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OBJECTIVE The aim of this study was to investigate the effectiveness of pelvic floor muscle training in reversing pelvic organ prolapse and alleviating symptoms. STUDY DESIGN This assessor-blinded, parallel group, randomized, controlled trial conducted at a university hospital and a physical therapy clinic randomly assigned 109 women with prolapse stages(More)
OBJECTIVE To evaluate the interobserver repeatability of measurement of the pubovisceral muscle and levator hiatus, and the position of related organs, during rest, muscle contraction and Valsalva maneuver using three- and four-dimensional (3D and 4D) transperineal ultrasound. METHODS Seventeen women were included in the study. The position and dimensions(More)
AIMS To investigate if pelvic floor muscle (PFM) thickness and area of levator hiatus (LH) are associated with manometry measured PFM function in 109 women with pelvic organ prolapse (POP) stages I-III. METHODS In this cross-sectional study pubovisceral muscle thickness and LH area were assessed with three-dimensional transperineal ultrasound at rest and(More)
AIMS The aim of the present study was to evaluate test-retest measurements of functional aspects of pelvic floor muscle (PFM) contraction using four dimensional (4D) ultrasound. METHODS Seventeen females preformed three maximal PFM contractions in standing, recorded by 4D real time ultrasound, on two separate occasions. RESULTS Very good and good(More)
OBJECTIVE To investigate the risk factors for pelvic organ prolapse (POP), including physical activity, clinically measured joint mobility and pelvic floor muscle (PFM) function. DESIGN One-to-one age- and parity-matched case-control study. SETTING Akershus university hospital and one outpatient physiotherapy clinic in Norway. POPULATION Forty-nine(More)
The aims of the present study were to evaluate test-retest intra-observer repeatability of ultrasound measurement of the morphology and function of the pelvic floor muscles (PFMs). Seventeen subjects were tested twice. Two-, three- and four- dimensional ultrasound recorded cough, huff, muscle morphology and PFM contraction, respectively. Analyses were(More)
A new theory claims that the pelvic floor muscles (PFM) can be trained via the transversus abdominis (TrA). The aim of the present study was to compare the effect of instruction of PFM and TrA contraction on constriction of the levator hiatus, using 4D perineal ultrasonography. Thirteen women with pelvic organ prolapse participated in the study. Perineal(More)
OBJECTIVE To investigate morphological and functional changes after pelvic floor muscle training in women with pelvic organ prolapse. METHODS This randomized controlled trial was conducted at a university hospital and a physical therapy clinic. One hundred nine women with pelvic organ prolapse stages I, II, and III were randomly allocated by a(More)
INTRODUCTION Pelvic floor muscle training (PFMT) has level 1 evidence of reducing the size and symptoms associated with pelvic organ prolapse (POP). There is scant knowledge, however, regarding whether PFMT has an effect on sexual function. AIM The aim of the trial was to evaluate the effect of PFMT on sexual function in women with POP. METHODS In this(More)
OBJECTIVES many women seeking help for pelvic organ prolapse (POP) have a clinically significant descent in more than one vaginal compartment, and there is often a discrepancy between subjective symptoms and objective findings. We examined the association between the size of the levator hiatus using transperineal three-dimensional (3D) ultrasound and both(More)