor muscle activation: Proof of concept and validation.</ArticleTitle>
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<AbstractText Label="AIMS" NlmCategory="OBJECTIVE">Investigation of the function of the striated urogenital sphincter (SUS) is challenging because it is difficult to access and requires invasive measures. Ultrasound shear wave elastography (SWE) is a non-invasive real-time technique used to estimate tissue stiffness. As muscle stiffness can be used as an estimate of muscle force, SWE provides an opportunity to study contraction of the peri-urethral musculature. Validation of SWE to study SUS during functional tasks, such as pelvic floor muscle contractions, is required prior to application in clinical populations.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Ten healthy females (34[5] years) participated. Stiffness in a region expected to contain the SUS was quantified using SWE at rest and during a pelvic floor muscle contractions performed at 10%, 25%, and 50% of maximal voluntary contraction (MVC). Two repetitions were performed for 10 s.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">During contraction, stiffness increased in the region of the SUS in all participants and at all contraction intensities. Multiple regions of increased stiffness were detected, with 95.8% of regions situated ventral to the mid-urethra within the anatomical area of the SUS. The increase in stiffness was greater for 50% MVC than both 10% and 25% MVC contraction intensities (P < 0.01).</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Stiffness increased within the anatomical region of the SUS during voluntary pelvic floor muscle contractions with predictable response to changes in contraction intensity. These observations support the potential for ultrasound SWE to study SUS function non-invasively.</AbstractText>
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<Affiliation>University of Nantes, Laboratory "Movement, interactions, performance" (EA 4334), UFRS STAPS, Nantes, France.</Affiliation>
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