Journal
JOURNAL OF CLINICAL MEDICINE
Volume 11, Issue 9, Pages -Publisher
MDPI
DOI: 10.3390/jcm11092319
Keywords
pelvic floor muscles; ultrasound; MATLAB; validity; reliability; physiotherapy
Categories
Funding
- COFIGA (Colegio Oficial de Fisioterapeutas de Galicia)
- MICINN through the ERDF [PID2020-113578RB-I00]
- Xunta de Galicia through the ERDF [ED431C-2020/14, ED431G 2019/01]
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This study analyzed the validity and reliability of a new ultrasound algorithm to measure the displacement of the bladder base during abdominal exercises in women, and found it to be a valid and reliable tool for assessing the effect of abdominal contractions on the female pelvic floor.
The effect of different exercises on the position of pelvic organs in women has not been sufficiently assessed. The objective was to analyze the validity and reliability of a new two-dimensional ultrasound algorithm to measure offline the displacement of the bladder base during abdominal exercises. This algorithm could be a useful method to future studies in determine the most appropriate exercises in sports and in rehabilitative program for the pelvic floor in women. All subjects were tested by transverse transabdominal ultrasound. The measurements were conducted offline using a customized code written in MATLAB (Ecolab) for image-processing, and manually on the ultrasound monitor using electronic calipers. The agreement was assessed with a paired t-test, Pearson's linear correlation coefficient (r), the Lin's concordance correlation coefficient (CCC), the intraclass correlation coefficient ICC (A,2) and a Bland-Altman plot. The reliability was confirmed by the interdays intra-rater ICC coefficient. The results were that Ecolab and ultrasound transducer measures did not differ statistically (p = 0.246). Furthermore, both methods showed a very strong relationship, and the Ecolab demonstrated to be a valid and reliable method. We concluded that Ecolab seemed to be a valid and reliable tool to assess the effect of abdominal contractions in the female pelvic floor.
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