@misc{Michalik_Dominika_Validation_2024,
 author={Michalik, Dominika},
 address={Kraków},
 howpublished={online},
 year={2024},
 school={Rada Dyscypliny Nauki medyczne},
 language={pol},
 abstract={Introduction Pelvic floor muscle (PFM) dysfunctions are a common health issue affecting a significant portion of the female population. One of the most prevalent conditions is urinary incontinence, which affects on average 30% of women. Evaluating PFM function is a key element of urogynecological diagnostics, allowing for proper identification and treatment of these disorders. This evaluation can be conducted using subjective or objective methods. Clinically, objective methods, such as manometric testing, are preferred. Measurement of PFM function using the response of the perineal body provides an innovative, non-invasive alternative to perineometers. However, this method has not yet been validated against available diagnostic standards. Objective The aim of the study was to validate the results obtained using the novel external sensor Boost, which is based on measuring the response of the perineal body during PFM activity. Material and Methods This cross-sectional study included 50 women with PFM dysfunctions and 50 healthy women. Each participant's ability to correctly activate the PFM was verified through palpation and transabdominal ultrasound examination. Subsequently, PFM strength was measured using palpation (Oxford scale), perineometer, kGoal intravaginal probe, and the Boost device. Additionally, a comprehensive interview with the participants, was conducted to collec},
 abstract={t demographic characteristics, severity of PFM dysfunction symptoms, and obstetric histoiy. Based on the obtained measurements, concordance and correlation analyses were performed, and factors determining the value of PFM strength were identified. Results Compared to the healthy group, women with PFM dysfunctions were older, had a higher body mass index, and more frequently reported risk factors for pelvic floor disorders related to pregnancy and childbirth. The median PFM strength measured with the Boost device was lower in the group of women with stress urinary incontinence compared to those without PFM dysfunction (p<0.001). A high correlation was observed between PFM strength measurements using the Boost device and kGoal (r: 0.74, pO.OOl). The agreement between the two methods, expressed as the difference in measurements, was proportional to the baseline PFM strength (pO.OOl), showing greater discrepancies with higher PFM strength. However, the ratio of the two measurements remained constant and independent of PFM strength, indicating good agreement between the methods. Predictive models for results obtained with the kGoal device based on parameters from the Boost device were also developed. PFM strength measured with the Boost device was highly positively correlated with perineometer measurements (r: 0.70, pO.OOl) and the Oxford scale (r: 0.73, p<0.001), and moderately neg},
 abstract={atively correlated with symptom severity assessed by the UDI-6 (r: -0.46, pO.OOl) and IIQ-7 questionnaires (r: -0.46, pO.OOl). Factors determining lower PFM strength in the Boost device included lack of PFM dysfunction, history of Cesarean section and number of births. Summary PFM strength measurement using the Boost external device is consistent and strongly correlated with the results obtained using other standard diagnostic methods. Considering advantages such as ease of use, low invasiveness, and the potential for use in tele-rehabilitation, the Boost device presents an innovative solution with wide potential for clinical application.},
 title={Validation of a novel external manometric sensor used in the diagnosis of pelvic floor muscle function},
 type={Praca doktorska},
 keywords={urogynecological diagnostics, pelvic floor muscles, manometric sensor, ultrasonography, perineometer},
}