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Interrater reliability and physical examination of the pubovisceral portion of the levator ani muscle, validity comparisons using MR imaging
- Source :
- Neurourology and Urodynamics. 25:50-54
- Publication Year :
- 2005
- Publisher :
- Wiley, 2005.
-
Abstract
- Aims: Defects in the pubovisceral portion of the levator ani muscle are seen with MR imaging. This study aims to determine interrater reliability of physical examination in detecting these defects, and to validate ¢ndings from physical examination using comparisons with MR images. Methods: Two examiners palpated the pubovisceral muscles of 29 women to assess for defects in this muscle. Each examiner was blinded to the others ¢ndings. MR scans were acquired on a further 24 women after structured clinical examination by one examiner. These images were read to determine pubovisceral muscle defects, blinded to patient identi¢ers. Agreement between raters and between MR imaging and clinical examination were calculated. Results: The two examiners had positive agreement (presence of a defect) of 72.7% and negative agreement (absence of a defect) of 83.3%. The positive agreement between physical examination and MR imaging was 27.3% and the negative agreement 86.5%. Conclusion: The structured physical examination to detect defects in the pubovisceral portion of the levator ani muscle can be learned as shown by good interrater agreement. However, examination alone underestimates these defects compared with MR imaging. Neurourol. Urodynam. 25:50 ^54, 2006. 2005 Wiley-Liss, Inc.
- Subjects :
- Adult
medicine.medical_specialty
Urology
Levator ani muscle
Physical examination
Palpation
Article
Pregnancy
Uterine Prolapse
medicine
Humans
Muscle, Skeletal
Physical Examination
Aged
Observer Variation
Pelvic floor
medicine.diagnostic_test
business.industry
Reproducibility of Results
Magnetic resonance imaging
Pelvic Floor
Middle Aged
Magnetic Resonance Imaging
Mr imaging
Surgery
Parity
Inter-rater reliability
medicine.anatomical_structure
Female
Neurology (clinical)
Mr images
business
Nuclear medicine
Subjects
Details
- ISSN :
- 15206777 and 07332467
- Volume :
- 25
- Database :
- OpenAIRE
- Journal :
- Neurourology and Urodynamics
- Accession number :
- edsair.doi.dedup.....9770410f86110a10b60bdbb883215c19