Spanish Questionnaires for the Assessment of Pelvic Floor Dysfunctions in Women: A Systematic Review of the Structural Characteristics and Psychometric Properties

Background: Pelvic floor dysfunctions affect a third of the adult female population, including a large number of clinical conditions, which can be evaluated through validated questionnaires that inform us of the status and perception of women both objectively and subjectively. The main objective of this study was to review and explain the topics of the validated questionnaires in Spanish on pelvic floor dysfunctions and to review their psychometric properties. Methods: A systematic review was carried out in the PUBMED and WOS databases. The keywords used were in PUBMED: ((((((((“Fecal Incontinence” [Mesh]) OR “Urinary Incontinence” [Mesh]) OR “Pelvic Organ Prolapse” [Mesh]) OR “Pelvic Floor Disorders” [Mesh]) OR “Sexual Dysfunction, Physiological” [Mesh]) OR “Pelvic Girdle Pain” [Mesh]) OR “sexual function” [Title/Abstract]) OR “Prolapse” [Title/Abstract]) AND “Surveys and Questionnaires” [Mesh] AND “Validation” [Title/Abstract] combined with the Boolean operators “AND”/“OR”. In contrast, in WOS, a segregated search was carried out with each of the terms of pelvic floor dysfunction together with “Validation” and “Surveys and Questionnaires”. All articles published up to 19 November 2021 were considered. Methodological quality was assessed with the COSMIN scale. Results: A total of 687 articles were identified, of which 13 were included. The evaluated questionnaires and the structural characteristics and psychometric properties of each of them were collected. Conclusion: The Spanish versions of the questionnaires show good basic structural and psychometric characteristics for the evaluation of patients with pelvic floor dysfunctions and that they resemble other versions of the same questionnaire published in other languages

Influencia de la técnica de carrera y del calzado minimalista sobre el suelo pélvico en corredoras nulíparas

There is currently a running boom in the practice of physical activity. This sport causes stress on various mechanical structures, particularly on the pelvic floor in females. The uses of specific racing techniques and minimalist running shoes have proven effective in reducing injuries caused by impact that occurs with this sport. These statements might lead one to think that these elements could be useful in preventing runningrelated injuries on the pelvic floor. However, after conducting a bibliographical review, there is no concrete evidence of how the use of such techniques and minimalist footwear affect the pelvic floor. The evidence found allows us to theorize that by lowering the burden, there would be a drop in intra-abdominal pressure, hence a lower prevalence of pelvic floor dysfunction. In order to substantiate these claims, a study design is proposed that considers the effects on the pelvic floor pressure by varying the type of footwear and the running technique used.Actualmente existe un auge del running como práctica de actividad física. Este tipo de actividad genera estrés sobre varias estructuras mecánicas, y en el caso del género femenino, en especial sobre el suelo pélvico. El uso de técnicas de carrera concretas y el empleo de calzado minimalista se han demostrado eficaces para reducir parte de las lesiones por impacto que se producen con esta práctica deportiva. Estas afirmaciones inducen a pensar que el uso de estos elementos podrían ser útiles para evitar los mecanismos lesivos de correr sobre el suelo pélvico. Sin embargo tras realizar una revisión bibliográfica no se hallan evidencias directas sobre cómo afecta el uso de estas técnicas y del calzado minimalista sobre el suelo pélvico. La evidencia hallada permite teorizar que estos mismos efectos de disminución de carga producirían un descenso de las presiones intraabdominales y por lo tanto una menor prevalencia sobre disfunciones del suelo pélvico. Con la finalidad de corroborar estas afirmaciones se propone un diseño de estudio que contempla los efectos sobre la presión del suelo pélvico variando el tipo de calzado y la técnica de carrera utilizada

Spanish Questionnaires for the Assessment of Pelvic Floor Dysfunctions in Women: A Systematic Review of the Structural Characteristics and Psychometric Properties

Background: Pelvic floor dysfunctions affect a third of the adult female population, including a large number of clinical conditions, which can be evaluated through validated questionnaires that inform us of the status and perception of women both objectively and subjectively. The main objective of this study was to review and explain the topics of the validated questionnaires in Spanish on pelvic floor dysfunctions and to review their psychometric properties. Methods: A systematic review was carried out in the PUBMED and WOS databases. The keywords used were in PUBMED: ((((((((“Fecal Incontinence” [Mesh]) OR “Urinary Incontinence” [Mesh]) OR “Pelvic Organ Prolapse” [Mesh]) OR “Pelvic Floor Disorders” [Mesh]) OR “Sexual Dysfunction, Physiological” [Mesh]) OR “Pelvic Girdle Pain” [Mesh]) OR “sexual function” [Title/Abstract]) OR “Prolapse” [Title/Abstract]) AND “Surveys and Questionnaires” [Mesh] AND “Validation” [Title/Abstract] combined with the Boolean operators “AND”/“OR”. In contrast, in WOS, a segregated search was carried out with each of the terms of pelvic floor dysfunction together with “Validation” and “Surveys and Questionnaires”. All articles published up to 19 November 2021 were considered. Methodological quality was assessed with the COSMIN scale. Results: A total of 687 articles were identified, of which 13 were included. The evaluated questionnaires and the structural characteristics and psychometric properties of each of them were collected. Conclusion: The Spanish versions of the questionnaires show good basic structural and psychometric characteristics for the evaluation of patients with pelvic floor dysfunctions and that they resemble other versions of the same questionnaire published in other languages

Spanish cross-cultural adaptation and validation of the Australian Pelvic Floor Questionnaire in running women.

Pelvic floor dysfunctions are a wide range of disorders in the gynaecological, lower urinary and gastrointestinal tracts that affect the structure and/or function of the pelvic organs. The objective of this study was to carry out a cross-cultural adaptation and a psychometric analysis of the Spanish version of the Australian Pelvic Floor Questionnaire. Observational study divided into two main phases: (1) translation and cross-cultural adaptation and (2) psychometric tests. Women runners from all over the Spanish territory, from different federations, clubs and levels were recruited. Participants: 424 female runners, native Spanish, over 18 years of age and who had been practicing running for more than 6 months. The instruments used in this study were the Australian Pelvic Floor Questionnaire, Female Sexual Function Index, King Health Questionnaire, Quality of Life SF-12 and EuroQoL 5-D. The Spanish version of Australian Pelvic Floor Questionnaire has proven to be an understandable and easy-to-use tool. The general internal consistency of the questionnaire was 0.972 and the intraclass correlation coefficient ranged between ICC 0.596-0.960. The Spanish version of Australian Pelvic Floor Questionnaire is a valid and reliable measure that can be used clinically to assess pelvic floor dysfunctions among the female Spanish population