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Neurourology and Urodynamics
Article . 2018 . Peer-reviewed
License: Wiley Online Library User Agreement
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Characterizing pelvic floor muscles activities using magnetomyography

Authors: Diana Escalona‐Vargas; Sallie Oliphant; Eric R. Siegel; Hari Eswaran;

Characterizing pelvic floor muscles activities using magnetomyography

Abstract

AimsTo characterize levator ani muscle (LAM) activity in nulligravidas using magnetomyography (MMG) and define MMG characteristics associated with LAM activity with and without accessory muscle contributions.MethodsMMG data were collected from eight nulligravidas during rest and voluntary LAM contractions (Kegels) of varying intensity. We utilized simultaneous vaginal manometry and surface electromyography (sEMG) to evaluate for accessory muscle recruitment. Moderate Kegel (MK) MMG trials were sub‐selected based on the presence or absence of accessory muscle interaction. Amplitude and spectral‐related indicators were calculated across MK epochs: root‐mean square (RMS) amplitude, percentage amplitude relative to rest, and relative power spectrum density (rPSD) in three frequency bands (low, middle, high). Ternary diagram characterized rPSD from selected Kegels and ROC analysis was performed to identify cut‐points to differentiate MKs from interacting MKs.ResultsNineteen MMG recordings were obtained. Amplitude and spectral parameters were significantly different between isolated and interacting MK epochs. Mean RMS and power values of the isolated MK were, respectively, 120.66 ± 43.8 fT and 1.72 ± 1.44 (T2/Hz)*10−28. Amplitudes of MK were 64% and 117 higher than baseline activities for the isolated and interacting epochs, respectively. ROC curves reveled cut‐off points on low and middle frequency bands that achieved perfect separation (ROC‐AUC = 1.0) between isolated and interacting MK.ConclusionsOur study demonstrates that MMG, a novel biomagnetic technique, allows precise detection and characterization of normal female pelvic floor function. Results show that isolated moderate voluntary contraction of the LAMs produces distinct MMG amplitude and spectral characteristics compared with Kegels involving co‐activation of other muscle groups.

Related Organizations
Keywords

Adult, Electromyography, Manometry, Pelvic Floor, Healthy Volunteers, Cohort Studies, Magnetic Fields, ROC Curve, Vagina, Humans, Female, Muscle, Skeletal, Muscle Contraction

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    influence
    This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
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    impulse
    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
14
Top 10%
Average
Top 10%
bronze