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VOLUME 7 , ISSUE 1 ( January-June, 2019 ) > List of Articles

Original Article

Correlation of Contraction Strength between Gastrocnemius Soleus Muscle and Levator Ani Muscle among Individuals with Uterine Prolapse

Sri Kusumawati

Keywords : Gastrocnemius soleus skeletal muscle contraction strength, Hand-held dynamometer, Pelvic floor muscle contraction strength, Pelvic organ prolapse, Peritron™ perineometer

Citation Information : Kusumawati S. Correlation of Contraction Strength between Gastrocnemius Soleus Muscle and Levator Ani Muscle among Individuals with Uterine Prolapse. J South Asian Feder Menopause Soc 2019; 7 (1):1-4.

DOI: 10.5005/jp-journals-10032-1171

License: CC BY-NC 4.0

Published Online: 01-06-2018

Copyright Statement:  Copyright © 2019; The Author(s).


Introduction: Elderly or menopause is one of the uterine prolapses’ predisposition; however, not every patients with the menopause suffer from uterine prolapses. It is presumed that it is caused by differences of levator ani muscle strength between patients with and without uterine prolapses. Weak levator ani contraction strength is an initial predisposition of uterine prolapses’ occurrence; thus, researchers assumed that there is an overall skeletal muscle strength weakness among patients with uterine prolapses. The overall skeletal muscle strength was represented by the gastrocnemius soleus muscle. Materials and methods: This study aimed to compare gastrocnemius soleus contraction strength between women with and without an uterine prolapse. This study is a comparative, observational analytic study with a cross-sectional approach. Results: The subjects of this study were 48 women divided into two groups: (i) menopause women with a pelvic organ prolapse and (ii) those without a pelvic organ prolapse. Measurements were done on pelvic floor muscle contraction strength (Peritron™ perineometer) and gastrocnemius soleus muscle contraction strength (hand-held dynamometer). Discussion: This study was conducted at Dr Hasan Sadikin General Hospital Bandung during September–October 2016. Statistical analysis reported that the p value results on a perinometer and a hand-held dynamometer were below 0.05 (p value < 0.05) for both groups. A correlation coefficient (r) of 0.519 was classified as the moderate category, with significant correlation results due to a p value of 0.001, α < 0.05. It is concluded that there was a significant correlation between levator ani and gastrocnemius soleus muscle contraction strength among post-menopause uterine prolapse patiets. Conclusion: Gastrocnemius soleus skeletal muscle contraction strength among women with POP was lesser compared with women without POP, and there was a correlation between pelvic floor muscle contraction strength and gastrocnemius soleus skeletal muscle contraction strength.

  1. Badalian SS, Rosenbaum PF. Vitamin D and pelvic floor disorders in women: results from the National Health and Nutrition Examination Survey. Obstet Gynecol 2010;115(4):795–803. DOI: 10.1097/AOG.0b013e3181d34806.
  2. Berek JS. Berek and Novak's Gynecology. Wolters Kluwer Health; 2012.
  3. Burkman RT. Berek & Novak's Gynecology. JAMA 2012;308(5):516–517. DOI: 10.1001/jama.308.5.516.
  4. Danforth DN, Gibbs RS. Danforth's obstetrics and gynecology. Lippincott Williams & Wilkins; 2008.
  5. Pludowski P, Holick MF, Pilz S, et al. Vitamin D effects on musculoskeletal health, immunity, autoimmunity, cardiovascular disease, cancer, fertility, pregnancy, dementia and mortality—a review of recent evidence. Autoimmun Rev 2013;12(10):976–989. DOI: 10.1016/j.autrev.2013.02.004.
  6. Hislop H, Avers D, Brown M. Daniels and Worthingham's muscle testing: Techniques of manual examination and performance testing. Elsevier Health Sciences; 2013.
  7. Wei JT, De Lancey JO. Functional anatomy of the pelvic floor and lower urinary tract. Clin Obstet Gynecol 2004;47(1):3–17. DOI: 10.1097/00003081-200403000-00004.
  8. Ratna Amalia Saanin BHP. Adhi Pribadi. Perbandingan Edukasi Latihan Kegel antara Metode Verbal dan Metode Percobaan Latihan Untuk Meningkatkan Tonus Basal dan Kontraksi Maksimal Levator Ani. Bandung: Universitas Padjadjaran; 2016.
  9. MacLennan AH, Taylor AW, Wilson DH, et al. The prevalence of pelvic floor disorders and their relationship to gender, age, parity and mode of delivery. BJOG 2000;107(12):1460–1470. DOI: 10.1111/j.1471-0528.2000.tb11669.x.
  10. Weemhoff M, Shek KL, Dietz HP. Effects of age on levator function and morphometry of the levator hiatus in women with pelvic floor disorders. Int Urogynecol J Pelvic Floor Dysfunct 2010;21(9):1137–1142. DOI: 10.1007/s00192-010-1150-0.
  11. Nygaard I, Barber MD, Burgio KL, et al. Prevalence of symptomatic pelvic floor disorders in US women. Jama 2008;300(11):1311–1316. DOI: 10.1001/jama.300.11.1311.
  12. Kepenekci I, Keskinkilic B, Akinsu F, et al. Prevalence of pelvic floor disorders in the female Prolapsus uteriulation and the impact of age, mode of delivery, and parity. Dis Colon Rectum 2011;54(1):85–94. DOI: 10.1007/DCR.0b013e3181fd2356.
  13. Lubis DL. Kekuatan Otot Dasar Panggul Pada Wanita Pasca Persalinan Normal Dan Pasca Seksio Sesarea Dengan Perineometer; 2009.
  14. Rahajeng R. Efek Latihan Kegel pada Kekuatan Otot Dasar Panggul Ibu Pasca Persalinan. Jurnal Kedokteran Brawijaya 2013;26(2):120–123. DOI: 10.21776/ub.jkb.2010.026.02.11.
  15. Corton MM. Anatomy of pelvic floor dysfunction. Obstet Gyn Clin N Am 2009;36(3):401–419. DOI: 10.1016/j.ogc.2009.09.002.
  16. Beardsley C. Just “Get strong is wrong”. Muscle fiber type. strength training; 2016 September 18th 2016.
  17. Johnson MA, Polgar J, Weightman D, et al. Data on the distribution of fibre types in thirty-six human muscles: an autopsy study. J Neurol Sci 1973;18(1):111–129. DOI: 10.1016/0022-510X(73)90023-3.
  18. Dahmane R, Djordjevič S, Smerdu V. Adaptive potential of human biceps femoris muscle demonstrated by histochemical, immunohistochemical and mechanomygraphical methods. Med Biol Eng Comput 2007;45(3):323–324. DOI: 10.1007/s11517-006-0146-x.
  19. Edgerton VR, Smith J, Simpson D. Muscle fibre type Prolapsus uteriulations of human leg muscles. Histochem J 1975;7(3):259–266. DOI: 10.1007/BF01003594.
  20. Keh-Evans L, Rice C, Noble E, et al. Comparison of histochemical, biochemical and contractile properties of triceps surae of trained aged subjects. Can J Aging 1992;11(04):412–425. DOI: 10.1017/S0714980800006929.
  21. Ganong WF. Buku ajar fisiologi kedokteran. Edisi 2008;22:155–156.
  22. Messelink B, Benson T, Berghmans B, et al. Standardization of terminology of pelvic floor muscle function and dysfunction: report from the pelvic floor clinical assessment group of the International Continence Society. Neurourol Urodyn 2005;24(4):374. DOI: 10.1002/nau.20144.
  23. Downing KT. Uterine prolapse: from antiquity to today. Obstet Gynecol Int 2011;2012:649459. DOI: 10.1155/2012/649459.
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