Pelvic floor muscle examination in female chronic pelvic pain.

Colleen M. Fitzgerald, Cynthia E. Neville, Trudy Mallinson, Suzanne A. Badillo, Christina K. Hynes, Frank F. Tu

Research output: Contribution to journalArticle

Abstract

To determine if women with self-reported chronic pelvic pain (CPP) were more likely to have positive findings on two vaginal pelvic floor muscle (PFM) tests compared to women without CPP when the examiner was blinded to pain status. This was a prospective, cross-sectional study. Blinded examiners performed two vaginal pelvic floor tests (tenderness and strength) on 48 participants: 19 with self-reported CPP and 29 who were pain-free. Relative frequency of positive findings between groups and the total number of positive physical examination findings were calculated. Women with self-reported CPP were more likely to have PFM tenderness (63.2% with physician [M.D.] examiners [board certified in physical medicine and rehabilitation] and 73.7% with physical therapist [P.T.] examiners) as compared to pain-free participants (Fisher's exact test [FET]), 48 p < 0.001 with M.D., p < 0.001 with P.T.). PFM weakness was not more likely in women with CPP (31.6% with M.D., 42.1% with P.T.) as compared with pain-free participants (48.3% with M.D., 17.2% with P.T.) (FET, 48 p = 0.37 with M.D., p = 0.096 with P.T.). PFM tenderness is found more frequently in women with self-reported CPP than in pain-free women. PFM strength did not differentiate CPP from pain-free participants. Improved standardization of the PFM examination across disciplines may be helpful in distinguishing subgroups and treating women with CPP.

LanguageEnglish (US)
Pages117-122
Number of pages6
JournalThe Journal of reproductive medicine
Volume56
Issue number3-4
StatePublished - Mar 1 2011

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Pelvic Floor
Pelvic Pain
Chronic Pain
Physical Therapists
Muscles
Myalgia
Muscle Strength
Physical and Rehabilitation Medicine
Muscle Weakness
Physical Examination
Cross-Sectional Studies
Pain-Free
Physicians
Pain

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Reproductive Medicine

Cite this

Fitzgerald, C. M., Neville, C. E., Mallinson, T., Badillo, S. A., Hynes, C. K., & Tu, F. F. (2011). Pelvic floor muscle examination in female chronic pelvic pain. The Journal of reproductive medicine, 56(3-4), 117-122.
Fitzgerald, Colleen M. ; Neville, Cynthia E. ; Mallinson, Trudy ; Badillo, Suzanne A. ; Hynes, Christina K. ; Tu, Frank F. / Pelvic floor muscle examination in female chronic pelvic pain. In: The Journal of reproductive medicine. 2011 ; Vol. 56, No. 3-4. pp. 117-122.
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Fitzgerald, CM, Neville, CE, Mallinson, T, Badillo, SA, Hynes, CK & Tu, FF 2011, 'Pelvic floor muscle examination in female chronic pelvic pain.' The Journal of reproductive medicine, vol. 56, no. 3-4, pp. 117-122.

Pelvic floor muscle examination in female chronic pelvic pain. / Fitzgerald, Colleen M.; Neville, Cynthia E.; Mallinson, Trudy; Badillo, Suzanne A.; Hynes, Christina K.; Tu, Frank F.

In: The Journal of reproductive medicine, Vol. 56, No. 3-4, 01.03.2011, p. 117-122.

Research output: Contribution to journalArticle

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Fitzgerald CM, Neville CE, Mallinson T, Badillo SA, Hynes CK, Tu FF. Pelvic floor muscle examination in female chronic pelvic pain. The Journal of reproductive medicine. 2011 Mar 1;56(3-4):117-122.