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Cited by 147Pelvic floor disorders treatmentsUrinary Bladder and Prostate ResearchSexual function and dysfunction studies

The DOI matches its Crossref record; 21 of the 21 references it cites were found in a registry or an index.

Pelvic floor muscle contraction during a cough and decreased vesical neck mobility

Open access
Miller, J·2001·Obstetrics & Gynecology
DOI 10.1016/s0029-7844(00)01132-7PMC PMC1226460
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Abstract

OBJECTIVE: To test the hypothesis that a voluntary pelvic muscle contraction initiated in preparation for a cough, a maneuver we call the Knack, significantly reduces vesical neck displacement. METHODS: A convenience sample of 22 women consisted of 11 young, continent nulliparas (mean age [+/- standard deviation] 24.8 +/- 7.0 years) and 11 older, incontinent paras (mean age [+/-SD] 66.9 +/- 3.9 years). With the use of perineal ultrasound, we quantified vesical neck displacement at rest and during coughs using caliper tracing and a coordinate system. The subjects coughed with and without voluntary pelvic floor muscle contraction. RESULTS: Vesical neck mobility during coughs was significantly decreased when voluntary contraction was used: from a median (range) of 5.4 (20.0) mm without volitional contraction to 2.9 (18.3) mm with volitional contraction (P <.001). The younger women demonstrated a median (range) decrease in excursion from 4.6 (19.5) to 0.0 (17.0) mm (P =.007), and the older incontinent women demonstrated a median (range) decrease from 6.2 (10.0) to 3.5 (15.4) mm (P =.003). At rest, the median vesical neck position in the group of older incontinent women was significantly further dorsocaudal (P =.001) than in the younger women. CONCLUSION: A pelvic floor muscle contraction in preparation for, and throughout, a cough can augment proximal urethra support during stress, thereby reducing the amount of dorsocaudal displacement.

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Metadata

Authors
Miller, J.
Affiliations
University of Michigan (US)
Corresponding author
Miller, J
ORCID
Miller, J
Venue
Obstetrics & Gynecology
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
2001-02
Volume
97
Issue
2
Pages
255-260
ISSN
0029-7844 (ISSN-L)
DOI
10.1016/s0029-7844(00)01132-7
PMC
PMC1226460
OpenAlex
W2031798880
Cited by
147
References
21
Citations by year
2026: 1 · 2025: 3 · 2024: 6 · 2023: 4 · 2022: 6 · 2021: 4 · 2020: 7 · 2019: 12 · 2018: 7 · 2017: 4 · 2015: 9 · 2014: 12 · 2013: 3 · 2012: 6
FWCI
3.29
Type
journal article
Language
en
Open access
Locations
  • Obstetrics and Gynecology (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • National Institutes of Health (5r01dk047516-03, 1p30ag008808-01)
  • National Institute on Aging (P60AG008808, P30 AG08808, T32 AG-00114, T32AG000114)
  • National Institute of Diabetes and Digestive and Kidney Diseases (R01DK051405, R01 DK51405, R01 DK 47516)
  • Eunice Kennedy Shriver National Institute of Child Health and Human Development (R01HD047516)
Topics
  • Health Sciences › Medicine › Urology › Pelvic floor disorders treatments
  • Health Sciences › Medicine › Urology › Urinary Bladder and Prostate Research
  • Health Sciences › Medicine › Psychiatry and Mental health › Sexual function and dysfunction studies
Keywords
pelvic floor muscle contraction, cough, stress urinary incontinence, transperineal ultrasound, nulliparous women, postpartum women, age differences
MeSH terms
Adult, Aged, Urinary Bladder, Cough, Female, Humans, Isometric Contraction, Middle Aged, Reference Values, Urinary Incontinence, Stress, Urodynamics, Pelvic Floor

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CoChat. (2026). Citation check: Pelvic floor muscle contraction during a cough and decreased vesical neck mobility. https://app.cochat.ai/papers/10.1016/s0029-7844(00)01132-7
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Miller, J. (2001). Pelvic floor muscle contraction during a cough and decreased vesical neck mobility. Obstetrics & Gynecology. https://doi.org/10.1016/s0029-7844(00)01132-7

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

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