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001-es BibID:	BIBFORM121145
Első szerző:	Takács Péter (szülész-nőgyógyász)
Cím:	Biomechanical Integrity Score of the Female Pelvic Floor for Stress Urinary Incontinence / Takacs Peter, Rátonyi Dávid, Koroknai Erzsébet, van Raalte Heather, Lucente Vincent, Egorov Vladimir, Krasznai Zoard Tibor, Kozma Bence
Dátum:	2024
ISSN:	0937-3462
Megjegyzések:	Introduction and hypothesis: This study is aimed at developing and validating a new integral parameter, the Biomechanical Integrity score (BI-score) of the female pelvic floor for stress urinary incontinence conditions. Methods: A total of 130 subjects were included in the observational cohort study; 70 subjects had normal pelvic floor conditions, and 60 subjects had stress urinary incontinence (SUI). A Vaginal Tactile Imager (VTI) was used to acquire and automatically calculate 52 biomechanical parameters for eight VTI test procedures (probe insertion, elevation, rotation, Valsalva maneuver, voluntary muscle contractions in two planes, relaxation, and reflex contraction). Statistical methods were applied (t test, correlation) to identify the VTI parameters sensitive to the pelvic SUI conditions. Results: Twenty-seven parameters were identified as statistically sensitive to SUI development. They were subdivided into five groups to characterize tissue elasticity (group 1), pelvic support (group 2), pelvic muscle contraction (group 3), involuntary muscle relaxation (group 4), and pelvic muscle mobility (group 5). Every parameter was transformed to its standard deviation units using the dataset for normal pelvic conditions, similar to the T-score for bone density. Linear combinations with specified weights led to the composition of five component parameters for groups 1?5 and to the BI-score in standard deviation units. The p value for the BI-score has p = 4.0 ? 10?28 for SUI versus normal conditions. Conclusions: Quantitative transformations of the pelvic tissues, support structures, and functions under diseased conditions may be studied with the SUI BI-score in future research and clinical applications.
Tárgyszavak:	Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban folyóiratcikk Stress urinary incontinence Tissue elasticity Pelvic support Pelvic muscle strength Muscle mobility Biomechanical Integrity score
Megjelenés:	International Urogynecology Journal. - [Epub ahead of print] (2024). -
További szerzők:	Rátonyi Dávid (1996-) (Szülész-nőgyógyász) Koroknai Erzsébet (1987-) (szülész-nőgyógyász) van Raalte, Heather Lucente, Vincent Egorov, Vladimir Krasznai Zoárd Tibor (1973-) (szülész-nőgyógyász, gyermeknőgyógyász) Kozma Bence (1982-) (szülész-nőgyógyász)
Internet cím:	Szerző által megadott URL DOI Intézményi repozitóriumban (DEA) tárolt változat
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