Lumbopelvic Muscle Mechanical Properties in Women with Multiple Sclerosis: A Cross-Sectional Case-Controlled Study
<b>Background/Objectives</b>: To compare the lumbopelvic muscle mechanical properties (MMPs) of women with and without multiple sclerosis (MS) and explore relationships between these properties and sociodemographic/clinical characteristics. <b>Methods</b>: This cross-sectiona...
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MDPI AG
2024-12-01
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| author | Inés Cruz-Medel María Ángeles Peña-Toledo Francisco Alburquerque-Sendín Daiana Priscila Rodrigues-de-Souza Cristina Conde-Gavilán Ana María Jover-Sánchez Claudia Carmona-Medialdea Eduardo Agüera-Morales |
| author_facet | Inés Cruz-Medel María Ángeles Peña-Toledo Francisco Alburquerque-Sendín Daiana Priscila Rodrigues-de-Souza Cristina Conde-Gavilán Ana María Jover-Sánchez Claudia Carmona-Medialdea Eduardo Agüera-Morales |
| author_sort | Inés Cruz-Medel |
| collection | DOAJ |
| description | <b>Background/Objectives</b>: To compare the lumbopelvic muscle mechanical properties (MMPs) of women with and without multiple sclerosis (MS) and explore relationships between these properties and sociodemographic/clinical characteristics. <b>Methods</b>: This cross-sectional observational study included 22 women with MS and 22 age- and BMI-matched women without MS. MMPs (frequency, stiffness, decrement, relaxation, and creep) of pelvic floor and lumbar paravertebral muscles were assessed using a MyotonPRO device. Sociodemographic and clinical data related to pelvic floor health were also collected. <b>Results</b>: Women with MS showed significant differences in pelvic floor MMPs, including higher frequency (3.26 Hz; 95% CI [2.12, 4.41]), stiffness (90 N/m; 95% CI [55.09, 124.91]), and decrement (0.2; 95% CI [0.09, 0.31]), and lower relaxation (6.15 ms; 95% CI [8.26, 4.05]) and creep (0.24; 95% CI [0.34, 0.13]) compared to women without MS. For lumbar paravertebral muscles, differences were observed only on the right side, with lower frequency (2.15 Hz; 95% CI [0.28, 4.02]) and stiffness (62.17 N/m; 95% CI [10.7, 113.65]) in women with MS. Correlation patterns between MMPs and clinical characteristics differed by group, with moderate correlations found only in the MS group (e.g., EDSS: r = 0.57; <i>p</i> = 0.006; PFDI-20: r = 0.47; <i>p</i> = 0.026). <b>Conclusions</b>: Women with MS exhibit altered pelvic floor MMPs, characterized by reduced tone and stiffness and increased elasticity and viscoelasticity, while lumbar paravertebral differences are minimal. These findings highlight the need for objective MMP assessments in women with MS to guide preventive and therapeutic interventions. |
| format | Article |
| id | doaj-art-0194e3d0779a48029e49c3e0532a17bb |
| institution | Kabale University |
| issn | 2227-9059 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | MDPI AG |
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| series | Biomedicines |
| spelling | doaj-art-0194e3d0779a48029e49c3e0532a17bb2024-12-27T14:13:17ZengMDPI AGBiomedicines2227-90592024-12-011212292510.3390/biomedicines12122925Lumbopelvic Muscle Mechanical Properties in Women with Multiple Sclerosis: A Cross-Sectional Case-Controlled StudyInés Cruz-Medel0María Ángeles Peña-Toledo1Francisco Alburquerque-Sendín2Daiana Priscila Rodrigues-de-Souza3Cristina Conde-Gavilán4Ana María Jover-Sánchez5Claudia Carmona-Medialdea6Eduardo Agüera-Morales7Dementia and Multiple Sclerosis Unit, Neurology Service, Reina Sofia University Hospital, 14004 Cordoba, SpainDementia and Multiple Sclerosis Unit, Neurology Service, Reina Sofia University Hospital, 14004 Cordoba, SpainDepartment of Nursing, Pharmacology and Physical Therapy, University of Cordoba, 14004 Cordoba, SpainDepartment of Nursing, Pharmacology and Physical Therapy, University of Cordoba, 14004 Cordoba, SpainDementia and Multiple Sclerosis Unit, Neurology Service, Reina Sofia University Hospital, 14004 Cordoba, SpainDementia and Multiple Sclerosis Unit, Neurology Service, Reina Sofia University Hospital, 14004 Cordoba, SpainDementia and Multiple Sclerosis Unit, Neurology Service, Reina Sofia University Hospital, 14004 Cordoba, SpainDementia and Multiple Sclerosis Unit, Neurology Service, Reina Sofia University Hospital, 14004 Cordoba, Spain<b>Background/Objectives</b>: To compare the lumbopelvic muscle mechanical properties (MMPs) of women with and without multiple sclerosis (MS) and explore relationships between these properties and sociodemographic/clinical characteristics. <b>Methods</b>: This cross-sectional observational study included 22 women with MS and 22 age- and BMI-matched women without MS. MMPs (frequency, stiffness, decrement, relaxation, and creep) of pelvic floor and lumbar paravertebral muscles were assessed using a MyotonPRO device. Sociodemographic and clinical data related to pelvic floor health were also collected. <b>Results</b>: Women with MS showed significant differences in pelvic floor MMPs, including higher frequency (3.26 Hz; 95% CI [2.12, 4.41]), stiffness (90 N/m; 95% CI [55.09, 124.91]), and decrement (0.2; 95% CI [0.09, 0.31]), and lower relaxation (6.15 ms; 95% CI [8.26, 4.05]) and creep (0.24; 95% CI [0.34, 0.13]) compared to women without MS. For lumbar paravertebral muscles, differences were observed only on the right side, with lower frequency (2.15 Hz; 95% CI [0.28, 4.02]) and stiffness (62.17 N/m; 95% CI [10.7, 113.65]) in women with MS. Correlation patterns between MMPs and clinical characteristics differed by group, with moderate correlations found only in the MS group (e.g., EDSS: r = 0.57; <i>p</i> = 0.006; PFDI-20: r = 0.47; <i>p</i> = 0.026). <b>Conclusions</b>: Women with MS exhibit altered pelvic floor MMPs, characterized by reduced tone and stiffness and increased elasticity and viscoelasticity, while lumbar paravertebral differences are minimal. These findings highlight the need for objective MMP assessments in women with MS to guide preventive and therapeutic interventions.https://www.mdpi.com/2227-9059/12/12/2925lumbar paravertebral musclesMyotonPRO devicepelvic floor musclesmultiple sclerosis |
| spellingShingle | Inés Cruz-Medel María Ángeles Peña-Toledo Francisco Alburquerque-Sendín Daiana Priscila Rodrigues-de-Souza Cristina Conde-Gavilán Ana María Jover-Sánchez Claudia Carmona-Medialdea Eduardo Agüera-Morales Lumbopelvic Muscle Mechanical Properties in Women with Multiple Sclerosis: A Cross-Sectional Case-Controlled Study Biomedicines lumbar paravertebral muscles MyotonPRO device pelvic floor muscles multiple sclerosis |
| title | Lumbopelvic Muscle Mechanical Properties in Women with Multiple Sclerosis: A Cross-Sectional Case-Controlled Study |
| title_full | Lumbopelvic Muscle Mechanical Properties in Women with Multiple Sclerosis: A Cross-Sectional Case-Controlled Study |
| title_fullStr | Lumbopelvic Muscle Mechanical Properties in Women with Multiple Sclerosis: A Cross-Sectional Case-Controlled Study |
| title_full_unstemmed | Lumbopelvic Muscle Mechanical Properties in Women with Multiple Sclerosis: A Cross-Sectional Case-Controlled Study |
| title_short | Lumbopelvic Muscle Mechanical Properties in Women with Multiple Sclerosis: A Cross-Sectional Case-Controlled Study |
| title_sort | lumbopelvic muscle mechanical properties in women with multiple sclerosis a cross sectional case controlled study |
| topic | lumbar paravertebral muscles MyotonPRO device pelvic floor muscles multiple sclerosis |
| url | https://www.mdpi.com/2227-9059/12/12/2925 |
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