Most of the pelvic floor muscle functions in women differ in different body positions, yet others remain similar: systematic review with meta-analysis

Autor: Lu Huang, Zhi-Yuan Zhang, Hong Liu, Min Gao, Xiao-Qi Wang, Xiao-Qin Duan, Zhong-Liang Liu
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Frontiers in Medicine, Vol 10 (2023)
Druh dokumentu: article
ISSN: 2296-858X
DOI: 10.3389/fmed.2023.1252779
Popis: ObjectivesThis systematic literature review and meta-analysis aimed to determine the effect of body position on the measurement of pelvic floor muscle (PFM) contractility and to analyze the influential factors.Data sourcesFive databases (PubMed, Web of Science, EMBASE, Cochrane Library and Scopus) were searched for relevant studies published up to 12nd October 2023.Study selection or eligibility criteriaIncluded cross-sectional studies had to involve the assessment of pelvic floor muscle function in at least two positions.Study appraisal and synthesis methodsWe calculated standardized mean difference (SMD) with 95% confidence intervals (CI) to ascertain the potential effect of body position on outcomes.ResultsIn total, we included 11 cross-sectional studies to ascertain the potential effect of body position on outcomes. There was no statistical difference in the results of maximum voluntary contraction (MVC) of the pelvic floor muscles when assessed in between supine and standing positions (SMD −0.22; 95% CI −0.72 to 0.28; p = 0.38). The results of the meta-analysis showed significantly larger values of resting voluntary contractions (RVC) measured in the standing position compared to the supine position (SMD −1.76; 95% CI −2.55 to −0.97; p
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