Pelvic floor electromyography in men with chronic pelvic pain syndrome: A case‐control study
- 15 September 2005
- journal article
- research article
- Published by Wiley in Neurourology and Urodynamics
- Vol. 25 (1), 46-49
- https://doi.org/10.1002/nau.20162
Abstract
Aims The objectives of this study were (1) to identify differences between men with chronic pelvic pain syndrome (CPPS), compared with pain‐free men, in surface electromyography/biofeedback (sEMG/BFB) readings of pelvic floor muscles and (2) to determine which pelvic floor muscle sEMG readings may have differential diagnostic and treatment selection value by accurately predicting group membership, CPPS versus normal. Methods Twenty‐one men with CPPS and 21 healthy men without pelvic pain underwent a standardized sEMG examination by a licensed physical therapist. Results On group difference measures men with CPPS showed significantly greater sEMG instability in preliminary resting baseline. Three sEMG measures reliably categorized CPPS versus normals with CPPS showing greater preliminary resting baseline hypertonicity and instability with lowered voluntary endurance contraction amplitude. Conclusions CPPS patients manifest pelvic floor muscle instability compared to normals. Prebaseline resting hypertonicity and instability along with endurance contraction weakness reliably predicts subject membership in the CPPS vs. normal group. Pelvic floor muscle sEMG may be a valuable screening tool to identify patients with CPPS who may benefit from therapies aimed at correcting pelvic floor muscle dysfunction. Neurourol. Urdynam.Keywords
This publication has 6 references indexed in Scilit:
- Musculoskeletal Dysfunction in Men With Chronic Pelvic Pain Syndrome Type III: A Case-control StudyJournal of Urology, 2003
- Vulvar vestibulitis syndrome: reliability of diagnosis and evaluation of current diagnostic criteriaObstetrics & Gynecology, 2001
- Biofeedback, pelvic floor re-education, and bladder training for male chronic pelvic pain syndromeUrology, 2000
- Simple test of pelvic muscle contraction during pelvic examination: Correlation to surface electromyographyNeurourology and Urodynamics, 1999
- THE NATIONAL INSTITUTES OF HEALTH CHRONIC PROSTATITIS SYMPTOM INDEX: DEVELOPMENT AND VALIDATION OF A NEW OUTCOME MEASUREJournal of Urology, 1999
- Role of Temporal Integration and Fluctuation Detection in the Highly Irregular Firing of a Leaky Integrator Neuron Model with Partial ResetNeural Computation, 1997