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Interrater reliability and physical examination of the pubovisceral portion of the levator ani muscle, validity comparisons using MR imaging

dc.contributor.authorKearney, Rohnaen_US
dc.contributor.authorMiller, Janis M.en_US
dc.contributor.authorDeLancey, John O. L.en_US
dc.date.accessioned2007-01-17T15:53:13Z
dc.date.available2007-01-17T15:53:13Z
dc.date.issued2006-01en_US
dc.identifier.citationKearney, Rohna; Miller, Janis M.; DeLancey, John O. L. (2006)."Interrater reliability and physical examination of the pubovisceral portion of the levator ani muscle, validity comparisons using MR imaging." Neurourology and Urodynamics 25(1): 50-54. <http://hdl.handle.net/2027.42/49283>en_US
dc.identifier.issn0733-2467en_US
dc.identifier.issn1520-6777en_US
dc.identifier.urihttps://hdl.handle.net/2027.42/49283
dc.identifier.urihttp://www.ncbi.nlm.nih.gov/sites/entrez?cmd=retrieve&db=pubmed&list_uids=16304674&dopt=citationen_US
dc.description.abstractAims 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 findings 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 findings. 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 identifiers. 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. © 2005 Wiley-Liss, Inc.en_US
dc.format.extent169366 bytes
dc.format.extent3118 bytes
dc.format.mimetypeapplication/pdf
dc.format.mimetypetext/plain
dc.language.isoen_US
dc.publisherWiley Subscription Services, Inc., A Wiley Companyen_US
dc.subject.otherLife and Medical Sciencesen_US
dc.subject.otherMiscellaneous Medicalen_US
dc.titleInterrater reliability and physical examination of the pubovisceral portion of the levator ani muscle, validity comparisons using MR imagingen_US
dc.typeArticleen_US
dc.rights.robotsIndexNoFollowen_US
dc.subject.hlbsecondlevelInternal Medicine and Specialtiesen_US
dc.subject.hlbtoplevelHealth Sciencesen_US
dc.description.peerreviewedPeer Revieweden_US
dc.contributor.affiliationumDepartment of Obstetrics and Gynecology, University of Michigan Medical School, Ann Arbor, Michigan ; 1 Upper Gwydir Street, Cambridge, CB1 2LR, UK.en_US
dc.contributor.affiliationumDepartment of Obstetrics and Gynecology, University of Michigan Medical School, Ann Arbor, Michiganen_US
dc.contributor.affiliationumDepartment of Obstetrics and Gynecology, University of Michigan Medical School, Ann Arbor, Michiganen_US
dc.identifier.pmid16304674en_US
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/49283/1/20181_ftp.pdfen_US
dc.identifier.doihttp://dx.doi.org/10.1002/nau.20181en_US
dc.identifier.sourceNeurourology and Urodynamicsen_US
dc.owningcollnameInterdisciplinary and Peer-Reviewed


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