All Levels of Providers Can Effectively and Efficiently Teach Pelvic Floor Strength Assessment at Time of Pelvic Examination
| Autor: | Cecilia K. Wieslander, Christopher M. Tarnay, My-Linh M Nguyen, Abigail A Armstrong |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Adult
Reconstructive surgery medicine.medical_specialty Time Factors Health Personnel Urology medicine.medical_treatment education Biofeedback Pelvic Floor Muscle Pelvic Organ Prolapse Urogynecology Patient Education as Topic medicine Humans Nurse Practitioners Muscle Strength Prospective Studies Fellowships and Scholarships Pelvic examination Aged Aged 80 and over Pelvic floor medicine.diagnostic_test business.industry Internship and Residency Obstetrics and Gynecology Pelvic Floor Middle Aged Faculty Gynecological Examination Exercise Therapy Obstetrics body regions Urinary Incontinence Levator ani medicine.anatomical_structure Gynecology Physical therapy Female Surgery Clinical Competence business Muscle Contraction |
| Zdroj: | Female Pelvic Medicine & Reconstructive Surgery. 25:154-156 |
| ISSN: | 2151-8378 |
| Popis: | Objective In women who undergo provider-guided vaginal biofeedback of pelvic floor muscle strength, we sought to determine whether the level of the provider correlates with the patient's ability to achieve adequate pelvic floor muscle contractions (PFMCs). Methods From August 2017 to April 2018, patients from 2 urogynecology clinics were recruited to participate in an institutional review board-approved, prospective study examining PFMCs. Pelvic examination and teaching session were done by providers who had specific training on how to assess pelvic floor muscle strength using the validated, modified Oxford scale. Patients were asked to perform a baseline PFMC during a 2-digit pelvic examination. Thereafter, patients were counseled to relax their muscles, identify the levator ani muscles during provider teaching, and perform 3 consecutive provider-guided PFMCs. The strength of each PFMC was measured, and the time-to-teach (TTT) was recorded. The level of provider and TTT were correlated with PFMC1 to PFMC3 using Spearman correlation coefficient. Results One hundred women participated. Obstetrics/gynecology (OB/GYN) residents (post-graduate years 1-4) evaluated 20 patients; female pelvic medicine and reconstructive surgery fellowship trainees (post-graduate years 5-7), 38 patients; OB/GYN nurse practitioners, 18 patients; generalist OB/GYN faculty, 9 patients; and female pelvic medicine and reconstructive surgery faculty, 15 patients. There was no correlation between level of provider and TTT or between level of provider and strength of PFMC1, PFMC2, or PFMC3. Conclusions At the time of pelvic floor muscle assessment, the level of provider does not impact teaching time or PFMC1 to PFMC3. Teaching pelvic floor muscle exercise is a cost-effective, low-resource tool to improve patient care, and providers of any level should be encouraged to teach pelvic floor muscle exercise to patients at the time of office examination. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|