Standard characteristics of functional state of the rectal obturator muscles obtained from neurophysiological examination

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Abstract

The objective was to evaluate standard neurophysiological characteristics of the external anal sphincter and pelvic floor muscles using electromyography interference pattern analysis.

Materials and methods. Electromyography was performed in 33 volunteers without complaints of bowel incontinence or bowel evacuation disorders: 20 (60.6 %) men (mean age 57.3 ± 9.4  years) and 13 (39.4 %) women (mean age 55.3 ± 12.8 years).  Intra-anal electrode registered cumulative values of contractile force  of sphincter ani externum: background and voluntary bioelectrical  activity (BEA). Integral values of mean and maximal BEA amplitude  for the rectal obturator muscles at rest, for voluntary contraction,  during straining, and with increased intra-abdominal pressure were calculated.

Results. Standard values of BEA of the rectal obturator muscles were obtained. These values can be used for qualitative and quantitative evaluation of pelvic floor muscles function and in  additional multicenter studies aimed at development of a unified  algorithm of rectal obturator and pelvic floor muscles evaluation.

About the authors

O. Yu. Fomenko

A.N. Ryzhih State Scientific Center of Coloproctology, Ministry of Health of Russia

Author for correspondence.
Email: info@gnck.ru
2 Salyama Adilya St., Moscow 123423, Russia Russian Federation

Yu. A. Shelygin

A.N. Ryzhih State Scientific Center of Coloproctology, Ministry of Health of Russia

Russian Medical Academy of Continuous Professional Education, Ministry of Health of Russia

Email: fake@neicon.ru

2 Salyama Adilya St., Moscow 123423, Russia

Build. 1, 2/1 Barrikadnaya St., Moscow 125993, Russia

Russian Federation

A. Yu. Titov

A.N. Ryzhih State Scientific Center of Coloproctology, Ministry of Health of Russia

Email: fake@neicon.ru
2 Salyama Adilya St., Moscow 123423, Russia Russian Federation

S. V. Belousova

A.N. Ryzhih State Scientific Center of Coloproctology, Ministry of Health of Russia

Email: fake@neicon.ru
2 Salyama Adilya St., Moscow 123423, Russia Russian Federation

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Copyright (c) 2018 Fomenko O.Y., Shelygin Y.A., Titov A.Y., Belousova S.V.

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