Reliability of Digital Palpation to Perineometeric Scoring for Assessment of Pelvic Floor Muscle Strength: A Comparative Study.

Abstract

Objectives: This study aimed to assess the level of agreement between digital palpation and perineometeric scoring in measuring the strength of PFM. The objective was to ascertain the worth of digital assessment, enabling healthcare professionals to utilize it as a convenient screening and evaluation tool without the requirement of acquiring specialized equipment.

Materials and methods: This study included 435 Indian women between the ages of 18 and 55 years. The researchers evaluated PFMS using digital palpation and perineometeric scoring. Urogenital surgery, incontinence, and a history of pelvic organ prolapse were excluded. The data analysis encompassed demographic variables, the kappa coefficient, Pearson's correlation, and regression analysis.

Results: The average age was 30 years, and the average body mass index was 23.95. The majority of individuals were nulliparous. The assessment of PFMS was conducted satisfactorily, demonstrating a significant level of agreement (κ = 0.63) between digital palpation and perineometeric scoring. The regression analysis provided confirmation of the reliability, with an R-value of 0.954 and an R-square value of 0.910.

Conclusion: It is essential to have dependable techniques to evaluate PFMS in Indian women. The outcomes highlight the need of using standardized evaluation methods and taking demographic factors into account. The low engagement of women, particularly prior to childbirth, in PFM activities highlights the importance of promoting knowledge and understanding. This study enhances the management of pelvic floor dysfunction and underscores the significance of accurate assessment for optimal treatment planning.